{"id":58886,"date":"2007-08-06T00:00:00","date_gmt":"2007-08-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-endoscopico-de-la-hemorragia-por-ulcera-peptica-inyeccion-termocoagulacion-bipolar-y-clips\/"},"modified":"2007-08-06T00:00:00","modified_gmt":"2007-08-06T00:00:00","slug":"tratamiento-endoscopico-de-la-hemorragia-por-ulcera-peptica-inyeccion-termocoagulacion-bipolar-y-clips","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-endoscopico-de-la-hemorragia-por-ulcera-peptica-inyeccion-termocoagulacion-bipolar-y-clips\/","title":{"rendered":"Tratamiento endoscopico de la hemorragia por ulcera peptica: inyeccion, termocoagulacion bipolar y clips."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Dedeu Cusco Josep Mar\u00eda <\/strong><\/h2>\n<p>Por su simplicidad, seguridad y eficacia, la inyecci\u00f3n endosc\u00f3pica ha sido el m\u00e9todo m\u00e1s ampliamente utilizado en el control de la hemorragia digestiva alta por \u00falcera p\u00e9ptica. Con dicho m\u00e9todo es posible conseguir la hemostasia inicial en mas del 95% de las \u00falceras sangrantes, a pesar de lo cual la tasa de recidiva hemorr\u00e1gica se acerca al 20% de los casos, en la mayor\u00eda de los estudios. La t\u00e9cnica m\u00e1s utilizada es la inyecci\u00f3n de adrenalin, sola o asociada a polidocanol o etanolamina. la presente tesis est\u00e1 compuesta por dos protocolos, el primero de los cuales valora si la adici\u00f3n de un m\u00e9todo mec\u00e1nico (hemoclips) a la inyecci\u00f3n de adrenalina mejora la eficacia de \u00e9sta, y el segundo, si la eficacia de la termocoagulaci\u00f3n bipolar tras la inyecci\u00f3n endosc\u00f3pica de adrenalina es mejor que \u00e9sta sola. ambos protocolos son estudios controlados aleatorizados, llevados a cabo en el hospital de la santa creu i sant pau de barcelona. las conclusiones de las tesis han sido: en comparaci\u00f3n con el tratamiento unicamente con inyecci\u00f3n, la colocaci\u00f3n de hemoclips despu\u00e9s de la misma no mejora significativamente la recidiva hemorr\u00e1gica en el conjunto de pacientes con hemorragia digestiva por \u00falcera p\u00e9ptica, aunque s\u00ed lo hace en el subgrupo de pacientes que presentan un sangrado arterial activo en la endoscopia. Asimismo, la aplicaci\u00f3n de termocoagulaci\u00f3n bipolar despu\u00e9s de la inyecci\u00f3n tampoco mejora significativamente la recidiva hemorr\u00e1gica en el conjunto de pacientes con hemorragia digestiva por \u00falcera p\u00e9ptica, respecto de la inyecci\u00f3n sola, aunque s\u00ed que tiende a ser m\u00e1s eficaz en el subgrupo de pacientes con m\u00e1s riesgo de recidiva: aquellos que presentan un sangrado arterial activo en la endoscopia, asociado a shock hipovol\u00e9mico al ingreso. Con todo, esta tendencia no ha sido estadisticamente significativa.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento endoscopico de la hemorragia por ulcera peptica: inyeccion, termocoagulacion bipolar y clips.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento endoscopico de la hemorragia por ulcera peptica: inyeccion, termocoagulacion bipolar y clips. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Dedeu Cusco Josep Mar\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 08\/06\/2007<\/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>Candid Villanueva Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joan Mones xiol <\/li>\n<li>Antonio Soriano izquierdo (vocal)<\/li>\n<li>josep Mi\u00f1ana calafat (vocal)<\/li>\n<li>faust Feu  caball\u00e9 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Dedeu Cusco Josep Mar\u00eda Por su simplicidad, seguridad y eficacia, la inyecci\u00f3n endosc\u00f3pica ha sido el m\u00e9todo [&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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