{"id":73319,"date":"2018-03-09T23:18:15","date_gmt":"2018-03-09T23:18:15","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-endoscopico-de-la-estenosis-de-la-va%c2%ada-biliar-indicaciones-y-resultados-de-las-protesis-biliares\/"},"modified":"2018-03-09T23:18:15","modified_gmt":"2018-03-09T23:18:15","slug":"tratamiento-endoscopico-de-la-estenosis-de-la-va%c2%ada-biliar-indicaciones-y-resultados-de-las-protesis-biliares","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-endoscopico-de-la-estenosis-de-la-va%c2%ada-biliar-indicaciones-y-resultados-de-las-protesis-biliares\/","title":{"rendered":"Tratamiento endosc\u00f3pico de la estenosis de la v\u00edabiliar: indicaciones y resultados de las pr\u00f3tesis biliares"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Cristina G\u00f3mez Oliva <\/strong><\/h2>\n<p>Evaluar las indicaciones de la colocaci\u00f3n de pr\u00f3tesis como drenaje de la v\u00eda biliar en nuestro medio. Valorar la eficacia del tratamiento endosc\u00f3pico mediante pr\u00f3tesis tanto en patolog\u00eda maligna como benigna.  describir las complicaicones precoces y tard\u00edas del drenaje endosc\u00f3pico de la v\u00eda biliar en patolog\u00eda maligna y benigna.  identificar factores relacionados con el tiempo de obstrucci\u00f3n de la pr\u00f3tesis en pacientes con patolog\u00eda maligna de la v\u00eda biliar.  identificar factores predictivos de supervivencia en pacientes con patolog\u00eda maligna de la v\u00eda biliar.  evaluar la eficacia de la pr\u00f3tesis biliar como tratamiento paliativo en el c\u00e1ncer de p\u00e1ncreas.  estudio prospectivo en pacientes con estenosis u otra patolog\u00eda biliar ingresados en nuestro centro que precisaron una pr\u00f3tesis biliar endosc\u00f3pica como drenaje temporal o tratamiento paliativo definitivo.  la colocaci\u00f3n de pr\u00f3tesis biliar por v\u00eda endosc\u00f3pica es una opci\u00f3n terap\u00e9utica paliativa en pacientes con estenosis maligan de la v\u00eda biliar no resecable quir\u00fargicamente o previa a la cirug\u00eda, as\u00ed como una alternativa a la cirug\u00eda en patolog\u00eda benigna.  la efectivida inmediata en el drenaje biliar tras la inserci\u00f3n de la pr\u00f3tesis es superior al 90%, tanto en patolog\u00eda maligna como benigna.  la morbilidad precoz fue del 21,45 en estenosis maligna y del 20,5% en patolog\u00eda benigna. Las complicaicones precoces m\u00e1s frecuentes fueron la colangitis (9 y 10,4%, respectivamente), la hemorragia y la pancreatitis.  la complicaci\u00f3n tard\u00eda m\u00e1s frecuente fue la obstrucci\u00f3n de la pr\u00f3tesis tanto en patolog\u00eda benigna como maligna (21,5%), siendo el tiempo medi de oclusi\u00f3n de 3-4 meses.  el tipo de pr\u00f3tesis colocada (pl\u00e1stico versus met\u00e1lica) en pacientes con patolog\u00eda maligna sea identificado en el an\u00e1lisis multivariado como \u00fanico factor predictivo independiente de obstrucci\u00f3n de la pr\u00f3tesis en el seguimiento a largo plazo.  la ausencia<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento endosc\u00f3pico de la estenosis de la v\u00edabiliar: indicaciones y resultados de las pr\u00f3tesis biliares<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento endosc\u00f3pico de la estenosis de la v\u00edabiliar: indicaciones y resultados de las pr\u00f3tesis biliares <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Cristina G\u00f3mez Oliva <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/03\/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>Carlos Guarner Aguilar<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joan Mones xiol <\/li>\n<li> Bordas alsina Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<li>joaqu\u00edn Blanz\u00f3 tintor\u00e9 (vocal)<\/li>\n<li>f\u00e9lix Llu\u00eds casaJuan a (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Cristina G\u00f3mez Oliva Evaluar las indicaciones de la colocaci\u00f3n de pr\u00f3tesis como drenaje de la v\u00eda biliar [&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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