{"id":8517,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/estudio-del-metabolismo-oseo-y-de-la-densidad-mineral-osea-en-la-hepatopatia-cronica\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"estudio-del-metabolismo-oseo-y-de-la-densidad-mineral-osea-en-la-hepatopatia-cronica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-del-metabolismo-oseo-y-de-la-densidad-mineral-osea-en-la-hepatopatia-cronica\/","title":{"rendered":"Estudio del metabolismo oseo y de la densidad mineral osea en la hepatopatia cronica."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Gonzalez Sanz Agero Paloma <\/strong><\/h2>\n<p>La osteodistrofia hepatica puede aparecer en el curso de la hepatopatia cronica de cualquier origen y se manifiesta en la clinica como osteoporosis y osteomalacia. La osteoporosis es la enfermedad osea mas frecuentemente asociada a la hepatopatia parenquimatosa y al alcoholismo cronico.  en la actualidad, los pacientes con hepatopatia cronica tienen una supervivencia mayor, derivado de un mejor tratamiento de las complicaciones y del progresivo acceso al trasplante hepatico, por lo que hace de la osteodistrofia hepatica un problema a tener en cuenta.  la realizacion de analisis relacionados con el metabolismo oseo asi como la densitometria osea nos van a ayudar a detectar precozmente la osteopenia, antes de que esta pueda presentar sintomas y sus consecuencias sean inevitables.  hemos realizado un estudio, en nuestra poblacion con 86 varones distribuidos en cuatro grupos: grupo i control (17 sujetos), grupo ii de pacientes con hepatopatia cronica sin alcoholismo (25 pacientes), grupo iii de alcoholicos cronicos sin hepatopatia (21 sujetos) y grupo iv de pacientes con hepatopatia alcoholica (23 pacientes).  posteriormente hemos comparado los resultados, tanto de las variables del laboratorio como de la densitometria, precisando la posible influencia ejercida por la hepatopatia, el alcoholismo, la ascitis y los diureticos.  a todos los sujetos se les determino pthi y osteocalcina basales y a las 24 horas de la administracion de calcitriol intravenoso, para valorar en cada grupo la respuesta tras dicho estimulo.  nuestras conclusiones han sido:  1.- Hemos encontrado en los enfermos con hepatopatia cronica, independientemente de su etiolog\u00eda, una densidad mineral osea (dmo), a nivel femoral, significativamente menor que en el grupo control. Ademas cuando la hepatopatia es de etiolog\u00eda alcoholica, estos hallazgos son mas relevantes. Por otro lado, no hemos encontrado repercusion significativa de la ascitis sobre la dmo.  2.-<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio del metabolismo oseo y de la densidad mineral osea en la hepatopatia cronica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio del metabolismo oseo y de la densidad mineral osea en la hepatopatia cronica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Gonzalez Sanz Agero Paloma <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>Juan  Jos\u00e9 V\u00e1zquez Rodr\u00edguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Garcia  Sancho Martin <\/li>\n<li>Ana Cano Ruiz (vocal)<\/li>\n<li>Jos\u00e9 Miguel Cano L\u00f3pez (vocal)<\/li>\n<li>Federico Hawkins Carranza (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gonzalez Sanz Agero Paloma La osteodistrofia hepatica puede aparecer en el curso de la hepatopatia cronica de [&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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