La infección por Helicobacter pylori es una de las infecciones bacterianas crónicas más comunes a nivel mundial y que tiene gran asociación con adenocarcinoma gástrico. Las altas tasas de resistencia encontradas en países Latinoamericanos, justifica la investigación de tasas de resistencia local, lo que podría mejorar el enfoque terapéutico y nuestras tasas de erradicación. Objetivos: Evaluar la prevalencia de la resistencia en Perú de Helicobacter pylori a los antibióticos de uso común. Material y métodos: Se incluirá a todos los estudios en población peruana que revelen entre sus resultados tasas de resistencia antibiótica en la terapia contra la infección por Helicobacter pylori. Se realizará una búsqueda sistemática de literatura hasta enero del 2021, utilizando PubMed, EMBASE, CINAHL, LILACS, GOOGLE scholarship, ClinicalTrials.gov y la base de datos de la Biblio...

Helicobacter pylori infection is quite common worldwide and is associated with gastric adenocarcinoma. The high rates of resistance found in Latin American countries justify the investigation of local resistance rates, which could improve the therapeutic approach and eradication rates. The objective is to evaluate the prevalence of resistance in Peru of Helicobacter pylori to commonly used antibiotics. All studies in the Peruvian population that revealed rates of antibiotic resistance of Helicobacter pylori were included. A systematic literature search was conducted up to January 2021, using PubMed and other databases. For the group of patient studies with the EUCAST cut-off point, the resistance was as follows: Amoxicillin 14% (95% CI: 6-25), Clarithromycin 43% (95% CI: 30-57), Metronidazole 58% (95% CI: 22-90) and 51% Quinolones (95% CI: 38-64). For the EUCAST cut-off group of sample s...

Diverticulosis is defined as the presence of diverticula in the intestine, when these diverticula become inflamed diverticulitis occurs, but this complication happens in less than 5% of these patients. Surgical treatment is indicated in complicated diverticulitis cases. Traditionally, the Hartmann procedure is carried out in patients with Hinchey III and IV acute diverticulitis. Currently, individualized surgical procedures are indicated in patients with non-fecal purulent peritonitis with laparoscopic peritoneal lavage as an optional choice. Objective: To report the results of laparoscopic peritoneal lavage in four patients with Hinchey III acute diverticulitis performed at a private clinic. Methods: Case series for which a review of patient clinical files was done. Results: No post-operative complications or mortality was found. Conclusions: based on authors judge, laparoscopic periton...