{"id":83498,"date":"2018-03-10T00:07:39","date_gmt":"2018-03-10T00:07:39","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/erradicacion-de-helicobacter-pylori-en-la-ulcera-duodenal-pautas-terapeuticas-factores-predictivos-y-cambios-histopatologicos-en-la-gastritis-antral\/"},"modified":"2018-03-10T00:07:39","modified_gmt":"2018-03-10T00:07:39","slug":"erradicacion-de-helicobacter-pylori-en-la-ulcera-duodenal-pautas-terapeuticas-factores-predictivos-y-cambios-histopatologicos-en-la-gastritis-antral","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/erradicacion-de-helicobacter-pylori-en-la-ulcera-duodenal-pautas-terapeuticas-factores-predictivos-y-cambios-histopatologicos-en-la-gastritis-antral\/","title":{"rendered":"Erradicaci\u00f3n de helicobacter pylori en la \u00falcera duodenal: pautas terap\u00e9uticas, factores predictivos y cambios histopatol\u00f3gicos en la gastritis antral."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Clementina-fatima Villar Rospide <\/strong><\/h2>\n<p>Hip\u00f3tesis  consiste en que la erradicaci\u00f3n de la infecci\u00f3n por helicobacter pylori produce una resoluci\u00f3n cl\u00ednica y endoc\u00f3pica mentenida enlos pacientes con \u00falcera duodenal. Para verificar esta hip\u00f3tesis los objetivos marcados fueron: determinar la efectividad de las pautas erradicadoras, observar que factores predicitos influyen en la efectividad de la erradicaci\u00f3n, realizar un seguimiento cl\u00ednico y endoc\u00f3pico de los pacientes y comprobar los cambios histol\u00f3gicos sobre la gastritirs antral tras conseguir la erradicaci\u00f3n.  material y metodos  se estudiaron 103 pacientes con diagn\u00f3stico endosc\u00f3pico de \u00falcera duodenal y con infecci\u00f3n por helicobacter pylori.  resultados  los \u00edndices de erradicaci\u00f3n obtenidos un mes despu\u00e9s de finalizr el tratamiento, fueron similares enlos tratamientos dobles (omeprazol combinado con amoxicilina o calritomicina), siendo de un 54% y 56%, respectivamente, mientras que los obtenidos con los tratamientos tripoles (omeprazol, claritromicina, amoxicilina y etraciclina, metronidazol, bismuto) y cu\u00e1druple (omeprazol asociado a la triple cl\u00e1sica) fueron sensiblemente superiores, oscilando entre 81% y 83%. Al a\u00f1o de finalizar el tratamiento el \u00edndice de recurrencia fue del 12,9% para las biterapias y del 5,1% para las pautas triples y cu\u00e1druples.  conclusiones  los tratamientos para la erradicaci\u00f3n de h. Pylori compuestos por una combinaci\u00f3n de dos f\u00e1rmacos se consideran terapias de baja eficacia. Las pautas con tres o cuatro f\u00e1rmacos son recomendadas actualmente como tratamientos de primera l\u00ednea. Los factores predictivos analizados; edad, sexo y h\u00e1bito tab\u00e1quico no influyeron sobre la erradiccaci\u00f3n, \u00fanicamente la edad alcanz\u00f3 significaci\u00f3n estad\u00edstica en la biterapia con amoxicilina, siendo m\u00e1s efectiva en los pacientes de edad avanzada. Transcurrido aun a\u00f1o de seguimiento la mayor\u00eda d elos pacientes erradicados permanecieron libres de infecci\u00f3n. ning\u00fan paciente qu<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Erradicaci\u00f3n de helicobacter pylori en la \u00falcera duodenal: pautas terap\u00e9uticas, factores predictivos y cambios histopatol\u00f3gicos en la gastritis antral.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Erradicaci\u00f3n de helicobacter pylori en la \u00falcera duodenal: pautas terap\u00e9uticas, factores predictivos y cambios histopatol\u00f3gicos en la gastritis antral. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Clementina-fatima Villar Rospide <\/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 24\/02\/2000<\/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>Enrique Medina Chulia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: adolfo Benages Martinez <\/li>\n<li>Francisco Sanchez bueno (vocal)<\/li>\n<li>justo Medrano heredia (vocal)<\/li>\n<li> Bordas alsina Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Clementina-fatima Villar Rospide Hip\u00f3tesis consiste en que la erradicaci\u00f3n de la infecci\u00f3n por helicobacter pylori produce una [&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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