{"id":83550,"date":"2018-03-10T00:07:43","date_gmt":"2018-03-10T00:07:43","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-los-factores-diagnosticos-de-litiasis-de-la-va%c2%ada-biliar-principal-y-resultados-del-tratamiento-quirurgico\/"},"modified":"2018-03-10T00:07:43","modified_gmt":"2018-03-10T00:07:43","slug":"analisis-de-los-factores-diagnosticos-de-litiasis-de-la-va%c2%ada-biliar-principal-y-resultados-del-tratamiento-quirurgico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-de-los-factores-diagnosticos-de-litiasis-de-la-va%c2%ada-biliar-principal-y-resultados-del-tratamiento-quirurgico\/","title":{"rendered":"An\u00e1lisis de los factores diagn\u00f3sticos de litiasis de la v\u00edabiliar principal y resultados del tratamiento quir\u00fargico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M. Elena Piqueras Cascante <\/strong><\/h2>\n<p>La historia natural de la coledocoliatisis es todav\u00eda poco conocida. los c\u00e1lculos pueden permanecer asintom\u00e1ticos, ser expulsados espont\u00e1neamente o causar s\u00edntomas por obstrucci\u00f3n. Hoy por hoy la evoluci\u00f3n resulta impredecible, por lo que cuando se detecta la existencia de un c\u00e1lculo en la v\u00eda biliar, la actitud m\u00e1s extendida es procurar su extracci\u00f3n. La introducci\u00f3n de la endoscopia y la laparoscopia para el tratamiento de la patolog\u00eda liti\u00e1sica biliar han hecho que se multipliquen las opciones terap\u00e9uticas. No obstante, las posibilidades diagn\u00f3sticas y terap\u00e9uticas reales dependen en buena parte de los medios disponibles en cada centro.  con este estudio retrospectivo de revisi\u00f3n de historias cl\u00ednicas (n=528) nos propusimos por un lado analizar el rendimiento real de los medios diagn\u00f3sticos preoperatorios utilizados habitualmente en nuestro hospital ante la posible coledocolitiasis y por otro valorar los resultados del tratameinto quir\u00fargico de la coledocolitiasis por v\u00eda abierta.  para la valoraci\u00f3n de los factores diagn\u00f3sticos de coledocolitiasis se dise\u00f1\u00f3 un estudio del tipo casos-control, en el que se consider\u00f3 caso (n=263) la coledocoliatiasis y control (n=265) su ausencia, confirmadas ambas mediante ercp, cirug\u00eda o en el seguimiento posterior. Se estudiaron factores cl\u00ednicos, anal\u00edticos y ecogr\u00e1ficos y se realiz\u00f3 un an\u00e1lisis multivariante, mediante regresi\u00f3n log\u00edstica, de los factores que resultaron significativos de forma individual. Los cuadros cl\u00ednicos de ictericia obstructiva y colangitis aguda, as\u00ed como la imagen ecogr\u00e1fica de v\u00e1i biliar principal mayor de 8 mm., Son factores de riesgo independientes para el diagn\u00f3stico de coledocolitiasis. la combinaci\u00f3n de dos de estos factores justifica la intervenci\u00f3n sobre la v\u00eda biliar principal sin necesidad de procedimientos diagn\u00f3sticos adicionales, mientras que cuando la sospecha de coledocolitiasis no se basa en la presencia de al menos<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis de los factores diagn\u00f3sticos de litiasis de la v\u00edabiliar principal y resultados del tratamiento quir\u00fargico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis de los factores diagn\u00f3sticos de litiasis de la v\u00edabiliar principal y resultados del tratamiento quir\u00fargico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M. Elena Piqueras Cascante <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/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>carreres Guinda Val<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda no Martinez diez <\/li>\n<li>Javier Diaz aguirregoitia (vocal)<\/li>\n<li>Miguel Echenique elizondo (vocal)<\/li>\n<li> Bielsa rodrigo Miguel angel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M. Elena Piqueras Cascante La historia natural de la coledocoliatisis es todav\u00eda poco conocida. los c\u00e1lculos pueden [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,141,387,13610],"tags":[115651,127864,26260,177006,10590,12925],"class_list":["post-83550","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","category-zaragoza","tag-bielsa-rodrigo-miguel-angel","tag-carreres-guinda-val","tag-javier-diaz-aguirregoitia","tag-m-elena-piqueras-cascante","tag-maria-no-Martinez-diez","tag-miguel-echenique-elizondo"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/83550","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=83550"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/83550\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=83550"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=83550"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=83550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}