{"id":65755,"date":"2018-03-09T22:53:53","date_gmt":"2018-03-09T22:53:53","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/seguimiento-endoscopico-de-la-ulcera-gastrica-en-una-poblacion-de-riesgo-intermedio-de-cancer-gastrico\/"},"modified":"2018-03-09T22:53:53","modified_gmt":"2018-03-09T22:53:53","slug":"seguimiento-endoscopico-de-la-ulcera-gastrica-en-una-poblacion-de-riesgo-intermedio-de-cancer-gastrico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/gastroenterologia\/seguimiento-endoscopico-de-la-ulcera-gastrica-en-una-poblacion-de-riesgo-intermedio-de-cancer-gastrico\/","title":{"rendered":"Seguimiento endosc\u00f3pico de la \u00falcera g\u00e1strica en una poblaci\u00f3n de riesgo intermedio de c\u00e1ncer g\u00e1strico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Dolores Ma\u00f1as Garc\u00eda <\/strong><\/h2>\n<p>La \u00falcera g\u00e1strica es una patolog\u00eda que afecta al 5-10% de la poblaci\u00f3n general. Aunque su incidencia ha disminuido, sigue provocando una gran morbilidad que ocasiona un elevado gasto sanitario. Por otro lado, un 5% de las \u00falceras g\u00e1stricas malignas aparentan benignidad macrosc\u00f3picamente en la endoscopia. Los tumores g\u00e1stricos diagnosticados en un estadi precoz presentan un elevado \u00edndice de curaci\u00f3n con una supervivencia entre el 85-90% a los cinco a\u00f1os. Por esto motivo, en la pr\u00e1ctica cl\u00ednica habitual se suele realizar una endoscopia de control a las 8 o 12 semanas del tratamiento para confirmar la duraci\u00f3n de la lesi\u00f3n y descartar la presencia de un tumor subyacente. en esta tesis nos hemos planteado como objetivo primario valorar la necesidad de realizar una segunda endoscopia con estudio anatompatol\u00f3gico de todas las \u00falceras g\u00e1stricas diagnosticadas mediante endoscopia para confirmar su curaci\u00f3n y descartar el origen neopl\u00e1sico del nicho. Para ello se han analizado durante los a\u00f1os 2002-2004 a 302 pacientes que cumpl\u00edan los criterios de inclusi\u00f3n en el estudio. entre las conclusiones m\u00e1s relevantes cabe destacar: 1. En una poblaci\u00f3n de riesgo intermedio de c\u00e1ncer g\u00e1strico no est\u00e1 justificada la realizaci\u00f3n sistem\u00e1tica de una segunda endoscopia para descartar neoplasia subyacente. 2. El rendimiento de la realizaci\u00f3n de la segunda endoscopia fue nulo para el diagn\u00f3stico de c\u00e1ncer. 3. La opini\u00f3n macrosc\u00f3pica del endoscopista sobre la benignidad y malignidad de la \u00falcera g\u00e1strica teniendo en cuenta los bordes, fondo y pliegues no debe ser valorada de forma aislada. El diagn\u00f3stico endosc\u00f3pico posee un valor predictivo negativo y positivo de c\u00e1ncer de 97% y 34% respectivamente. 4. La forma de al menos seis muestras de biopsia de los bordes de \u00falcera g\u00e1strica tiene una sensibilidad muy alta para descartar malignidad independientemente de cualquier par\u00e1metro.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Seguimiento endosc\u00f3pico de la \u00falcera g\u00e1strica en una poblaci\u00f3n de riesgo intermedio de c\u00e1ncer g\u00e1strico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Seguimiento endosc\u00f3pico de la \u00falcera g\u00e1strica en una poblaci\u00f3n de riesgo intermedio de c\u00e1ncer g\u00e1strico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Dolores Ma\u00f1as Garc\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/06\/2008<\/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>Agust\u00edn Albillos Mart\u00ednez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Perez jimenez <\/li>\n<li>Luis Abreu Garc\u00eda (vocal)<\/li>\n<li>crist\u00f3bal Martinez delgado (vocal)<\/li>\n<li>Jos\u00e9 Portillo sanchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Dolores Ma\u00f1as Garc\u00eda La \u00falcera g\u00e1strica es una patolog\u00eda que afecta al 5-10% de la poblaci\u00f3n [&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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