{"id":74419,"date":"2005-08-06T00:00:00","date_gmt":"2005-08-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/fisiopatologia-anorectal\/"},"modified":"2005-08-06T00:00:00","modified_gmt":"2005-08-06T00:00:00","slug":"fisiopatologia-anorectal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/fisiopatologia-anorectal\/","title":{"rendered":"Fisiopatolog\u00eda anorectal"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Fern\u00e1ndez Fraga Xose Luis <\/strong><\/h2>\n<p>La funci\u00f3n principal del anorecto es el control voluntario, de la continencia fecal y la evacuaci\u00f3n fecal. Esta tesis incluye tres publicaciones.  primera publicaci\u00f3n  los par\u00e1metros en la pr\u00e1ctica cl\u00ednica no pueden aclarar los mecanismos asociados al tratamiento de la incontinencia anal. Nuestra hip\u00f3tesis fue que  el m\u00fasculo puborectal juega un papel fundamental en la continencia anal y el objetivo del estudio fue desarrollar un sistema original para medir la contracci\u00f3n puborectal y valorar el papel del m\u00fasculo en la continencia. se estudiaron 53 pacientes con incontinencia, 30 pacientes con estre\u00f1imiento (grupo de enfermos control) y 15 controles sanos. La severidad cl\u00ednica se evalu\u00f3 mediante una escala de 0-12, la funci\u00f3n anorectal mediante manometr\u00eda anorectal, y la contracci\u00f3n el puborectal con un dinam\u00f3metro perineal. los pacientes con incontinencia presentaban varias alteraciones fisiol\u00f3gicas (3.2 +- 0.3 por paciente), y el an\u00e1lisis multivariable demostr\u00f3 que el puborecta es el factor independiente con relaci\u00f3n m\u00e1s intensa con la severidad de la incontinencia (r= -0.84; p menor 0.0001), y tambi\u00e9n se asocia a la respuesta al tratamiento (r= 0.53; p menor 0.01). La mejor\u00eda cl\u00ednica observada tras el tratamiento (4.4 +- 0.5 score post vs 7.9 +- 0.5 score pretratamiento; p menor 0.001) se a socia a un significativo aumento de la fuerza del puborectal (448 +- 51 g pretratamiento; p menor 0.05).  conclusi\u00f3n: este estudio demuestra la importancia de la insuficiencia del m\u00fasculo puborectal en la incotinencia anal y en la predicci\u00f3n de la respuesta al tratamiento.  segunda publicaci\u00f3n  el biofeedback es un tratamiento eficaz de la incontinencia anal. Nuestro objetivo fue establecer la eficacia cl\u00ednica del tratamiento mediante biofeedback e identificar los factores asociados a la respuesta. Se analizaron de forma retrospectiva 145 pacientes con incontinencia anal tratados con biofeedback. se evalu\u00f3 la cl\u00ed<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Fisiopatolog\u00eda anorectal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Fisiopatolog\u00eda anorectal <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Fern\u00e1ndez Fraga Xose Luis <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 08\/06\/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> Malagelada Benapres Juan  Ramon<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Armengol carrasco <\/li>\n<li>joan Mones xiol (vocal)<\/li>\n<li>jaume Vilaseca momplet (vocal)<\/li>\n<li>anna Accarino garaventa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fern\u00e1ndez Fraga Xose Luis La funci\u00f3n principal del anorecto es el control voluntario, de la continencia fecal [&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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