{"id":34185,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-anatomopatologico-del-injerto-hepatico-fracasado-aportacion-a-la-etiopatogenia-de-sus-fallos\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"analisis-anatomopatologico-del-injerto-hepatico-fracasado-aportacion-a-la-etiopatogenia-de-sus-fallos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-anatomopatologico-del-injerto-hepatico-fracasado-aportacion-a-la-etiopatogenia-de-sus-fallos\/","title":{"rendered":"Analisis anatomopatologico del injerto hepatico fracasado. aportacion a la etiopatogenia de sus fallos."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Castellano Megias Victor Manuel <\/strong><\/h2>\n<p>Los factores etiopatog\u00e9nicos que conducen al fracaso del injerto hep\u00e1tico son m\u00faltiples y producen una variada patolog\u00eda estructural. Los principales objetivos de este trabajo fueron: 1) estudio anatomopatol\u00f3gico de las lesiones desarrolladas en el injerto hep\u00e1tico fracasado (explante) y 2) valoraci\u00f3n de estas lesiones como factores implicados en la p\u00e9rdida del injerto (indicaciones de retrasplante y causas de muerte). El material de estudio lo constituyeron 131 piezas de explante recogidas en la primera d\u00e9cada (1986-96) del programa de trasplante hep\u00e1tico (txh) del hospital universitario 12 de octubre (75 recogidos en operaciones de retrasplante y 56 recogidos en autopsias) y las biopsias obtenidas previamente a su fracaso. El m\u00e9todo consisti\u00f3 en el estudio anatomopatol\u00f3gico de las lesiones agrup\u00e1ndolas en categor\u00edas diagn\u00f3sticas (ver resultados) y realizando una correlaci\u00f3n anatomocl\u00ednica para establecer las causas de p\u00e9rdida de cada injerto. Los resultados mostraron la siguiente distribuci\u00f3n de las principales categor\u00edas diagn\u00f3sticas en los explantes (131=100%): lesiones por trastorno circulatorio del injerto con o sin lesi\u00f3n vascular en el mismo (tc, 53%), patolog\u00eda del tracto biliar (pb, 41%), rechazo cr\u00f3nico (rc, 30%), hepatitis por el virus de la hepatitis b o por el virus de la hepatitis c (hvh, 16%) y fallo primario del injerto (fp, 13%). En 109 injertos (83%) su p\u00e9rdida se debi\u00f3 a lesiones del propio injerto. La distribuci\u00f3n porcentual de estas causas hep\u00e1ticas de fracaso fue (109=100%): tc (31%), rc (31%), fp (16%), hvh (10%), pb (6%) y otras (6%). Las indicaciones de retrasplante fueron (75=100%): rc (40%), tc (27%), fp (21%), pb (5%), hvh (5%) y otras (1%). Las causas de muerte fueron (56=100%): hep\u00e1ticas (36%), extrahep\u00e1ticas (39%) y mixtas (25%). La sepsis fue la causa m\u00e1s frecuente de exitus. El desarrollo de rc y la infecci\u00f3n y hepatitis por el vhc se asociaron significativamente (c<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analisis anatomopatologico del injerto hepatico fracasado. aportacion a la etiopatogenia de sus fallos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analisis anatomopatologico del injerto hepatico fracasado. aportacion a la etiopatogenia de sus fallos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Castellano Megias Victor Manuel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/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>Francisco Colina Ruizdelgado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juli\u00e1n Sanz Esponera <\/li>\n<li>Valentin Cuernas Mons (vocal)<\/li>\n<li>Josef\u00edna Men\u00e9ndez S\u00e1nchez (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Castellano Megias Victor Manuel Los factores etiopatog\u00e9nicos que conducen al fracaso del injerto hep\u00e1tico son m\u00faltiples y [&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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