{"id":53114,"date":"2018-03-09T22:40:45","date_gmt":"2018-03-09T22:40:45","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-de-la-ciruga%c2%ada-bariatric-mediante-una-derivacion-biliopancreatica-en-los-factores-de-riesgo-cardiovascular-asociados-a-la-obesidad-morbida\/"},"modified":"2018-03-09T22:40:45","modified_gmt":"2018-03-09T22:40:45","slug":"efecto-de-la-ciruga%c2%ada-bariatric-mediante-una-derivacion-biliopancreatica-en-los-factores-de-riesgo-cardiovascular-asociados-a-la-obesidad-morbida","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/endocrinologia\/efecto-de-la-ciruga%c2%ada-bariatric-mediante-una-derivacion-biliopancreatica-en-los-factores-de-riesgo-cardiovascular-asociados-a-la-obesidad-morbida\/","title":{"rendered":"Efecto de la cirugia bari\u00e1tric mediante una derivaci\u00f3n biliopancre\u00e1tica en los factores de riesgo cardiovascular asociados a la obesidad m\u00f3rbida"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Carlos Ramos Ramos <\/strong><\/h2>\n<p>1. La utilizaci\u00f3n de una derivaci\u00f3n biliopancre\u00e1tica, cirug\u00eda que asocia una t\u00e9cnica restrictiva y malabsortiva, induce una p\u00e9rdida importante de peso corporal en obesos m\u00f3rbidos, que adem\u00e1s se mantiene a lo largo del tiempo. 2. Tras esta cirug\u00eda se produce una reducci\u00f3n de los distintos par\u00e1metros de tensi\u00f3n arterial, que es mayor para la tensi\u00f3n sist\u00f3lica y la presi\u00f3n del pulso. 3. Existe una mejor\u00eda notable en el metabolismo de la glucosa, que conlleva una reducci\u00f3n dr\u00e1stica de los casos de diabetes mellitus. 4. Tras la derivaci\u00f3n biliopancre\u00e1tica se produce un aumento importante en la secreci\u00f3n postprandial de glp-1, el cual, debido a sus efectos insulinotr\u00f3pico y anorex\u00edgeno, contribuye a la correcci\u00f3n del metabolismo de la glucosa y al mantenimiento del peso. 5. El pacto favorable de la derivaci\u00f3n biliopancre\u00e1tica sobre del perfil lip\u00eddico fue mayor sobre las concentraciones de colesterol total, colesterol ldl y apoproteina b. La reducci\u00f3n de triglic\u00e9ridos fue m\u00e1s discreta y los cambios del colesterol hdl no fueron significativos. 6. El descenso predominante de colesterol ldl y del \u00edndice lip\u00eddico de aterogenicidad con la derivaci\u00f3n biliopancre\u00e1tica, que resulta ser superior al obtenido con el resto de t\u00e9cnicas quir\u00fargicas, hace que se deba considerar de elecci\u00f3n en pacientes con hipercolesterolemia importante y en los que presenten alto riesgo o manifestaciones de enfermedades ateromatosa. 7. El descenso observado de \u00e1cido \u00farico y fibrin\u00f3geno tambi\u00e9n puede contribuir a la mejor\u00eda del riesgo cardiovascular asociado a la obesidad m\u00f3rbida. 8. La derivaci\u00f3n biliopancre\u00e1tica es un procedimiento bastante seguro, cuando se efect\u00faa por equipos quir\u00fargicos entrenados y, por tanto, pueden extenderse sus indicaciones en casos seleccionados de obesidad m\u00f3rbida.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto de la cirugia bari\u00e1tric mediante una derivaci\u00f3n biliopancre\u00e1tica en los factores de riesgo cardiovascular asociados a la obesidad m\u00f3rbida<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto de la cirugia bari\u00e1tric mediante una derivaci\u00f3n biliopancre\u00e1tica en los factores de riesgo cardiovascular asociados a la obesidad m\u00f3rbida <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Carlos Ramos Ramos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/06\/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>Juan  De Dios Garc\u00eda D\u00edaz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: melchor Alvarez de mon soto <\/li>\n<li>\u00e1lvaro Larrad jim\u00e9nez (vocal)<\/li>\n<li>Jes\u00fas Millan nu\u00f1ez cortes (vocal)<\/li>\n<li>susana Alemany de la pe\u00f1a (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Carlos Ramos Ramos 1. La utilizaci\u00f3n de una derivaci\u00f3n biliopancre\u00e1tica, cirug\u00eda que asocia una t\u00e9cnica restrictiva [&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":[17426,932,851],"tags":[9734,1552,117225,97934,14431,14573],"class_list":["post-53114","post","type-post","status-publish","format-standard","hentry","category-alcala","category-cardiologia","category-endocrinologia","tag-alvaro-larrad-jimenez","tag-jesus-millan-nunez-cortes","tag-juan-carlos-ramos-ramos","tag-juan-de-dios-garcia-diaz","tag-melchor-alvarez-de-mon-soto","tag-susana-alemany-de-la-pena"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/53114","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=53114"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/53114\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=53114"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=53114"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=53114"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}