{"id":88616,"date":"2018-03-10T00:13:38","date_gmt":"2018-03-10T00:13:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-los-factores-predictivos-de-coledocolitiasis-en-pancreatitis-aguda-biliar\/"},"modified":"2018-03-10T00:13:38","modified_gmt":"2018-03-10T00:13:38","slug":"estudio-de-los-factores-predictivos-de-coledocolitiasis-en-pancreatitis-aguda-biliar","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-los-factores-predictivos-de-coledocolitiasis-en-pancreatitis-aguda-biliar\/","title":{"rendered":"Estudio de los factores predictivos de coledocolitiasis en pancreatitis aguda biliar."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Eva M. Montalv\u00e1 Or\u00f3n <\/strong><\/h2>\n<p>Con el desarrollo de nuevas exploraciones de diagn\u00f3stico por imagen, el conocimiento de 41 estado de la v\u00eda biliar es m\u00e1s eficaz, sin embargo, ola indicaci\u00f3n de realizar estas exploraciones viene dada por par\u00e1metros cl\u00ednicos y anal\u00edticos de sospecha. Por otra parte, el manejo de la v\u00eda bilar es multidisciplinario y, adem\u00e1s, en los pacientes afectos de pancreatitis aguda biliar existen puntos de controversia acerca del momento adecuado para el tratamiento de la colecocolitiasis. El objetivo de este estudio es valorar los antecedentes cl\u00ednicos, la sintomatolog\u00eda, la determinaci\u00f3n de los niveles de algunos par\u00e1metros anal\u00edticos y los hallazgos de la ecograf\u00eda y la tomograf\u00eda computada, para predecir, en fases precoces, la presencia de coledocolitiasis en pacientes conpancreatitis aguda biliar. Estudiamos una serie prospectiva de 281 pacientes ingresados con diagn\u00f3sitco de pancreatitis aguda biliar y a los que se explor\u00f3 la v\u00eda biliar mediante coledocotom\u00eda o colangiograf\u00eda en cualquiera de sus modalidades. Analizamos en todos ellos las siguientes variables, edad, sexo, antecedentes de colico hep\u00e1tico, antecedente de pancreatitis aguda biliar, antecedente de coledocolitiasis, antecedentes de ictericia, presencia de ictericia al ingreso, gravedad del episodio de pancreatitis, determinaci\u00f3n al ingreso y en los cinco priemros d\u00edas de bilirrubina total, bilirrubina directa, transminasa glut\u00e1mcio-oxalac\u00e9tica, transaminasa glutamico-pir\u00favica, fosfatasa alcalina gammaglutamiltranspeptidasa, lactatodeshidrogenasa, lipasa, proteina c reactiva, amialsemia y amilasuira, hallazgo de imagen compatible con coledocolitiasis y dilataci\u00f3n de la v\u00eda biliar en ecograf\u00eda y en tomografia abdominal. Realizamos una estad\u00edstica descriptiva y un estudio comparativo de las variables entre los dos grupos de pacientes (con y sin coledocolitiasis). Por \u00faltimo creamos un modelo redictivo de coledocolitiasis con todas las variables estudiadas (<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de los factores predictivos de coledocolitiasis en pancreatitis aguda biliar.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de los factores predictivos de coledocolitiasis en pancreatitis aguda biliar. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Eva M. Montalv\u00e1 Or\u00f3n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/01\/2001<\/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>Ram\u00f3n Trulenque Peris<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: laureano Fern\u00e1ndez cruz <\/li>\n<li>Jos\u00e9 Mir pallard\u00f3 (vocal)<\/li>\n<li>daniel Casanova (vocal)<\/li>\n<li>enrique Medina chuli\u00e1 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Eva M. Montalv\u00e1 Or\u00f3n Con el desarrollo de nuevas exploraciones de diagn\u00f3stico por imagen, el conocimiento 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 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":[9,141,387,491,139],"tags":[184814,104036,184812,27237,20459,184813],"class_list":["post-88616","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","category-gastroenterologia","category-medicina-interna","tag-daniel-casanova","tag-enrique-medina-chulia","tag-eva-m-montalva-oron","tag-jose-mir-pallardo","tag-laureano-fernandez-cruz","tag-ramon-trulenque-peris"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88616","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=88616"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88616\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=88616"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=88616"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=88616"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}