{"id":53577,"date":"2018-03-09T22:41:16","date_gmt":"2018-03-09T22:41:16","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tipssshunt-portosistematico-intrahepatico-transyugular-frente-a-las-derivaciones-portosistematicas-clasicas-quirurgicas-estudio-comparativo-retrospectivo-en-baleares\/"},"modified":"2018-03-09T22:41:16","modified_gmt":"2018-03-09T22:41:16","slug":"tipssshunt-portosistematico-intrahepatico-transyugular-frente-a-las-derivaciones-portosistematicas-clasicas-quirurgicas-estudio-comparativo-retrospectivo-en-baleares","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tipssshunt-portosistematico-intrahepatico-transyugular-frente-a-las-derivaciones-portosistematicas-clasicas-quirurgicas-estudio-comparativo-retrospectivo-en-baleares\/","title":{"rendered":"Tipss(shunt portosistem\u00e1tico intrahep\u00e1tico transyugular) frente a las derivaciones portosist\u00e9maticas cl\u00e1sicas quir\u00fargicas. estudio comparativo retrospectivo en baleares."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Mart\u00edn Franco Miguel \u00e1ngel <\/strong><\/h2>\n<p>Introducci\u00f3n.  la hipertensi\u00f3n portal es un s\u00edndrome cl\u00ednico caracterizado por un aumento patol\u00f3gico de la presi\u00f3n en el sistema portal como consecuencia de la resistencia al flujo sangu\u00edneo en este territorio.  objetivos.  se pretende demostrar si los pacientes de bajo riesgo quir\u00fargico child a o b con sangrado de varices esof\u00e1gicas e hipertensi\u00f3n portal, la descompresi\u00f3n portal quir\u00fargica consigue una supervivencia mayor que el tipss.  material y m\u00e9todo.  estudio retrospectivo, descriptivo y longitudinal de 146 pacientes con  hipertensi\u00f3n portal (56 tipss frente a 90 derivaciones quir\u00fargicas)  intervenidos en baleares entre 1974 y 2001. Se recogieron los datos  correspondientes a filiaci\u00f3n, edad, sexo, origen, etiolog\u00eda, comorbilidad,indicaciones,morbilidad,complicaciones, reintervenciones, causa de exitus, programa trasplante, trasplante, estancia, hda, encefalopat\u00eda, ascitis,ecograf\u00edas, angiograf\u00edas, supervivencia, mortalidad y tiempo de intervenci\u00f3n. Se analiz\u00f3 la relaci\u00f3n de las variables con la supervivencia de la enfermedad y se introdujeron las variables susceptibles de causar un sesgo de selecci\u00f3n, en un modelo de regresi\u00f3n multivariante de cox para determinar si la supervivencia en los pacientes intervenidos quir\u00fargicamente era significativa frente a los que se les coloc\u00f3 tipss.  resultados.  la muestra estudiada constaba de 146 pacientes, 46 mujeres(31,5%) frente a 100 hombres (68,5%). Edad media 58,3 en los tipss frente a 52,3 en los quir\u00fargicos.  en el an\u00e1lisis multivariante de la regresi\u00f3n de cox, la hematemesis (0,0104) y grado child (0,0296) resultaron significativos y ejerc\u00edan un efecto de confusi\u00f3n en la muestra. La supervivencia comparativa (tipss\/cirug\u00eda) mediante el test del log rank no fue estad\u00edsticamente significativa (p=0,6491).  conclusiones.  en los pacientes de bajo riesgo quir\u00fargico (child a o b) con sangrado de varices esof\u00e1gicas e hipertensi\u00f3n portal, la d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tipss(shunt portosistem\u00e1tico intrahep\u00e1tico transyugular) frente a las derivaciones portosist\u00e9maticas cl\u00e1sicas quir\u00fargicas. estudio comparativo retrospectivo en baleares.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tipss(shunt portosistem\u00e1tico intrahep\u00e1tico transyugular) frente a las derivaciones portosist\u00e9maticas cl\u00e1sicas quir\u00fargicas. estudio comparativo retrospectivo en baleares. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Mart\u00edn Franco Miguel \u00e1ngel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/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> Fabra Ramis\/soro Gosalves\/ Pueyo Mur  Ricardo\/jos\u00e9 A.\/f. Javier<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Calpena rico <\/li>\n<li> Serra desfilis  Miguel \u00e1ngel (vocal)<\/li>\n<li>bruno Camps vilata (vocal)<\/li>\n<li>Antonio Compa\u00f1 rosique (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mart\u00edn Franco Miguel \u00e1ngel Introducci\u00f3n. la hipertensi\u00f3n portal es un s\u00edndrome cl\u00ednico caracterizado por un aumento patol\u00f3gico [&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":[9,141,387],"tags":[33133,11541,118251,118250,19276,26813],"class_list":["post-53577","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","tag-antonio-compan-rosique","tag-bruno-camps-vilata","tag-fabra-ramis-soro-gosalves-pueyo-mur-ricardo-jose-a-f-javier","tag-martin-franco-miguel-angel","tag-rafael-calpena-rico","tag-serra-desfilis-miguel-angel"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/53577","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=53577"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/53577\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=53577"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=53577"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=53577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}