{"id":42962,"date":"2018-03-09T09:45:09","date_gmt":"2018-03-09T09:45:09","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/mesura-de-la-pressio-i-tensio-de-la-paret-de-les-varices-esofagiques-utilitat-en-laavaluacio-clinica\/"},"modified":"2018-03-09T09:45:09","modified_gmt":"2018-03-09T09:45:09","slug":"mesura-de-la-pressio-i-tensio-de-la-paret-de-les-varices-esofagiques-utilitat-en-laavaluacio-clinica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/mesura-de-la-pressio-i-tensio-de-la-paret-de-les-varices-esofagiques-utilitat-en-laavaluacio-clinica\/","title":{"rendered":"Mesura de la pressi\u00f3 i tensi\u00f3 de la paret de les varices esofagiques. utilitat en l\u00c2\u00bfavaluaci\u00f3 clinica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> M. Angels Escorsell Ma\u00f1osa <\/strong><\/h2>\n<p>La presente tesis fue dirigida a evaluar la importancia de la hewmodinamica de las varices esofagicas en la fisiopatolog\u00eda de su formaci\u00f3n y posterior ruptura y en la valoraci\u00f3n de los efectos del tratamiento farmacol\u00f3gico de hipertensi\u00f3n portal. Para ello se realizaron los siguientes trabajos:  1.Effects of iosorbide-5-mononitrate on variceal pressure and systemic and splanchnic hemodynamics in patients with cirrhosis. J hepatol 1993,24:423-429. se trata de un estudio a doble ciego, controlado contra placebo, que evalua el efecto del mni en la presi\u00f3n variceal en 22 pacientes con cirrosis. la importancia del estadio radica en el hecho que el mni se plantea como alternativa al tratamiento con beta-bloqueantes en los pacientes con intolerancia o contra-indicaciones al mismo. Conclusi\u00f3n: el mni reduce de manera significativa la presi\u00f3n de las varices es en estos pacientes, con lo que puede considerarse una alternativa eficaz a los beta-bloqueantes.  2. The portal pressure response to beta-blockade is greater in cirrhotic patiens without varices than in those with varices. Gastroenterology 1997, 112:2012-2016. En este rabajo se evalua si es posible mejorar la respuesta de la presion portal al tratamiento con beta-bloqueantes, respuesta que es insuficiente en un porcentaje alto de casos. La hipotesis es que a menor circulaci\u00f3n portocolateral (pacientes sin varices), la respuesta de la presion portal al tratamiento es superior. Se comprob\u00f3 entonces que la administraci\u00f3n de timolol, un beta-bloqueante no cardioselectivo, ocasionaba descensos del gradiente de presi\u00f3n venosa hep\u00e1tica significativamente superiores en pacientes sin varices que en aquellos con varices. Ello sugiere que se puede mejorar la eficacia de los beta bloqueantes administrandolos de manera precoz, antes de la formaci\u00f3n de varices.  3. Endoscopic assessment of variceal volume and wall tension in cirrhotic partients: effects of pharmacological therapy. Gastroente<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Mesura de la pressi\u00f3 i tensi\u00f3 de la paret de les varices esofagiques. utilitat en l\u00c2\u00bfavaluaci\u00f3 clinica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Mesura de la pressi\u00f3 i tensi\u00f3 de la paret de les varices esofagiques. utilitat en l\u00c2\u00bfavaluaci\u00f3 clinica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M. Angels Escorsell Ma\u00f1osa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/05\/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>Jaume Bosch Genover<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Arroyo perez <\/li>\n<li>ramon Planas vila (vocal)<\/li>\n<li>concepcio Bru seumell (vocal)<\/li>\n<li> Lopez talavera Juan  Carlos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M. Angels Escorsell Ma\u00f1osa La presente tesis fue dirigida a evaluar la importancia de la hewmodinamica de [&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":[951,9,491,139],"tags":[107591,33879,107592,107590,1156,19655],"class_list":["post-42962","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-medicas","category-gastroenterologia","category-medicina-interna","tag-concepcio-bru-seumell","tag-jaume-bosch-genover","tag-lopez-talavera-juan-carlos","tag-m-angels-escorsell-manosa","tag-ramon-planas-vila","tag-vicente-arroyo-perez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/42962","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=42962"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/42962\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=42962"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=42962"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=42962"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}