{"id":23958,"date":"2018-03-09T09:14:42","date_gmt":"2018-03-09T09:14:42","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/enterocistoplastia-en-ninos-alteraciones-metabolicas\/"},"modified":"2018-03-09T09:14:42","modified_gmt":"2018-03-09T09:14:42","slug":"enterocistoplastia-en-ninos-alteraciones-metabolicas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/malaga\/enterocistoplastia-en-ninos-alteraciones-metabolicas\/","title":{"rendered":"Enterocistoplastia en ni\u00f1os. alteraciones metab\u00f3licas"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Nuria Garc\u00eda Soldevila <\/strong><\/h2>\n<p>Muchos ni\u00f1os con vejiga neur\u00f3gena y otras patolog\u00edas se someten a un procedimiento de reconstrucci\u00f3n urol\u00f3gica, que conlleva la incorporaci\u00f3n de un segmento de tubo digestivo en el tracto urinario inferior.  como es sabido esto da lugar a una serie de alteraciones metab\u00f3licas que pueden llegar a repercutir en el crecimiento. Actualmente existen escasos estudios realizados en ni\u00f1os con vejigas neur\u00f3genas, sobre la repercusi\u00f3n de la citoplastia de aumento con intestino en el crecimiento, por lo que este estudio aporta datos como conocidos en la edad pedi\u00e1trica.  material y m\u00e9todos  se realiza un estudio retrospectivo y prospectivo de 30 casos de cistoplastia realizadas en el hospital materno-infantil de m\u00e1laga entre 1987 y 1999. se han seleccionado 27 pacientes con enterocistoplastia, y se comparan los percentiles de talla y peso, as\u00ed como el estado metab\u00f3lico, urol\u00f3gico y funcional pre y postoperatorios; y de determinaci\u00f3n de la edad radiol\u00f3gica postoperatoria. Se analizan los factores influyentes en el crecimiento.  resultados  la media de edad en el momento de la cirug\u00eda fue de 7,2 a\u00f1os (rango: 2-13 a). Se realizaron 9 cistoplastias con \u00edleon (33,3%), y 18 con sigma (66,6%). nueve pacientes presentaron un emperoramiento en el percentil de peso (33%), de estos 3 tuvieron acidosis metab\u00f3lica. En 8 pacientes se evidenci\u00f3 empeoramiento del percentil de talla (29,6%), 4 tuvieron acidosis metab\u00f3lica. El porcentaje entre los grupos sigma e \u00edleon fue similar.  conclusiones  1,- la cistoplastia intestinal se asocia con frecuencia significativa a camibos hidroelectrol\u00edticos (acidosis metab\u00f3lica hiperclor\u00e9mica) y a una alteraci\u00f3n del desarrollo ponderoestatural, lo que se traduce en una disminuci\u00f3n de los percentiles de peso y talla.  2,- en las enterocistoplastias existe adem\u00e1s un aumento de la frecuencia de infecci\u00f3n del tracto urinario y litiasis.  3,- s\u00f3lo hay algunas diferencias puntuales entre los gr<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Enterocistoplastia en ni\u00f1os. alteraciones metab\u00f3licas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Enterocistoplastia en ni\u00f1os. alteraciones metab\u00f3licas <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Nuria Garc\u00eda Soldevila <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/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 M\u00e1rtinez Valverde<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Jurado ortiz <\/li>\n<li>mercedes Nogueras oca\u00f1a (vocal)<\/li>\n<li>federico Rodriguez-rubio vidal (vocal)<\/li>\n<li>eduardo Sanchez de badajoz chamorro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Nuria Garc\u00eda Soldevila Muchos ni\u00f1os con vejiga neur\u00f3gena y otras patolog\u00edas se someten a un procedimiento de [&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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