Obesity is a pathology of importance worldwide because it leads to a high burden of mortality and morbidity. The intragastric balloon represents a non-surgical technique used more and more frequently to achieve weight loss. Although this is considered a safe method, some complications have been reported, from nausea and vomiting to serious adverse events, such as perforation. Acute pancreatitis is a very rare complication of the intragastric balloon, and its effect is attributed to the direct compression it exerts on the pancreas. We present the case of a 21-year-old female patient who, after 7 months of intragastric balloon placement, developed abdominal pain, nausea, and vomiting, associated with elevated pancreatic enzymes. A diagnosis of acute pancreatitis was made and compression of the tail of the pancreas was confirmed by tomographic study. It was decided to remove the balloon by ...

El cáncer gástrico representa una patología de importancia a nivel global. La hemorragia digestiva alta puede ser la forma de presentación de una neoplasia maligna hasta en 79% de pacientes. Al momento en que el sangrado digestivo alto se hace evidente, al menos 37% de los pacientes tienen enfermedad sistémica avanzada. Objetivo: Identificar los factores asociados a mortalidad en pacientes con hemorragia digestiva alta y adenocarcinoma gástrico en el período entre mayo 2022 – abril 2024 en un Hospital Público de Lima. Diseño: Es un estudio observacional analítico de cohortes, prospectivo. Ámbito del estudio: Hospital Cayetano Heredia. Sujetos de estudio: Todos los pacientes mayores de 18 años con diagnostico histológico reciente de adenocarcinoma gástrico admitidos a hospitalización y/o atendidos en consultorios externos de Gastroenterología y Oncología entre mayo 2022...

Objetivo: Determinar los factores asociados a la prescripción inadecuada de antibióticos en pacientes con Neumonía Adquirida en la Comunidad que ingresaron por el Servicio de Emergencia del HNERM en los meses de agosto-septiembre de 2018. Material y métodos: Estudio observacional, analítico, de casos y controles. La muestra estuvo conformada por 306 pacientes con diagnóstico de NAC, 102 de estos con prescripción inadecuada de antibióticos y 204 pacientes con adecuada prescripción antimicrobiana. El análisis estadístico se realizó con el programa SPSS, se utilizaron frecuencias y porcentajes para las variables descriptivas, mientras que para el estudio analítico se emplearon el Chi Cuadrado y el Odds Ratio, con un nivel de significancia al 95%. Resultados: En este estudio, tanto en los casos como en los controles, predominaron los pacientes mayores de 65 años y dentro de las...

Obesity is a pathology of importance worldwide because it leads to a high burden of mortality and morbidity. The intragastric balloon represents a non-surgical technique used more and more frequently to achieve weight loss. Although this is considered a safe method, some complications have been reported, from nausea and vomiting to serious adverse events, such as perforation. Acute pancreatitis is a very rare complication of the intragastric balloon, and its effect is attributed to the direct compression it exerts on the pancreas. We present the case of a 21-year-old female patient who, after 7 months of intragastric balloon placement, developed abdominal pain, nausea, and vomiting, associated with elevated pancreatic enzymes. A diagnosis of acute pancreatitis was made and compression of the tail of the pancreas was confirmed by tomographic study. It was decided to remove the balloon by ...