{"id":32271,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/historia-natural-de-la-hemorragia-por-varices-esofagicas-en-pacientes-con-cirrosis-hepatica-estudio-clinico-y-hemodinamico-del-tratamiento-farmacologico\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"historia-natural-de-la-hemorragia-por-varices-esofagicas-en-pacientes-con-cirrosis-hepatica-estudio-clinico-y-hemodinamico-del-tratamiento-farmacologico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/historia-natural-de-la-hemorragia-por-varices-esofagicas-en-pacientes-con-cirrosis-hepatica-estudio-clinico-y-hemodinamico-del-tratamiento-farmacologico\/","title":{"rendered":"Historia natural de la hemorragia por varices esofagicas en pacientes con cirrosis hepatica. estudio clinico y hemodinamico del tratamiento farmacologico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlos Arocena Aranguren <\/strong><\/h2>\n<p>La hemorragia por varices esofagicas (hve) es una complicacion grave y frecuente en los pacientes con cirrosis hepatica e hipertension portal. El tratamiento farmacologico es de primera eleccion para esta complicacion. Sin embargo el riego de recidiva hemorragica y muerte precoz es alto. Se desconoce si la evolucion clinica de los pacientes con hve puede predecirse en base a la evolucion de los valores de la presion variceal (pve), tanto durante la hemorragia como durante los dias posteriores a la misma. En este trabajo se concluye que la presion variceal es mas elevada durante la hve que en los meses previos y en los primeros dias de evolucion. Asimismo, se comprueba que los cambios de la pve tanto inducidos por el tratamiento farmacologico como los observados cuando este se suspende, se correlacionan con la evolucion clinica de los pacientes en cuanto al control de la hve, la aparicion de recidiva precoz y a la mortalidad. Asi, puede identificarse mediante criterios clinicos y, fundamentalmente, hemodinamicos, aquellos pacientes con alto riesgo de presentar una evolucion clinica desfavorable. Probablemente, estos pacientes deban ser sometidos a una vigilancia mas estrecha y a tratamientos mas agresivos para mejorar su pronostico a corto plazo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Historia natural de la hemorragia por varices esofagicas en pacientes con cirrosis hepatica. estudio clinico y hemodinamico del tratamiento farmacologico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Historia natural de la hemorragia por varices esofagicas en pacientes con cirrosis hepatica. estudio clinico y hemodinamico del tratamiento farmacologico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlos Arocena Aranguren <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/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>del Ruiz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Melchor Alvarez De Mon Soto <\/li>\n<li>Jaume Bosch Genover (vocal)<\/li>\n<li>Pedro Escartin Marin (vocal)<\/li>\n<li>Pedro Carda Abella (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlos Arocena Aranguren La hemorragia por varices esofagicas (hve) es una complicacion grave y frecuente en los [&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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