{"id":35405,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-de-los-cuerpos-cetonicos-en-el-trasplante-hepatico\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"valor-de-los-cuerpos-cetonicos-en-el-trasplante-hepatico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valor-de-los-cuerpos-cetonicos-en-el-trasplante-hepatico\/","title":{"rendered":"Valor de los cuerpos cetonicos en el trasplante hepatico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ignacio Ca\u00f1izares Diaz <\/strong><\/h2>\n<p>Los criterios cl\u00ednicos y los par\u00e1metros hep\u00e1ticos convencionales, no consiguen aportar informaci\u00f3n satisfactoria para predecir la funci\u00f3n postrasplante del injerto, as\u00ed como asegurar, ante un paciente en muerte cerebral, el \u00f3ptimo funcionamiento del \u00f3rgano a extraer.  por lo tanto, se pueden extraer varias circunstancias en las que el trasplante hep\u00e1tico est\u00e1 a merced de criterios altamente subjetivos: momento para el trasplante hep\u00e1tico en hepatitis fulminantes, en hepatopat\u00edas cr\u00f3nicas, en el retrasplante, y donante con buena funci\u00f3n hep\u00e1tica en el momento de la extracci\u00f3n. La valoraci\u00f3n de la funci\u00f3n hep\u00e1tica por el cl\u00ednico ha supuesto desde siempre una cierta dificultad, precisando para ello el estudio de m\u00faltiples par\u00e1metros y la creaci\u00f3n de estad\u00edos o tablas de puntuaci\u00f3n que permiten una estimaci\u00f3n inexacta (v.G.  clasif de child, aclaramiento de verde de indocianina, test del monoetilglicnexylidide).  la teor\u00eda redox enunciada por ozawa afirma que los cambios ocurridos en el cociente arterial de cuerpos cet\u00f3nicos (cacc) (acetoacetato\/beta-hidroxibutirato), tras una carga de glucosa, se correlacionan con cambios similares en el estado redox de la mitocondria hep\u00e1tica y en definitiva con la carga energ\u00e9tica del h\u00edgado, y conclu\u00eda sugiriendo que el cacc provee de una medida exacta para evaluar la funci\u00f3n metab\u00f3lica inicial del injerto. Makuuchi pone en tela de juicio la utilidad del cacc como indicador del potencial redox de la mitocondria hep\u00e1tica, basado en que cada uno de los dos tipos de cuerpos cet\u00f3nicos son metabolizados en tejidos extrahep\u00e1ticos. En base a todo lo anterior y con objeto de determinar la utilidad del cociente de cuerpos cet\u00f3nicos en el trasplante de h\u00edgado, se inici\u00f3 el presente estudio en el que en una primera fase, sobre animales de experimentaci\u00f3n, se revalidaron los resultados de otros autores, sobre la estrecha correlaci\u00f3n de valores del cociente de cuerpo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor de los cuerpos cetonicos en el trasplante hepatico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor de los cuerpos cetonicos en el trasplante hepatico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ignacio Ca\u00f1izares Diaz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/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>Tomas Charlo Dupont<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jose Cantillana Martinez <\/li>\n<li>Fernando Casado Martin (vocal)<\/li>\n<li>Manuel Hidalgo Pascual (vocal)<\/li>\n<li>Fernando Vaquero Ruiz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ignacio Ca\u00f1izares Diaz Los criterios cl\u00ednicos y los par\u00e1metros hep\u00e1ticos convencionales, no consiguen aportar informaci\u00f3n satisfactoria para [&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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