{"id":68770,"date":"2018-03-09T23:13:12","date_gmt":"2018-03-09T23:13:12","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/caracterizacion-histologica-e-inmunohistoqua%c2%admica-de-la-hepatopata%c2%ada-asociada-a-litiasis-biliar\/"},"modified":"2018-03-09T23:13:12","modified_gmt":"2018-03-09T23:13:12","slug":"caracterizacion-histologica-e-inmunohistoqua%c2%admica-de-la-hepatopata%c2%ada-asociada-a-litiasis-biliar","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/caracterizacion-histologica-e-inmunohistoqua%c2%admica-de-la-hepatopata%c2%ada-asociada-a-litiasis-biliar\/","title":{"rendered":"Caracterizaci\u00f3n histol\u00f3gica e inmunohistoqu\u00edmica de la hepatopat\u00edaasociada a litiasis biliar"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Olga Blasco Delgado <\/strong><\/h2>\n<p>En este trabajo de tesis doctoral hemos intentado dar respuesta a distintas cuestiones. En primer lugar si existen alteraciones histol\u00f3gicas en pacientes con litiasis biliar y cu\u00e1l es su preValencia. En segundo lugar, de existir \u00e9stas, caracterizarlas y clasificarlas. Adem\u00e1s, nos planteamos la indicaci\u00f3n de realizar una biopsia hep\u00e1tica en el curso de una colecistectom\u00eda y en qu\u00e9 casos realizarla. Por \u00faltimo se apunta el posible papel de la respuesta inmune en el da\u00f1o hep\u00e1tico hallado en pacientes con litiasis biliar.  para desarrollar todas estas cuestiones hemos contado con un grupo de 70 pacientes con litiasis biliar, en algunos casos complicada, que aceptaron la realizaci\u00f3n de una biopsia hep\u00e1tica en el curso de la colecistectom\u00eda a la que fueron sometidos. Se analizaron los par\u00e1metros correspondientes a los datos demogr\u00e1ficos, cl\u00ednica de presentaci\u00f3n, distintas pruebas complementarias, procedimiento quir\u00fargico y morbimortalidad postoperatoria; se estudiaron las muestras de tejido hep\u00e1tico obtenido con distintas tinciones y se clasificaron en seis grupos; tambi\u00e9n se realiz\u00f3 un estudio inmunohistoqu\u00edmico de las mismas, valorando la expresi\u00f3n de diferentes mol\u00e9culas de activaci\u00f3n linfocitaria, presentaci\u00f3n del ant\u00edgeno y adhesi\u00f3n celular y vascular.  como resultado de este estudio podemos confirmar la alta preValencia de alteraciones histol\u00f3gicas hep\u00e1ticas en la colelitiasis, que incluyen cuadros fibrosis periductal inespec\u00edfica, colangitis aguda, colestasis extrahep\u00e1tica, alteraciones reactivas inespec\u00edficas, hepatitis y esteatosis. Respecto a la biopsia hep\u00e1tica intraoperatoria, nuestra conclusi\u00f3n es que est\u00e1 indicada en pacientes colecistectomizados con cl\u00ednica de colestasis, alteraciones de la bioqu\u00edmica hep\u00e1tica o evidencia radiol\u00f3gica d elitiasis de la v\u00eda biliar principal, con objeto de valorar la intensidad del da\u00f1o hep\u00e1tico y establecer un pron\u00f3stico y una pauta de seguimiento.  por<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Caracterizaci\u00f3n histol\u00f3gica e inmunohistoqu\u00edmica de la hepatopat\u00edaasociada a litiasis biliar<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Caracterizaci\u00f3n histol\u00f3gica e inmunohistoqu\u00edmica de la hepatopat\u00edaasociada a litiasis biliar <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Olga Blasco Delgado <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/06\/2004<\/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>Ricardo Moreno Otero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Garcia  sancho martin <\/li>\n<li>Jos\u00e9 Mar\u00eda Ladero quesada (vocal)<\/li>\n<li>Miguel angel Dapena crespo (vocal)<\/li>\n<li>arturo Perez mota (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Olga Blasco Delgado En este trabajo de tesis doctoral hemos intentado dar respuesta a distintas cuestiones. En [&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":[1],"tags":[23163,6504,3776,5922,150892,13202],"class_list":["post-68770","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-arturo-perez-mota","tag-jose-maria-ladero-quesada","tag-luis-garcia-sancho-martin","tag-miguel-angel-dapena-crespo","tag-olga-blasco-delgado","tag-ricardo-moreno-otero"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/68770","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=68770"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/68770\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=68770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=68770"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=68770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}