{"id":83741,"date":"2000-11-03T00:00:00","date_gmt":"2000-11-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evolucion-a-largo-plazo-de-los-pacientes-tratados-con-tips-factores-predictivos-de-buena-hepatica-y-supervivencia-a-largo-plazo-sin-necesidad-de-trasplante-hepatico\/"},"modified":"2000-11-03T00:00:00","modified_gmt":"2000-11-03T00:00:00","slug":"evolucion-a-largo-plazo-de-los-pacientes-tratados-con-tips-factores-predictivos-de-buena-hepatica-y-supervivencia-a-largo-plazo-sin-necesidad-de-trasplante-hepatico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evolucion-a-largo-plazo-de-los-pacientes-tratados-con-tips-factores-predictivos-de-buena-hepatica-y-supervivencia-a-largo-plazo-sin-necesidad-de-trasplante-hepatico\/","title":{"rendered":"Evolucion a largo plazo de los pacientes tratados con tips. factores predictivos de buena hepatica y supervivencia a largo plazo sin necesidad de trasplante hepatico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marcos Girala Salomon <\/strong><\/h2>\n<p>Introduccion: la derivaci\u00f3n intrahep\u00e1tica portosist\u00e9mica (tips) es eficaz en el tratamiento de la hipertensi\u00f3n portal en los pacientes cirr\u00f3ticos. la evoluci\u00f3n post-tips no es homog\u00e9nea y se desconocen los factores que la determinan a largo plazo.  objetivos: estudiar en pacientes tratados con tips: la eficacia del mismo, la aparici\u00f3n de complicaciones de la cirrosis, la evoluci\u00f3n de la funci\u00f3n hep\u00e1tica y renal, los factores predictores de la evoluci\u00f3n de la funci\u00f3n hepatica y de la supervivencia.  pacientes y metodos: se estudiaron retrospectivamente a 125 pacientes. se analizaron 81 variables medidas basalmente y un mes post-tips. Se utilizaron el metodo de kaplan-meier, la regresi\u00f3n log\u00edstica y la regresi\u00f3n de cox, seg\u00fan el tipo de estudio.  resultados: la incidencia de recidiva de hemorragia varicosa y ascitis a tensi\u00f3n post-tips fue de 5% y 29,5% al a\u00f1o. Los factores predictivos de la evoluci\u00f3n de la funci\u00f3n hepatica fueron la bilirrubina directa y la edad. La incidencia encefalopat\u00eda hepatica fue del 47% al a\u00f1o. La supervivencia tras la colocaci\u00f3n del tips fue de 75,6% al a\u00f1o.  los factores predictivos de supervivencia fueron: 1-sin punto de corte en el tiempo: a) pre-tips: edad, bilirrubina directa, alb\u00famina serica y actividad de protombina; b) al mes post-tips: edad, bilirrubina directa y creatinina plasm\u00e1tica;2-al a\u00f1o: a)pre-tips:bilirrubina directa y tips indicado como profilaxis de hemorragia digestiva; 3- a los cinco a\u00f1os: a) pre-tips: no se detectaron variables significativas; b) al mes post-tips: puntuacion de child-pugh, hemoglobina y realizaci\u00f3n de angioplastia en el primer mes post-tips.  conclusiones: el tips es eficaz en sus indicaciones m\u00e1s frecuentes. Los factores predictores de supervivencia y funci\u00f3n hep\u00e1tica est\u00e1n en relaci\u00f3n con los componentes de la clasificaci\u00f3n de child-pugh, la funci\u00f3n renal y la edad principalmente.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evolucion a largo plazo de los pacientes tratados con tips. factores predictivos de buena hepatica y supervivencia a largo plazo sin necesidad de trasplante hepatico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evolucion a largo plazo de los pacientes tratados con tips. factores predictivos de buena hepatica y supervivencia a largo plazo sin necesidad de trasplante hepatico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marcos Girala Salomon <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/03\/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>Jorge  Augusto Quiroga Vilas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas m. Prieto valtue\u00f1a <\/li>\n<li>josefa Fernandez gonzalez (vocal)<\/li>\n<li>agustin Caro paton gomez (vocal)<\/li>\n<li> Bilbao jaureguizar Jos\u00e9 ignacio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marcos Girala Salomon Introduccion: la derivaci\u00f3n intrahep\u00e1tica portosist\u00e9mica (tips) es eficaz en el tratamiento de la hipertensi\u00f3n [&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":[9,491,139,17749],"tags":[9694,18318,15059,18372,177310,177309],"class_list":["post-83741","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-gastroenterologia","category-medicina-interna","category-navarra","tag-agustin-caro-paton-gomez","tag-bilbao-jaureguizar-jose-ignacio","tag-jesus-m-prieto-valtuena","tag-jorge-augusto-quiroga-vilas","tag-josefa-fernandez-gonzalez","tag-marcos-girala-salomon"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/83741","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=83741"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/83741\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=83741"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=83741"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=83741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}