{"id":88117,"date":"2018-03-10T00:13:03","date_gmt":"2018-03-10T00:13:03","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/esofagofundoplastia-endoscopica-proyecto-experimental-y-posibilidades-de-aplicacion-cla%c2%adnica\/"},"modified":"2018-03-10T00:13:03","modified_gmt":"2018-03-10T00:13:03","slug":"esofagofundoplastia-endoscopica-proyecto-experimental-y-posibilidades-de-aplicacion-cla%c2%adnica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/esofagofundoplastia-endoscopica-proyecto-experimental-y-posibilidades-de-aplicacion-cla%c2%adnica\/","title":{"rendered":"Esofagofundoplastia endosc\u00f3pica. proyecto experimental y posibilidades de aplicaci\u00f3n cl\u00ednica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Tomas Rafael Martinez Serna <\/strong><\/h2>\n<p>El proyecto experimental consisti\u00f3 en la validaci\u00f3n de una t\u00e9cnica quir\u00fargica endosc\u00f3pica en animales (mandriles tipo chacma), para el tratamiento de la enfermedad por reflujo gastroesof\u00e1gico(erge). Fue un estudio prospectivo y randomizado, de seis meses de duraci\u00f3n, con un tama\u00f1o muestral de 17 animales, divididos aleatoriamente en dos grupos (i y ii). Se realiz\u00f3 una esofagofundoplatia mediante la utilizaci\u00f3n de un dispositivo endosc\u00f3pico aplicador de puntos intraluminales, emplazando tres puntos por debajo de la uni\u00f3n esofagog\u00e1strica, seg\u00fan disposici\u00f3n lineal(grupo i) o circunferencial(grupo ii). Se hicieron una manometr\u00eda esof\u00e1gica, una endoscopia y un test de presi\u00f3n-volumen neum\u00e1tico preoperatoriamente y a los seis meses. A los tres meses se hizo una endoscopia y un estudio baritado, y a los sesis adem\u00e1s se hizo un test de presi\u00f3n-volumen hidra\u00falico. Tras el sacrificio de los animales se realiz\u00f3 un examen anatomo-patol\u00f3gico.  una vez conclu\u00edda la fase experimental, se comenz\u00f3 una fase de investigaci\u00f3n cl\u00ednica. Se inici\u00f3 un estudio multic\u00e9ntrico, prospectivo y randomizado en 64 pacientes que padec\u00edan de erge. Se escogieron pacientes con enfermedad por reflujo de grado leve-moderado, no complicada. La intervenci\u00f3n fue la misma que en el trabajo experimental, asignado a los pacinetes aleatoriamente una configuaci\u00f3n lineal o circunferencial. Se realiz\u00f3 manometria esof\u00e1gica, endoscopia, monitorizaci\u00f3n ph-m\u00e9trica, un cuestionario de calidad de vida y otro de puntuaci\u00f3n sintom\u00e1tica de la erge; antes de la intervenci\u00f3n, a los tres y a los seis meses.  tras el an\u00e1lisis de los resultados, se comprob\u00f3 la factibilidad de la t\u00e9cnica quir\u00fargica endosc\u00f3pica en animales en sus dos variantes, sin definir una como m\u00e1s efectiva que la otra. No se observ\u00f3 morbilidad no mortalidad. determinados par\u00e1metros manom\u00e9tricos se alteraron positivamente tras la intervenci\u00f3n, por lo que dicho esf\u00ednter pudo conside<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Esofagofundoplastia endosc\u00f3pica. proyecto experimental y posibilidades de aplicaci\u00f3n cl\u00ednica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Esofagofundoplastia endosc\u00f3pica. proyecto experimental y posibilidades de aplicaci\u00f3n cl\u00ednica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Tomas Rafael Martinez Serna <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/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>Enrique Moreno Gonz\u00e1lez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Balibrea  cantero <\/li>\n<li>enrique Martinez rodriguez (vocal)<\/li>\n<li>pedro Carda aparicio (vocal)<\/li>\n<li>Luis Garcia sancho (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Tomas Rafael Martinez Serna El proyecto experimental consisti\u00f3 en la validaci\u00f3n de una t\u00e9cnica quir\u00fargica endosc\u00f3pica en [&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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