{"id":50199,"date":"2021-06-06T20:50:23","date_gmt":"2021-06-06T20:50:23","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-clinico-de-la-glucemia-y-de-las-hormonas-pancreaticas-tras-gastrectomias-tipo-billroth-i-y-billroth-ii\/"},"modified":"2021-06-06T20:50:23","modified_gmt":"2021-06-06T20:50:23","slug":"estudio-clinico-de-la-glucemia-y-de-las-hormonas-pancreaticas-tras-gastrectomias-tipo-billroth-i-y-billroth-ii","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-clinico-de-la-glucemia-y-de-las-hormonas-pancreaticas-tras-gastrectomias-tipo-billroth-i-y-billroth-ii\/","title":{"rendered":"Estudio clinico de la glucemia y de las hormonas pancreaticas, tras gastrectomias tipo billroth i y billroth ii."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlos Garcia Algora <\/strong><\/h2>\n<p>Tras sobrecarga oral de glucosa (1g\/kg. Peso)  hemos determinado las curvas de glucemia  glucagonemia insulinemia y c-peptido en dos series de 30 enfermos por tadores de ulcera gastrica no complicada  antes y despues de someterlos a gastrectomia a billroth i (gas-i) o billroth ii (gas-ii)  segun la serie. En los 30 enfermos sometidos a gas-ii  aparece hipoglucemia reactiva (p menor que 0.001) despues de gas-ii esta hipoglucemia no se acompa\u00f1a de hiperiasulinemia (p menor que 0.05) aunque si de hiperflucagonemia (p menor que 0.05)  registrando el c-peptido un incremento de la insulina (p menor que 0.01). Estos hechos no ocurren en todos los enfermos sino unicamente en el 60% (los que presentaban mejor atencion) (p menor que 0.001). En 1030 enfermos sometidos a gas-i  aparecen descensos mas rapidos de glucemia  pero sin hipoglucemia reactiva. Conclusiones: la hipoglucemia reactiva no aparece mediada por la insulina  lo que hace pensar en la accion de otras hormonas hipoglucemiantes liberadas en duodeno y yeyuno por estimulo  glucidico masivo a traves del amplio stoma creado por gas-ii. Esto ocurre fundamente en los enfermos con mejor nutricion preoperatoria.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio clinico de la glucemia y de las hormonas pancreaticas, tras gastrectomias tipo billroth i y billroth ii.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio clinico de la glucemia y de las hormonas pancreaticas, tras gastrectomias tipo billroth i y billroth ii. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlos Garcia Algora <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1982<\/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>Ricardo Lozano Mantecon<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Andres Pie Jorda <\/li>\n<li>Ricardo Lozano Mantecon (vocal)<\/li>\n<li>Gabriel Guill\u00e9n Mart\u00ednez (vocal)<\/li>\n<li>Ricardo Lozano Olesa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlos Garcia Algora Tras sobrecarga oral de glucosa (1g\/kg. Peso) hemos determinado las curvas de glucemia glucagonemia [&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":[155,9,141,387,384,13610],"tags":[1031,114244,18962,2339,114245],"class_list":["post-50199","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","category-patologia-clinica","category-zaragoza","tag-andres-pie-jorda","tag-carlos-garcia-algora","tag-gabriel-guillen-Martinez","tag-ricardo-lozano-mantecon","tag-ricardo-lozano-olesa"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/50199","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=50199"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/50199\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=50199"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=50199"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=50199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}