{"id":72412,"date":"2018-03-09T23:17:10","date_gmt":"2018-03-09T23:17:10","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/shunt-transyugular-intrahepatico-portosistemico-e-infecciones-bacterianas-en-la-cirrosis-hepatica-profilaxis-antibiotica-de-endotipsitis\/"},"modified":"2018-03-09T23:17:10","modified_gmt":"2018-03-09T23:17:10","slug":"shunt-transyugular-intrahepatico-portosistemico-e-infecciones-bacterianas-en-la-cirrosis-hepatica-profilaxis-antibiotica-de-endotipsitis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/shunt-transyugular-intrahepatico-portosistemico-e-infecciones-bacterianas-en-la-cirrosis-hepatica-profilaxis-antibiotica-de-endotipsitis\/","title":{"rendered":"Shunt transyugular intrahep\u00e1tico portosist\u00e9mico e infecciones bacterianas en la cirrosis hepatica profilaxis antibi\u00f3tica de endotipsitis"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Jauregui Juarez Carmen Elena <\/strong><\/h2>\n<p>El shunt tranyugular intrahep\u00e1tico portosist\u00e9mico fue desarrollado por rossle y cols en 1969, estos describieron un m\u00e9todo para inducir una descompresi\u00f3n del sistema venoso portal a trav\u00e9s de la colocaci\u00f3n percutanea de un shunt entre la vena porta y las venas suprahep\u00e1ticas. La indicaci\u00f3n m\u00e1s importante del tips es el tratamiento dela hemorragia digestiva alta recidivante secundaria a varices. En todos los estudios los pacientes que reciben tratamiento con tps tienen menos recidiva hemorr\u00e1gica comparada con aquellos que reciben tratamiento m\u00e9dico o endosc\u00f3pico. La segunda indicaci\u00f3n mas importante del tips es la ascitis refractaria. El tips ha demostrado que produce un aumento en la excreci\u00f3n renal de sodio y una disminuci\u00f3n en la actividad del sistema renina angiotensina, mejorando la tasa de filtraci\u00f3n glomerular. otras indicaciones en las que se ha utilizado el tips son al s\u00edndrome de budd-chiari, el hidrot\u00f3rax hep\u00e1tico, la gastropat\u00eda por hipertensi\u00f3n portal y el s\u00edndrome hepatorrenal, sin embargo es necesario realizar m\u00e1s estudios para comprobar su utilidad. El factor m\u00e1s limitante en el \u00e9xito del tips es su disfunci\u00f3n por obstrucci\u00f3n del flujo que adem\u00e1s, es la complicaci\u00f3n m\u00e1s frecuente, siendo muy importante la realizaci\u00f3n de tratamiento profil\u00e1ctico con heparina para disminuir su indicidencia, as\u00ed mismo realizar un seguimiento riguroso trav\u00e9s de la realizaci\u00f3n de ecograf\u00edas doppler para valorar la indemnidad del tips. Otras complicaciones frecuentes son la encefalopat\u00eda post-tips y las infecciones.  as\u00ed en 1998 se habl\u00f3 por primera vez sobre la endotipsitis que fue el t\u00e9rmino acu\u00f1ado por sanyal y cols para definir la infecci\u00f3n del tips, la describen como la aparici\u00f3n de signos cl\u00ednicos de infecci\u00f3n asociada a la colocaci\u00f3n de un tips que suele presentarse semanas o meses despu\u00e9s de la inserci\u00f3n de la pr\u00f3tesis. Decidimos realizar un estudio para valorar la incidencia de infecciones<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Shunt transyugular intrahep\u00e1tico portosist\u00e9mico e infecciones bacterianas en la cirrosis hepatica profilaxis antibi\u00f3tica de endotipsitis<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Shunt transyugular intrahep\u00e1tico portosist\u00e9mico e infecciones bacterianas en la cirrosis hepatica profilaxis antibi\u00f3tica de endotipsitis <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Jauregui Juarez Carmen Elena <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/01\/2005<\/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>German Soriano Pastor<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ricardo Sol\u00ed\u00a0 lamoglia <\/li>\n<li>bego\u00f1a Gonz\u00e1lez suarez (vocal)<\/li>\n<li>beatriz Mirelis otero (vocal)<\/li>\n<li>xavier Xiol quingles (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jauregui Juarez Carmen Elena El shunt tranyugular intrahep\u00e1tico portosist\u00e9mico fue desarrollado por rossle y cols en 1969, [&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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