{"id":87361,"date":"2018-03-10T00:12:09","date_gmt":"2018-03-10T00:12:09","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/resultados-a-largo-plazo-de-la-gastroplastina-vertical-con-banda\/"},"modified":"2018-03-10T00:12:09","modified_gmt":"2018-03-10T00:12:09","slug":"resultados-a-largo-plazo-de-la-gastroplastina-vertical-con-banda","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/resultados-a-largo-plazo-de-la-gastroplastina-vertical-con-banda\/","title":{"rendered":"Resultados a largo plazo de la gastroplastina vertical con banda"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Arribas Del Amo Dolores <\/strong><\/h2>\n<p>Introducci\u00f3n  la obesidad m\u00f3rbida se define como la presencia de un sobrepeso superior al 100%, mayor de 45 kg., Sobre el peso ideal, imc mayor de 40 \u00f3 la existencia de morbilidad directamente atribuible al sobrepeso a\u00fan sin cumplir los criterios ponderales. La mayor parte de los obesos deben recibir un tratamiento conservador, fundamentalmente diet\u00e9tico, si bien sus resultados son desalentadores. por ello, en casos seleccionados, la obesidad m\u00f3rbida es susceptible de tratamiento quir\u00fargico.  hip\u00f3tesis de trabajo  la gastroplastia vertical con banda es una t\u00e9cnica que permite una reducci\u00f3n de al menos el 50% del sobrepeso, mantenida en el tiempo (m\u00e1s de cinco a\u00f1os) en m\u00e1s del 75% de los obesos en los que se practica.  objetivos secundarios  1,- valorar efectos de la p\u00e9rdida ponderal sobre la patolog\u00eda asociada.  2,- evaluar morbilidad y mortalidad.  3,- valorar repercusi\u00f3n de la t\u00e9cnica sobre la calidad de vida.  material y m\u00e9todos  estudio de una serie homog\u00e9nea de casos cl\u00ednicos sometidos a gastroplastia vertical con banda en los que fue posible completar cinco o m\u00e1s a\u00f1os de seguimiento (n=80, 65 mujeres y 15 varones, con una edad media de 37 a\u00f1os y un imc medio preoperatorio de 49).  resultados  a,- evoluci\u00f3n del porcentaje de sobrepeso perdido: 6 meses=59%; 12 meses=70%; 18 meses=71%; 2 a\u00f1os=66%; 5 a\u00f1os=64%; 8 a\u00f1os=54%; 12 a\u00f1os=55%  b,- porcentaje de \u00e9xitos (pacientes con p\u00e9rdida de m\u00e1s del 50% del sobrepeso) =51% al final del seguimiento.  c,- efecto sobre la morbilidad asociada: descenso de glucemia, trigliceridemia y tensi\u00f3n arterial precozmente, sin correlaci\u00f3n con la magnitud del adelgazamiento, mayor en los obesos con cifras elevadas preoperatorias y mantenido en el tiempo pese al reengorde.  d,- mortalidad=1,25% por tep.  e,- morbilidad: postoperatoria precoz 25% (20% infecci\u00f3n herida operatoria); seguimiento (hernia incisional 35%); complicaciones t\u00e9cnicas (disrupci\u00f3n l\u00ed<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Resultados a largo plazo de la gastroplastina vertical con banda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Resultados a largo plazo de la gastroplastina vertical con banda <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Arribas Del Amo Dolores <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/11\/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>Mar\u00eda no Martinez Diez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Gonz\u00e1lez gonz\u00e1lez <\/li>\n<li>Antonio Alastre vidal (vocal)<\/li>\n<li>\u00e1lvaro Larraz jimenez (vocal)<\/li>\n<li>eduardo Faure nogueras (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Arribas Del Amo Dolores Introducci\u00f3n la obesidad m\u00f3rbida se define como la presencia de un sobrepeso superior [&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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