{"id":75390,"date":"2005-05-07T00:00:00","date_gmt":"2005-05-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/papel-de-la-nutricion-enteral-precoz-enriquecida-con-glutamina-en-al-post-operatorio-de-la-cirugia-oncologica-digestiva\/"},"modified":"2005-05-07T00:00:00","modified_gmt":"2005-05-07T00:00:00","slug":"papel-de-la-nutricion-enteral-precoz-enriquecida-con-glutamina-en-al-post-operatorio-de-la-cirugia-oncologica-digestiva","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/papel-de-la-nutricion-enteral-precoz-enriquecida-con-glutamina-en-al-post-operatorio-de-la-cirugia-oncologica-digestiva\/","title":{"rendered":"Papel de la nutricion enteral precoz enriquecida con glutamina en al post operatorio de la cirugia oncologica digestiva"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Usan Gracia <\/strong><\/h2>\n<p>La glutamina se clasifica como un amino\u00e1cido (aa) dispensable, fuente de nit\u00f3geno en muchas y variadas v\u00edas biosint\u00e9ticas.Facilita el transporte interorg\u00e1nico de nitr\u00f3geno entre m\u00fasculo ( principal lugar de s\u00edntesis de gln) y el lecho espl\u00e1cnico y ri\u00f1\u00f3n.  los requerimientos de gln aumentan en las situaciones de alta proliferaci\u00f3n celular,como la s\u00e9psis y la agresi\u00f3n de pacientes en cuidados intensivos o quir\u00fargicos.  la aportaci\u00f3n de gln por v\u00eda parenteral ha demostrado disminuir la incidencia de infecciones en los trasplantados de m\u00e9dula \u00f3sea,as\u00ed como aumentar la supervivencia en los pacientes en cuidados intensivos.  los pacientes que reciben soporte nutricional durante el periodo post-quir\u00fargico de la cirug\u00eda intestinal muestran una menor incidencia de complicaciones gastrointestinales, sepsis, as\u00ed como una menor estancia y costes hospitalarios.  la nutrici\u00f3n parenteral total (npt) es una medida eficaz de aporte nutricional durante el periodo post-quir\u00fargico inmediato.Una alternativa a la npt es la nutrici\u00f3n enteral (net) suministrada mediante un cateter de yeyunostom\u00eda o sonda nasoyeyunal.  realizamos un estudio cl\u00ednico experimental, multic\u00e9ntrico, comparativo, abierto y de grupos paralelos, para comparar la eficacia y seguridad de una nutrici\u00f3n enteral precoz enriquecida con glutamina, frente a una nutrci\u00f3n parenteral total en el soporte nutricional potoperatorio inmediato.  el objetivo principal fue determinar si la net disminuye la incidencia de complicaciones (morbilidad ) de caracter infeccioso, metab\u00f3licas y relacionadas con la enfermedad o v\u00eda de administracci\u00f3n.Como objetivo secundario se valor\u00f3 par\u00e1metros de s\u00edntesis proteica ( prealb\u00famina, rbp, alb\u00famina, transferrina) y situaci\u00f3n funcional.  se incluyeron 259 pacientes en trece centros participantes  la net se asoci\u00f3 significativamente a una menor incidencia de complicaciones infecciosas y metab\u00f3licas en comparaci\u00f3n con la<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Papel de la nutricion enteral precoz enriquecida con glutamina en al post operatorio de la cirugia oncologica digestiva<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Papel de la nutricion enteral precoz enriquecida con glutamina en al post operatorio de la cirugia oncologica digestiva <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Usan Gracia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/07\/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>Abelardo Garc\u00eda De Lorenzo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Munuera <\/li>\n<li>Mar\u00eda Pe\u00f1a jose (vocal)<\/li>\n<li>Fernando Noguerales fraguas (vocal)<\/li>\n<li>Jes\u00fas Culebras fern\u00e1ndez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Usan Gracia La glutamina se clasifica como un amino\u00e1cido (aa) dispensable, fuente de nit\u00f3geno en muchas [&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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