{"id":93108,"date":"2009-04-05T00:00:00","date_gmt":"2009-04-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/metaanalisis-combinacion-de-tratamiento-endoscopico-y-farmacologico-para-prevenir-el-resangrado-por-varices-esofagicas-en-la-cirrosis-hepatica\/"},"modified":"2009-04-05T00:00:00","modified_gmt":"2009-04-05T00:00:00","slug":"metaanalisis-combinacion-de-tratamiento-endoscopico-y-farmacologico-para-prevenir-el-resangrado-por-varices-esofagicas-en-la-cirrosis-hepatica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/gastroenterologia\/metaanalisis-combinacion-de-tratamiento-endoscopico-y-farmacologico-para-prevenir-el-resangrado-por-varices-esofagicas-en-la-cirrosis-hepatica\/","title":{"rendered":"Metaan\u00e1lisis: combinaci\u00f3n de tratamiento endosc\u00f3pico y farmacol\u00f3gico para prevenir el resangrado por varices esof\u00e1gicas en la cirrosis hep\u00e1tica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M\u00aa Rosario Gonz\u00e1lez Alonso <\/strong><\/h2>\n<p>1.\tLa combinaci\u00f3n de tratamiento endosc\u00f3pico, con esclerosis o ligadura, y farmacol\u00f3gico, con beta-bloqueantes asociados o no a nitratos, es m\u00e1s eficaz que cada uno por separado para prevenir el resangrado digestivo global y por varices en pacientes con cirrosis y un episodio previo de hemorragia por varices esof\u00e1gicas, y que no han recibido previamente tratamiento farmacol\u00f3gico o endosc\u00f3pico como profilaxis primaria.  2.\tEl efecto favorable del tratamiento combinado sobre el resangrado es independiente del tipo de t\u00e9cnico endosc\u00f3pico utilizada, esclerosis o ligadura con bandas.  3.\tEl tratamiento combinado tambi\u00e9n reduce significativamente la recurrencia de las varices esof\u00e1gicas en pacientes con cirrosis cuando se compara con el tratamiento endosc\u00f3pico aislado.  4.\tLos beneficios del tratamiento combinado reduce significativamente la recurrencia de las varices esof\u00e1gicas en pacientes con cirrosis cuando se compara con el tratamiento endosc\u00f3pico aislado.  5.\tLos beneficios del tratamiento combinado superan su mayor riesgo de efectos adversos respecto al tratamiento endosc\u00f3pico o farmacol\u00f3gico aislado.  6.\tComo conclusi\u00f3n final, esta revisi\u00f3n sistem\u00e1tica y su metan\u00e1lisis proporcionan evidencia cient\u00edfica para afirmar que la combinaci\u00f3n de terapia endosc\u00f3pico, hoy en d\u00eda con ligadura con bandas, y farmacol\u00f3gica con beta-bloqueantes, constituye actualmente la primera opci\u00f3n terap\u00e9utica en la prevenci\u00f3n del resangrado varicela en los enfermos con cirrosis, aportando una base cient\u00edfica para las recomendaciones m\u00e1s recientes expresadas en las gu\u00edas cl\u00ednicas<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Metaan\u00e1lisis: combinaci\u00f3n de tratamiento endosc\u00f3pico y farmacol\u00f3gico para prevenir el resangrado por varices esof\u00e1gicas en la cirrosis hep\u00e1tica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Metaan\u00e1lisis: combinaci\u00f3n de tratamiento endosc\u00f3pico y farmacol\u00f3gico para prevenir el resangrado por varices esof\u00e1gicas en la cirrosis hep\u00e1tica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M\u00aa Rosario Gonz\u00e1lez Alonso <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/05\/2009<\/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>Agust\u00edn Albillos Mart\u00ednez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: melchor Alvarez de mon soto <\/li>\n<li>Jos\u00e9 Francisco Such ronda (vocal)<\/li>\n<li>agustin Gomez de la camara (vocal)<\/li>\n<li>pilar S\u00e1nchez-pobre bejarano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M\u00aa Rosario Gonz\u00e1lez Alonso 1. La combinaci\u00f3n de tratamiento endosc\u00f3pico, con esclerosis o ligadura, y farmacol\u00f3gico, con [&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":[17426,491],"tags":[31696,29803,64033,14431,192393,192394],"class_list":["post-93108","post","type-post","status-publish","format-standard","hentry","category-alcala","category-gastroenterologia","tag-agustin-albillos-Martinez","tag-agustin-gomez-de-la-camara","tag-jose-francisco-such-ronda","tag-melchor-alvarez-de-mon-soto","tag-ma-rosario-gonzalez-alonso","tag-pilar-sanchez-pobre-bejarano"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/93108","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=93108"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/93108\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=93108"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=93108"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=93108"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}