{"id":42703,"date":"1999-08-02T00:00:00","date_gmt":"1999-08-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-los-hallazgos-en-duplex-doppler-en-la-cirrosis-hepatica\/"},"modified":"1999-08-02T00:00:00","modified_gmt":"1999-08-02T00:00:00","slug":"analisis-de-los-hallazgos-en-duplex-doppler-en-la-cirrosis-hepatica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-de-los-hallazgos-en-duplex-doppler-en-la-cirrosis-hepatica\/","title":{"rendered":"Analisis de los hallazgos en duplex-doppler en la cirrosis hep\u00e1tica"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Rendon Unceta M. Paloma <\/strong><\/h2>\n<p>La hipertensi\u00f3n portal (htp) que se asocia a la cirrosis hep\u00e1tica es responsable de la mayor\u00eda de las complicaciones de esta enfermedad y su grado tiene un valor pron\u00f3stico sobre la evoluci\u00f3n de la misma y supervivencia de los pacientes.  en todo paciente cirr\u00f3tico debe valorarse la presencia de htp. La variabilidad del grado de htp seg\u00fan el momento evolutivo de la enfermedad precisa de una t\u00e9cnica para su evaluaci\u00f3n no invasiva y f\u00e1cilmente repetible. La aplicaci\u00f3n del efecto doppler a la ecograf\u00eda en tiempo real (duplex-doppler) permite cuantificar los cambios que en la hemodin\u00e1mica esplacnica condiciona el alumento de presi\u00f3n portal.  con el objetivo de determinar las variaciones de los par\u00e1metros ecogr\u00e1ficos y doppler en funci\u00f3n del grado de insuficiencia hepatocelular y el desarrollo de ascitis y activaci\u00f3n de los sistemas vasoactivos end\u00f3genos, se han estudiado un grupo de 73 pacientes cirr\u00f3ticos en diferente situaci\u00f3n cl\u00ednica.  la exploraci\u00f3n satisfactoria del flujo portal pudo realizarse en el 96% de los cirr\u00f3ticos con porta permeable y de la hemodin\u00e1mica renal en el 86% de los casos. En los pacientes con insuficiencia hep\u00e1tica severa con respecto a los pacientes con disfunci\u00f3n moderada-leve presentaron un mayor \u00e1rea espl\u00e9nica y frecuencia de vasos de derivaci\u00f3n, con una reducci\u00f3n significativa de la velocidad media y flujo portal y elevaci\u00f3n del \u00edndice de congesti\u00f3n e \u00edndice de resistencia renal. Entre los pacientes con insuficiencia hep\u00e1tica leve y moderada hubo diferencia en el tama\u00f1o espl\u00e9nico, frecuencia de vasos de derivaci\u00f3n e \u00edndice de congesti\u00f3n. Los pacientes con morfolog\u00eda del flujo de las venas suprahep\u00e1ticas patol\u00f3gicas presentaron una mayor puntuaci\u00f3n de la clasificaci\u00f3n de child-pugh. Los pacientes con descompensaci\u00f3n asc\u00edtica mostraban mayores esplenomeglaias, frecuencia de vasos de derivaci\u00f3n, morfolog\u00eda an\u00f3mala de flujo de las venas suprahep\u00e1ticas e \u00edndice de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analisis de los hallazgos en duplex-doppler en la cirrosis hep\u00e1tica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analisis de los hallazgos en duplex-doppler en la cirrosis hep\u00e1tica <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Rendon Unceta M. Paloma <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 08\/02\/1999<\/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>Alipio Mangas Rojas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: avelino Senra varela <\/li>\n<li>Jes\u00fas Millan nu\u00f1ez cortes (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Esteban carretero (vocal)<\/li>\n<li>Jos\u00e9 Aguilar reina (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rendon Unceta M. Paloma La hipertensi\u00f3n portal (htp) que se asocia a la cirrosis hep\u00e1tica es responsable [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1506,155,9,346,491,139],"tags":[1882,1732,1552,20660,1663,107115],"class_list":["post-42703","post","type-post","status-publish","format-standard","hentry","category-cadiz","category-ciencias-clinicas","category-ciencias-medicas","category-diagnostico-por-imagen","category-gastroenterologia","category-medicina-interna","tag-alipio-mangas-rojas","tag-avelino-senra-varela","tag-jesus-millan-nunez-cortes","tag-jose-aguilar-reina","tag-jose-maria-esteban-carretero","tag-rendon-unceta-m-paloma"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/42703","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=42703"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/42703\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=42703"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=42703"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=42703"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}