0000000000342290

AUTHOR

Juan Galán

showing 3 related works from this author

Predictors of mortality and early detection strategies for hepatopulmonary syndrome in liver transplant patients☆

2016

Introduction: Hepatopulmonary syndrome (HPS) is a serious, progressive disease. Its pathophysiology resides in a hypoxic intrapulmonary shunt and severe clinical deterioration. Liver transplantation (LT) is the only effective treatment in appropriately selected patients. Objective: To acknowledge the importance of early diagnosis of HPS. Patients and methods: Observational, descriptive, retrospective trial including 8 patients with HPS that received LT between April 2006 and August 2014. The clinical data prior to transplantation and follow-up after the procedure were reviewed. A multivariate analysis (stepwise forward logistic regression analysis) was used to identify the variable that cou…

medicine.medical_specialtyHepatopulmonary syndromemedicine.medical_treatment030230 surgeryLiver transplantationCritical Care and Intensive Care MedicineGastroenterologyHypoxemiaAnestesiaBile canaliculus03 medical and health sciencesLiver disease0302 clinical medicineSíndrome hepatopulmonarInternal medicinemedicineHepatic insufficiencyAnesthesiaMortalityHepatopulmonary syndromeSurvival rateTransplante de hígadoHepatitisLiver transplantationmedicine.diagnostic_testbusiness.industryInsuficiencia hepáticaPolycystic liver diseasemedicine.diseaseSurgeryTransplantationmedicine.anatomical_structureAnesthesiology and Pain MedicineHepatocyteMortalidadPortal hypertension030211 gastroenterology & hepatologyTransplant patientmedicine.symptomLiver function testsbusinessProgressive diseaseColombian Journal of Anesthesiology
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Factores predictores de mortalidad y estrategias de detección precoz de síndrome hepatopulmonar en pacientes trasplantados hepáticos

2016

ResumenIntroducciónEl síndrome hepatopulmonar (SHP) es una enfermedad grave y progresiva cuya fisiopatología reside en un shunt intrapulmonar con hipoxia y deterioro clínico severo. Como único tratamiento efectivo se ha postulado el trasplante hepático (TH), en pacientes adecuadamente seleccionados.ObjetivoReconocer la importancia del diagnóstico temprano del SHP.Pacientes y métodosMediante un estudio observacional, descriptivo, con carácter retrospectivo de 8 pacientes con SHP, a los que se les realizó TH en el período entre abril del 2006 y agosto del 2014. Se han revisado los datos clínicos previos al trasplante y el seguimiento tras este.Se empleó un estudio multivariante (stepwise forw…

Transplante de hígadoLiver transplantationInsuficiencia hepáticaHepatopulmonary syndrome030230 surgeryCritical Care and Intensive Care MedicineAnestesia03 medical and health sciences0302 clinical medicineAnesthesiology and Pain MedicineSíndrome hepatopulmonarMortalidadHepatic insufficiency030211 gastroenterology & hepatologyAnesthesiaMortalityRevista Colombiana de Anestesiología
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Genotype and Allele Frequencies of Drug-Metabolizing Enzymes and Drug Transporter Genes Affecting Immunosuppressants in the Spanish White Population

2013

Interpatient variability in drug response can be widely explained by genetically determined differences in metabolizing enzymes, drug transporters, and drug targets, leading to different pharmacokinetic and/or pharmacodynamic behaviors of drugs. Genetic variations affect or do not affect drug responses depending on their influence on protein activity and the relevance of such proteins in the pathway of the drug. Also, the frequency of such genetic variations differs among populations, so the clinical relevance of a specific variation is not the same in all of them. In this study, a panel of 33 single nucleotide polymorphisms in 14 different genes (ABCB1, ABCC2, ABCG2, CYP2B6, CYP2C19, CYP2C…

GenotypeCYP2B6Nod2 Signaling Adaptor ProteinOrganic Anion TransportersSingle-nucleotide polymorphismCYP2C19PharmacologyPolymorphism Single NucleotideWhite PeopleCytochrome P-450 Enzyme SystemGene FrequencyGenetic variationGenotypeHumansPharmacology (medical)ATP Binding Cassette Transporter Subfamily B Member 1GlucuronosyltransferaseAllele frequencyCYP2C9Methylenetetrahydrofolate Reductase (NADPH2)PharmacologyGeneticsbiologyMethyltransferasesMultidrug Resistance-Associated Protein 2Tissue DonorsTransplant RecipientsSpainInactivation MetabolicUDP-Glucuronosyltransferase 1A9biology.proteinSLCO1B1Immunosuppressive AgentsTherapeutic Drug Monitoring
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