{"id":33666,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-gammagrafia-con-99mtc-hmpao-leucocitos-y-con-111in-igg-en-el-diagnostico-de-la-enfermedad-inflamatoria-intestinal\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"la-gammagrafia-con-99mtc-hmpao-leucocitos-y-con-111in-igg-en-el-diagnostico-de-la-enfermedad-inflamatoria-intestinal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/la-gammagrafia-con-99mtc-hmpao-leucocitos-y-con-111in-igg-en-el-diagnostico-de-la-enfermedad-inflamatoria-intestinal\/","title":{"rendered":"La gammagrafia con 99mtc-hmpao-leucocitos y con 111in-igg en el diagnostico de la enfermedad inflamatoria intestinal."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Lima Ramos Paulo Alberto De <\/strong><\/h2>\n<p>Objetivos: 1) determinar la aplicabilidad cl\u00ednica de la igg marcada con 111in (111in-igg), comparativamente a la de los leucocitos marcados con 99mtc-hmpao (99mtc-leucocitos), en el diagn\u00f3stico de pacientes con sospecha cl\u00ednica de brote agudo de enfermedad inflamatoria intestinal (eii) y 2) valorar la utilidad de \u00edndices gammagr\u00e1ficos semicuantitativos (ig) como factor predictivo del grado de actividad del proceso inflamatorio intestinal en pacientes con diagn\u00f3stico confirmado de eii.  material y m\u00e9todo: fueron estudiados 98 pacientes divididos en dos grupos. En el primer grupo fueron incluidos 34 pacientes (20 varones, rango: 16-75 a\u00f1os).  se administraron simult\u00e1neamente 111in-igg y de 99mtc-leucocitos. En el segundo grupo fueron incluidos 64 pacientes (39 varones, rango: 18-88 a\u00f1os) que fueron valorados \u00fanicamente con 99mtc-leucocitos. En el primer grupo de pacientes, ambos m\u00e9todos gammagr\u00e1ficos (gg) fueron comparados entre s\u00ed y con la endoscopia\/biopsia, cirug\u00eda\/anatom\u00eda patol\u00f3gica y radiolog\u00eda. En los pacientes del segundo grupo se cuantific\u00f3 la gravedad del proceso inflamatorio intestinal por medio de \u00edndices cl\u00ednicos &#8211; \u00edndice de truelove (it) para la colitis ulcerosa (cu) y el cdai y el \u00edndice de harvey (ih) para la enfermedad de crohn (ec), \u00edndice endoscopico (ie) y por medio de par\u00e1metros bioqu\u00edmicos. Se calcularon tres ig: ig1, ig2 y ig3 tanto para las im\u00e1genes precoces (p) como para las tard\u00edas (t).  resultados: en el primer grupo, la eii activa fue confirmada en 27 pacientes, 17 con ec y 10 con cu. La sensibilidad, la especificidad y la precisi\u00f3n fueron respectivamente del 96,3%, 85,7% y 94,1% para la gammagraf\u00eda con 99mtc-leucocitos y del 59,3%, 85,7% y 64,7% para la 111in-igg, siendo las diferencias de la sensibilidad y de la precisi\u00f3n estad\u00edsticamente significativas (p&lt;0,002). En el diagn\u00f3stico de la afectaci\u00f3n del intestino delgado por la ec, los 99mtc-leucocitos identificar<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La gammagrafia con 99mtc-hmpao-leucocitos y con 111in-igg en el diagnostico de la enfermedad inflamatoria intestinal.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La gammagrafia con 99mtc-hmpao-leucocitos y con 111in-igg en el diagnostico de la enfermedad inflamatoria intestinal. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Lima Ramos Paulo Alberto De <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Josep Martin Comin<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francesc Gudiol Munt\u00e9 <\/li>\n<li>Ignasi Carri\u00f3 Gasset (vocal)<\/li>\n<li>Javier Banzo Marraco (vocal)<\/li>\n<li>Jos\u00e9 Luis Carreras Delgado (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lima Ramos Paulo Alberto De Objetivos: 1) determinar la aplicabilidad cl\u00ednica de la igg marcada con 111in 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