Presentamos la experiencia de tres pacientes obesos que fueron sometidos a tratamiento quirúrgico de manga gástrica y que desarrollaron dehiscencia de sutura gástrica con peritonitis generalizada, sepsis y shock por lo que fueron sometidos a degastrectomía total (resección del remanente gástrico) y reconstrucción inmediata de esófago yeyuno anastomosis en Y de Roux como última medida de tratamiento salvador de vida.

Monitoring land use and land cover (LULC) changes is essential due to its close relationship with ecological processes, land-use planning, and environmental sustainability. In the Jucusbamba River sub-basin (Amazonas, Peru), knowledge of spatial transitions and cover change dynamics remains limited. This study analyzed LULC changes from 1992 to 2022 using Landsat and Sentinel satellite imagery classified with the Random Forest algorithm on the Google Earth Engine (GEE) platform. Additionally, future scenarios for 2037 and 2052 were simulated using the MOLUSCE plugin along with Artificial Neural Networks (ANN). Five main land cover classes were the followings: urban areas, pasture and cropland mosaics, forests, grasslands, and secondary shrub/herbaceous vegetation. Between 1992 and 2022, pasture/cropland mosaics increased by 24.36% and urban areas by 0.76%, while forests and secondary veg...