{"id":22626,"date":"2018-03-09T09:12:52","date_gmt":"2018-03-09T09:12:52","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/traslocacion-bacteriana-en-el-trasplante-de-intestino-delgado-modelo-experimental-original\/"},"modified":"2018-03-09T09:12:52","modified_gmt":"2018-03-09T09:12:52","slug":"traslocacion-bacteriana-en-el-trasplante-de-intestino-delgado-modelo-experimental-original","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/traslocacion-bacteriana-en-el-trasplante-de-intestino-delgado-modelo-experimental-original\/","title":{"rendered":"Traslocaci\u00f3n bacteriana en el trasplante de intestino delgado. modelo experimental original"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pedro Jimenez Almonacid <\/strong><\/h2>\n<p>Introducci\u00f3n  el trasplante intestinal se ha convertido en los \u00faltimos a\u00f1os en una terapia alternativa a la nutrici\u00f3n parenteral total en pacientes con s\u00edndrome de intestino corto. No obstante los resultados de supervivencia, tanto del injerto como de los pacientes est\u00e1n muy lejos de las cifras obtenidas en otros trasplantes de \u00f3rganos. Los principales obst\u00e1culos son el control del rechazo y de las infecciones. La mortalidad relacionada con infecciones postoperatorias en el trasplante intestinal est\u00e1 en torno al 60% y pr\u00e1cticamente todos los pacientes sufren alg\u00fan episodio de infecci\u00f3n severa en el postoperatorio. se ha postulado que el fen\u00f3meno de la traslocacion bacteriana justificar\u00eda esta elevada incidencia de infecciones.  material y m\u00e9todos  en el trabajo presentado se desarrolla un modelo original de trasplante intestinal en cerdos y se estudia el efecto de distintos reg\u00edmenes de tratamiento postoperatorio sobre la incidencia de traslocaci\u00f3n bacteriana, aparici\u00f3n de infecciones y supervicencia. El trabajo se estructur\u00f3 en 2 fases.  fase preliminar  15 experiencias. Desarrollo del modelo. Trasplante ortot\u00f3pico de intestino delgado con reconstrucci\u00f3n aorto-mesent\u00e9rica con injerto a\u00f3rtico donante y drenaje mesent\u00e9rico-portal t\u00e9rminolateral. Anastomosis duodenoduodenal e ileostom\u00eda terminal en fosa il\u00edaca derecha.  fase de estudio de traslocaci\u00f3n bacteriana:  21 experiencias (grupo i: inmunosupresi\u00f3n + antibioterapia, grupo ii: antibioterapia. Grupo iii: inmunosupresi\u00f3n, grupo iv: ning\u00fan tratamiento postoperatorio).  resultados  baja incidencia de complicaciones t\u00e9cnicas en el modelo descrito. Supervivencia en postoperatorio inmediato 100%. Traslocaci\u00f3n bacteriana en fases iniciales en relaci\u00f3n con trauma quir\u00fargico e isquemia-reperfusi\u00f3n. Disminuci\u00f3n de taslocaci\u00f3n bacteriana global, de infecciones postoperatorias y mejor supervivencia en los grupos tratados con antibi\u00f3tico.  conclus<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Traslocaci\u00f3n bacteriana en el trasplante de intestino delgado. modelo experimental original<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Traslocaci\u00f3n bacteriana en el trasplante de intestino delgado. modelo experimental original <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pedro Jimenez Almonacid <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/04\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Javier Calleja Kempin<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Balibrea  cantero <\/li>\n<li>Francisco Sanchez bueno (vocal)<\/li>\n<li>v\u00edctor S\u00e1nchez turri\u00f3n (vocal)<\/li>\n<li>Manuel G\u00f3mez fletas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pedro Jimenez Almonacid Introducci\u00f3n el trasplante intestinal se ha convertido en los \u00faltimos a\u00f1os en una terapia [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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