{"id":52831,"date":"2018-03-09T22:40:30","date_gmt":"2018-03-09T22:40:30","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/alotrasplante-pancreatico-duodenal-con-derivacion-enterica-de-la-secrecion-exocrina-en-el-cerdo\/"},"modified":"2018-03-09T22:40:30","modified_gmt":"2018-03-09T22:40:30","slug":"alotrasplante-pancreatico-duodenal-con-derivacion-enterica-de-la-secrecion-exocrina-en-el-cerdo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia-de-trasplantes\/alotrasplante-pancreatico-duodenal-con-derivacion-enterica-de-la-secrecion-exocrina-en-el-cerdo\/","title":{"rendered":"Alotrasplante pancre\u00e1tico-duodenal con derivaci\u00f3n ent\u00e9rica de la secreci\u00f3n exocrina en el cerdo."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Gonzalvo Gonz\u00e1lez Mar\u00eda Elena <\/strong><\/h2>\n<p>El trasplante de p\u00e1ncreas es una terap\u00e9utica altamente efectiva para la diabetes mellitus insulinodependiente, siendo en el momento actual el \u00fanico tratamiento que proporciona un estado de normoglucemia mantenido a largo plazo sin aporte ex\u00f3geno de insulina. De acuerdo con los datos del registro internacional de trasplante de p\u00e1ncreas, los resultados del trasplante de p\u00e1ncreas han mejorado espectacularmente en los \u00faltimos a\u00f1os aunque todav\u00eda existe una p\u00e9rdida de injertos entre el 8 y el 10% debida a los \u00abfracasos t\u00e9cnicos\u00bb que se relacionan con la preservaci\u00f3n del injerto. hemos desarrollado un modelo de trasplante pancre\u00e1tico-duodenal con derivaci\u00f3n enteral en el cerdo sin inmunosupresi\u00f3n, con la finalidad de estudiar la respuesta endocrino-metab\u00f3lica, la viabilidad del injerto con tiempos de isquemia (ti) prolongados y las soluciones de wisconsin y celsior, la lesi\u00f3n por isquemia-reperfusi\u00f3n mediante el estudio del stress oxidativo y la respuesta de fase aguda que se produce tras el trasplante. hemos realizado 42 alotrasplantes pancre\u00e1ticos. La intervenci\u00f3n en el donante consiste en la extracci\u00f3n del injerto que comprende la totalidad del p\u00e1ncreas, un segmento duodenal donde aboca el conducto pancre\u00e1tico, el ped\u00edculo arterial que incluye el parche de aorta con el tronco celiaco (tc), arteria espl\u00e9nica, hep\u00e1tica com\u00fan, gastroduodenal y vasos pancre\u00e1ticos duododenales y el drenaje venoso constituido por la vms y la porta. En el receptor realizamos un alotrasplante con anastomosis t-l del tc del donante a la aorta infrarrenal del receptor, drenaje venoso sist\u00e9mico de la porta del donante a la cava infrarrenal del receptor y derivaci\u00f3n enteral a un asa ileal del receptor. la respuesta endocrina postoperatoria en los aloinjertos de p\u00e1ncreas funcionantes, sin inmunosupresi\u00f3n, se caracteriza por una tendencia a la hipoglucemia y por elevados niveles plasm\u00e1ticos, con pico m\u00e1ximo al primer d\u00eda, de insulina y c-p\u00e9ptido, manteni\u00e9ndose<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Alotrasplante pancre\u00e1tico-duodenal con derivaci\u00f3n ent\u00e9rica de la secreci\u00f3n exocrina en el cerdo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Alotrasplante pancre\u00e1tico-duodenal con derivaci\u00f3n ent\u00e9rica de la secreci\u00f3n exocrina en el cerdo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Gonzalvo Gonz\u00e1lez Mar\u00eda Elena <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 31\/05\/2006<\/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> Garc\u00eda Gil Francisco Agust\u00edn<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Garc\u00eda Garc\u00eda Jos\u00e9 joaqu\u00edn <\/li>\n<li>alfredo Escart\u00edn arias (vocal)<\/li>\n<li>fermin Lampreave palacios (vocal)<\/li>\n<li>itxarone Bilbao aguirre (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gonzalvo Gonz\u00e1lez Mar\u00eda Elena El trasplante de p\u00e1ncreas es una terap\u00e9utica altamente efectiva para la diabetes mellitus [&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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