{"id":24623,"date":"2003-11-07T00:00:00","date_gmt":"2003-11-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/trasplante-hepatico-y-donantes-de-edad-avanzada\/"},"modified":"2003-11-07T00:00:00","modified_gmt":"2003-11-07T00:00:00","slug":"trasplante-hepatico-y-donantes-de-edad-avanzada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/murcia\/trasplante-hepatico-y-donantes-de-edad-avanzada\/","title":{"rendered":"Trasplante hep\u00e1tico y donantes de edad avanzada"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Orbis Castellanos Juan  Francisco <\/strong><\/h2>\n<p>La creciente demanda de \u00f3rganos para trasplante hep\u00e1tico ha conducido a la aceptaci\u00f3n de donantes cad\u00e1ver considerados como \u00absub\u00f3ptimos\u00bb o \u00abmarginales\u00bb. los donantes de edad avanzada (dea) constituyen un subgrupo dentro de estos y en la actualidad constituyen una importante fuente de obtenci\u00f3n de injertos. sin embargo, no se conoce con exactitud que resultado podemos obtener de ellos.  objetivos  conocer que resultados a corto plazo (funci\u00f3n inicial del injerto) y a largo plazo (p\u00e9rdida de injertos y de pacientes) ofrecen estos injertos hep\u00e1ticos obtenidos de dea si se comparan con un grupo control (gc) emparejado de donantes de menor edad.  material y m\u00e9todo  en un modelo de \u00abbajo riesgo\u00bb (primeros trasplantes, no pedi\u00e1tricos, ni particiones, ni implantados en casos de insuficiencia hep\u00e1tica aguda grave y con injertos sin esteatosis de m\u00e1s del 60%) se compara un grupo de 65 dea que se empareja con otros 65 donantes de menor edad (gc). Los casos dea-gc se emparejaran de forma que no existan diferencias en cuanto a factores del donante, receptor, tiempos de isquemia, m\u00e9todo de preservaci\u00f3n, t\u00e9cnica quir\u00fargica e inmunosupresi\u00f3n, salvo la edad del donante. La funci\u00f3n inicial del injerto se cuantificar\u00e1 en funci\u00f3n de las cifras de gpt, quick y d\u00e9bito biliar en los 3 primeros d\u00edas postrasplantes valor\u00e1ndola como buena funci\u00f3n inicial (3-4 puntos), disfunci\u00f3n moderada (5-6 puntos) o disfunci\u00f3n severa (7-9 puntos). Los injertos y pacientes perdidos se valorar\u00e1n en funci\u00f3n de si la causa de la p\u00e9rdida estuvo o no relacionada con alg\u00fan proceso relacionado con el injerto implantado. Se realizar\u00e1 estudios univariante y multivariante para conocer si la edad del donante resulta ser un factor de riesgo de disfunci\u00f3n del injerto o p\u00e9rdida del injerto o del paciente durante el seguimiento.  resultados  no han existido diferencias al comparar la funci\u00f3n inicial de los injertos de ambos grupos, siendo buena en el<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Trasplante hep\u00e1tico y donantes de edad avanzada<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Trasplante hep\u00e1tico y donantes de edad avanzada <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Orbis Castellanos Juan  Francisco <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/07\/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>Jos\u00e9 Mir Pallard\u00f3<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Carbonell antoli <\/li>\n<li>Juan  Carlos Garc\u00eda-valdecasas salgado (vocal)<\/li>\n<li>pablo Ram\u00edrez romero (vocal)<\/li>\n<li> Juan  burgue\u00f1o Manuel de (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Orbis Castellanos Juan Francisco La creciente demanda de \u00f3rganos para trasplante hep\u00e1tico ha conducido a la aceptaci\u00f3n [&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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