{"id":23552,"date":"2018-03-09T09:14:10","date_gmt":"2018-03-09T09:14:10","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/obesidad-morbida-y-metabolismo-fosfocalcico-modificaciones-tras-la-derivacion-biliopancreatica-de-larrad\/"},"modified":"2018-03-09T09:14:10","modified_gmt":"2018-03-09T09:14:10","slug":"obesidad-morbida-y-metabolismo-fosfocalcico-modificaciones-tras-la-derivacion-biliopancreatica-de-larrad","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/alcala\/obesidad-morbida-y-metabolismo-fosfocalcico-modificaciones-tras-la-derivacion-biliopancreatica-de-larrad\/","title":{"rendered":"Obesidad morbida y metabolismo fosfocalcico. modificaciones tras la derivacion biliopancreatica de larrad."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Oscar Lozano Alcalde <\/strong><\/h2>\n<p>Introducci\u00f3n:  la obesidad es un exceso de grasa corporal. De los diferentes m\u00e9todos para estimar la obesidad el m\u00e1s usado es el imc (\u00edndice de masa corporal): peso\/talla2. en la obesidad m\u00f3rbida existe una preValencia franca de enfermedades y la mortalidad es 12 veces mayor que en la poblaci\u00f3n general de 25 a 34 a\u00f1os. Existen tres tipos de cirug\u00eda bari\u00e1trica: t\u00e9cnicas restrictivas, malabsortivas y mixtas. Entre las t\u00e9cnicas mixtas, las m\u00e1s utilizadas en la actualidad, se encuentra la t\u00e9cnica de larrad (modificaci\u00f3n de la derivaci\u00f3n biliopancre\u00e1tica de scopinaro): gastrectom\u00eda 3\/4, con secci\u00f3n intestinal a 50 cm del \u00e1ngulo de treitz, con gastroyeyunostom\u00eda t-l y pie de asa a 50 cm de la v\u00e1lvula ileocecal. Una de las complicaciones potenciales de estas t\u00e9cnicas es la desmineralizaci\u00f3n \u00f3sea.  objetivos:  analizar el metabolismo fosfoc\u00e1lcico en la obesidad m\u00f3rbida y sus modificaciones tras la t\u00e9cnica de larrad. Estudiar la influencia del tratamiento postoperatorio con calcio y vitamina d. Valorar los m\u00e9todos de evaluaci\u00f3n \u00f3sea en la obesidad m\u00f3rbida.  material y m\u00e9todos:  se realiz\u00f3 un estudio prospectivo en 58 pacientes obesos m\u00f3rbidos, sometidos a la t\u00e9cnica de larrad. La mediana de seguimiento fue de 31 meses. Se realizaron controles bioqu\u00edmicos espec\u00edficos del metabolismo ca-p previos a la cirug\u00eda, trimestrales durante el primer a\u00f1o, semestrales en el segundo y posteriormente anuales. Paralelamente, se realizaron densitometr\u00edas \u00f3seas con aparato norland xr-26 (norland co fort atkinson, wisconsin, usa), y se determin\u00f3 con ultrasonido en las met\u00e1fisis distales de las primeras falanges de los dedos de la mano, la velocidad de transmisi\u00f3n del mismo, con densit\u00f3metro dbm sonic 1200 de igea srl (italia). El estudio estad\u00edstico se realiz\u00f3 mediante el programa estad\u00edstico spss.  resultados:  los pacientes obesos m\u00f3rbidos presentan en un elevado porcentaje hiperparatiroidismo secundario (4<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Obesidad morbida y metabolismo fosfocalcico. modificaciones tras la derivacion biliopancreatica de larrad.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Obesidad morbida y metabolismo fosfocalcico. modificaciones tras la derivacion biliopancreatica de larrad. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Oscar Lozano Alcalde <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/06\/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>Antonio Martin Duce<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: fernando Noguerales fraguas <\/li>\n<li>Francisco Turrion sanz (vocal)<\/li>\n<li>\u00e1lvaro Larrad jim\u00e9nez (vocal)<\/li>\n<li>Antonio Navarro pomares (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Oscar Lozano Alcalde Introducci\u00f3n: la obesidad es un exceso de grasa corporal. De los diferentes m\u00e9todos para [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[17426],"tags":[9734,17522,69769,15453,23812,69768],"class_list":["post-23552","post","type-post","status-publish","format-standard","hentry","category-alcala","tag-alvaro-larrad-jimenez","tag-antonio-martin-duce","tag-antonio-navarro-pomares","tag-fernando-noguerales-fraguas","tag-francisco-turrion-sanz","tag-oscar-lozano-alcalde"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/23552","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=23552"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/23552\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=23552"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=23552"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=23552"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}