{"id":36386,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hemorragia-digestiva-por-ulcera-peptica-factores-predictivos-de-fracaso-terapeutico-y-utilidad-de-la-endoscopia-electiva-precoz-tras-el-tratamiento-con-inyeccion\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"hemorragia-digestiva-por-ulcera-peptica-factores-predictivos-de-fracaso-terapeutico-y-utilidad-de-la-endoscopia-electiva-precoz-tras-el-tratamiento-con-inyeccion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/hemorragia-digestiva-por-ulcera-peptica-factores-predictivos-de-fracaso-terapeutico-y-utilidad-de-la-endoscopia-electiva-precoz-tras-el-tratamiento-con-inyeccion\/","title":{"rendered":"Hemorragia digestiva por ulcera peptica: factores predictivos de fracaso terapeutico y utilidad de la endoscopia electiva precoz tras el tratamiento con inyeccion."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Pamplona Portero Francisco Javier <\/strong><\/h2>\n<p>La hemorragia digestiva por \u00falcera p\u00e9ptica tiene alta mobimortalidad, sobre todo en los casos con hemorragia persistente o recidivante (20%). El tratamiento endosc\u00f3pico ha disminuido la misma, la cirug\u00eda urgente y la mortalidad, sin embargo persiste un fracaso del 20-25%.  los factores predictivos de fracaso terap\u00e9utico de la inyecci\u00f3n seg\u00fan el an\u00e1lisis univariado son: la localizaci\u00f3n en cara posterior \/ borde superior bulbar, el tama\u00f1o mayor de 1 cm, la presencia de enfermedades asociadas, la hb al ingreso menor de 9 g\/dl y la no pr\u00e1ctica de endoscopia electiva.  el an\u00e1lisis de regresi\u00f3n m\u00faltiple paso a paso indica que \u00fanicamente son independientes las tres primeras, y con sus coeficientes de regresi\u00f3n se calcula un \u00edndice que predice con alta precisi\u00f3n el fracaso.  la realizaci\u00f3n de endoscopia electiva precoz con retratamiento con inyecci\u00f3n si persiste sangrado activo o vaso visible muestra una tendencia a disminuir el fracaso, la cirug\u00eda, la transfusi\u00f3n y la estancia, pero sin significaci\u00f3n estad\u00edstica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Hemorragia digestiva por ulcera peptica: factores predictivos de fracaso terapeutico y utilidad de la endoscopia electiva precoz tras el tratamiento con inyeccion.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Hemorragia digestiva por ulcera peptica: factores predictivos de fracaso terapeutico y utilidad de la endoscopia electiva precoz tras el tratamiento con inyeccion. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Pamplona Portero Francisco Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de 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>Joaquim Balanz\u00f3 Tintor\u00e9<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Ricardo Sainz Samitier <\/li>\n<li>Xavier Rius Cornado (vocal)<\/li>\n<li>Joan Mones Xiol (vocal)<\/li>\n<li>Carlos Guarner Aguilar (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pamplona Portero Francisco Javier La hemorragia digestiva por \u00falcera p\u00e9ptica tiene alta mobimortalidad, sobre todo 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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