{"id":70081,"date":"2018-03-09T23:14:37","date_gmt":"2018-03-09T23:14:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-funcion-intestinal-tras-gastrectoma%c2%ada-total-por-cancer-gastrico\/"},"modified":"2018-03-09T23:14:37","modified_gmt":"2018-03-09T23:14:37","slug":"estudio-de-la-funcion-intestinal-tras-gastrectoma%c2%ada-total-por-cancer-gastrico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-funcion-intestinal-tras-gastrectoma%c2%ada-total-por-cancer-gastrico\/","title":{"rendered":"Estudio de la funci\u00f3n intestinal tras gastrectom\u00edatotal por c\u00e1ncer g\u00e1strico."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Vaqu\u00e9 Urbaneja Francisco Javier <\/strong><\/h2>\n<p>Hipotesis.- La gastrectom\u00eda total determina un estado de nutrici\u00f3n deficiente, especialmente a largo plazo, relacionado con las alteraciones funcionales del intestino delgado secundarias a la p\u00e9rdida de las funciones g\u00e1stricas y a la posible alteraci\u00f3n del funcionalismo intestinal.  objetivos.- Con este trabajo se pretende demostrar el deficiente estado nutricional de estos pacientes y su evoluci\u00f3n a largo plazo. Tambi\u00e9n se plantean como objetivos  determinar si esta malnutrici\u00f3n es consecuencia de alteraciones  de la funci\u00f3n intestinal absortiva, de  alteraciones en la velocidad de tr\u00e1nsito  o de la motilidad intestinal.  material y metodos.- Se estudian, durante 5 a\u00f1os de seguimiento, a 32 pacientes, 22 hombres y 10 mujeres, con una edad media de 61.4 a\u00f1os (rango: 30-79), diagnosticados de adenocarcinoma o linfoma g\u00e1strico, y  sometidos a gastrectom\u00eda total y esplenectom\u00eda, con reconstrucci\u00f3n tipo es\u00f3fago-yeyunostom\u00eda, con y de roux a 60 cm. Del pie de asa yeyunal y linfadenectom\u00eda d1-d2. Todos ellos con intenci\u00f3n curativa.  se ha valorado el estado nutricional en todos ellos mediante par\u00e1metros antropom\u00e9tricos, biol\u00f3gicos e inmunitarios, mediante una valoraci\u00f3n anual y su seguimiento en 5 a\u00f1os. Se ha medido la calidad de vida mediante grados visik, \u00edndice de karnofsky y una encuesta para valorar mediante score par\u00e1metros afectivos y psicosociales. Durante el per\u00edodo de seguimiento se ha efectuado una encuesta nutricional, para determinar los h\u00e1bitos diet\u00e9ticos de los pacientes y se han valorado los s\u00edntomas digestivos que presentaban, especialmente en lo referente a la diarrea. Durante cada per\u00edodo de seguimiento se han efectuado an\u00e1lisis sangu\u00edneos generales y otros que valoran el estado de la vitamina b12, \u00e1cido f\u00f3lico, hierro y anemia, zinc y magnesio y colesterol junto a lipoprote\u00ednas.  el estudio de la funci\u00f3n intestinal ha consistido en una valoraci\u00f3n estandarizada de malabsorci\u00f3n, com<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la funci\u00f3n intestinal tras gastrectom\u00edatotal por c\u00e1ncer g\u00e1strico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la funci\u00f3n intestinal tras gastrectom\u00edatotal por c\u00e1ncer g\u00e1strico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Vaqu\u00e9 Urbaneja Francisco Javier <\/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 17\/09\/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>rodriguez Fornos Sancho<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Calpena rico <\/li>\n<li>teresa Soria cogollos (vocal)<\/li>\n<li>Rafael Vara-thorbeck (vocal)<\/li>\n<li> D\u00edaz de lia\u00f1o  \u00e1lvaro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vaqu\u00e9 Urbaneja Francisco Javier Hipotesis.- La gastrectom\u00eda total determina un estado de nutrici\u00f3n deficiente, especialmente a largo [&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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