{"id":90227,"date":"2018-03-10T00:15:37","date_gmt":"2018-03-10T00:15:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-patologia-metabolica-osea-en-el-trasplante-ortotopico-de-higado-factores-implicados-y-caracteristicas-del-remodelado-oseo\/"},"modified":"2018-03-10T00:15:37","modified_gmt":"2018-03-10T00:15:37","slug":"estudio-de-la-patologia-metabolica-osea-en-el-trasplante-ortotopico-de-higado-factores-implicados-y-caracteristicas-del-remodelado-oseo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-patologia-metabolica-osea-en-el-trasplante-ortotopico-de-higado-factores-implicados-y-caracteristicas-del-remodelado-oseo\/","title":{"rendered":"Estudio de la patolog\u00eda metabolica osea en el trasplante ortotopico de higado: factores implicados y caracteristicas del remodelado oseo"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Monegal Brancos Ana Isabel <\/strong><\/h2>\n<p>Esta tesis doctoral incluye 4 proyectos de investigacion clinica sobre el desarrollo de patolog\u00eda \u00f3sea despues del trasplante hep\u00e1tico. En el primer estudio se incluyeron 91 pacientes sometidos a trasplante hep\u00e1tico. se les realiz\u00f3 una valroaci\u00f3n clinica y radiografias (rx) de columna vertebral el estudio mostr\u00f3 que 22 de los 91(24%) pacientes hab\u00edan desarrollado fracturas despues del trasplante. El 84% eran sintom\u00e1tidas y todas ocurrieron en los 13 primeros meses postrasplante. En un segundo estudio prospectivo transversal se incluyo 58 pacientes cirroticos remitidos para trasplante. el estudio incluia rx de columna vertebral, densitometrias (dexa) de columna lumbar y femur y determinaciones bioquimicas y hormonales. El an\u00e1lisis mostr\u00f3 que el 43% de los pacientes presentaban una osteoporosis, un 64% tenian valores s\u00e9ricos de 25 hidroxivitamina d inferiores a la normalidad y un 59% tenian un hipogonadismo que se correlacionaba con la gravedad de la hepatopat\u00eda. En el tercer proyecto fue un estudio prospectivo logitudinal, en el que se incluyeron 45 pacientes sometidos a trasplante hepatico. A todos se les realizaron rx de columna vertebral, dexa de columna lumbar y femur y determinaciones bioquimicas y hormonales, antes del trasplante y a lo largo de tres aos. En 24 pacientes se practicaron biopsias \u00f3seas antes y a los seis meses del trasplante. Despu\u00e9s del trasplante hepatico 15 de los 45 pacientes (el 33%) desarrollaron fracturas. Los pacientes fracturados tenian menor masa \u00f3ea y al clasificarlos en funci\u00f3n de los criterios densiotometricos e la organizaci\u00f3n mundial de la salud se comprob\u00f3 que los pacientes con osteoporosis presentaban  un mayor riesgo de desarrollar fracturas (odds ratio de 5.6). En los primeros meses se observo una importante perdida de masa osea. Sin embargo, la masa osea en columna lumbar aument\u00f3 a partir del primer a\u00f1o, alcanzando valores similares a los basales al segundo a\u00f1os del trasplante. La<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la patolog\u00eda metabolica osea en el trasplante ortotopico de higado: factores implicados y caracteristicas del remodelado oseo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la patolog\u00eda metabolica osea en el trasplante ortotopico de higado: factores implicados y caracteristicas del remodelado oseo <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Monegal Brancos Ana Isabel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/05\/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>N\u00faria Gua\u00f1abens Gay<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas Gonzalez  macias <\/li>\n<li>jordi Carbonell abello (vocal)<\/li>\n<li>Miguel Bruguera cortada (vocal)<\/li>\n<li>Luis Miguel del Rio barquero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Monegal Brancos Ana Isabel Esta tesis doctoral incluye 4 proyectos de investigacion clinica sobre el desarrollo 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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