{"id":88040,"date":"2018-03-10T00:12:54","date_gmt":"2018-03-10T00:12:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/perdida-de-masa-osea-en-la-cirrosis-hepatica-compensada-papel-de-la-circulacion-colateral-y-factores-de-crecimiento-oseo\/"},"modified":"2018-03-10T00:12:54","modified_gmt":"2018-03-10T00:12:54","slug":"perdida-de-masa-osea-en-la-cirrosis-hepatica-compensada-papel-de-la-circulacion-colateral-y-factores-de-crecimiento-oseo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/perdida-de-masa-osea-en-la-cirrosis-hepatica-compensada-papel-de-la-circulacion-colateral-y-factores-de-crecimiento-oseo\/","title":{"rendered":"Perdida de masa osea en la cirrosis hepatica compensada. papel de la circulacion colateral y factores de crecimiento oseo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ramon Fernandez Perez <\/strong><\/h2>\n<p>La mayoria de los estudios sobre cirrosis y osteoporosis incluyen una gran cantidad de pacientes muy desompensados, en lo que pueden afectar factores agravantes independientes de la propia cirrosis. No se conoce con exactitud el efecto de la cirrosis hepatica compensada, de naturaleza virica y alcoholica, sobre la masa osea ni el papel que pueda jugar la circulacion colateral, expresada como presencia de varices esof\u00e1gicas.  hemos estudiado la densidad osea en un grupo de hombres con cirrosis de origen tanto alcoholico como virico, y los factores de crecimiento oseo y hormonales, que pudiesen influenciar en el metabolismo oseo y mineral.  nuestros resultados muestran que la cirrosis bien compensada, tanto de origen virico como alcoholico, provoca evidente perdida de masa osea y sin diferencias entre ambas etiolog\u00edas. Adem\u00e1s, la cirrosis alcoholica cursa con niveles s\u00e9ricos de estradiol, m\u00e1s elevados que la cirrosis virica ante un mismo grado de funci\u00f3n hepatica y de circulacion colateral(expresadas como presencia de varices esof\u00e1gicas). Los niveles de estradiol sericos podrian contribuir a contrarrestar el efecto osteopenizante de la cirrosis hepatica.  por otra parte, los pacientes con varices esofagicas, presentaban una disminucion muy significativa de la masa osea en columna lumbar respecto a los pacientes sin varices esof\u00e1gicas, observando niveles descendidos de vitamina d en los pacientes con varices de forma significativa respecto a los pacientes sin varices, y que podr\u00eda explicar, al menos en parte, el descenso de la masa osea en este grupo de pacientes. La hipertensi\u00f3n portal podria ser un factor determinante en la perdida de masa osea en este grupo de pacientes, y un factor patogenico en el descenso de la vitamina d, al alterar la vascularizacion de la mucosa intestinal.  el aumento de los niveles de hormona de crecimiento (gh), insulina y estradiol, podrian ser factores protectores de la masa osea, y la disminucion<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Perdida de masa osea en la cirrosis hepatica compensada. papel de la circulacion colateral y factores de crecimiento oseo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Perdida de masa osea en la cirrosis hepatica compensada. papel de la circulacion colateral y factores de crecimiento oseo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ramon Fernandez Perez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/12\/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 Gonz\u00e1lez Calv\u00edn<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9 Rico irl\u00e9s <\/li>\n<li>raul Jes\u00fas Andrade bellido (vocal)<\/li>\n<li>enrique Garcia olivares (vocal)<\/li>\n<li>m isabel Lucena gonzalez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ramon Fernandez Perez La mayoria de los estudios sobre cirrosis y osteoporosis incluyen una gran cantidad 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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