Diagnostic and treatment aspects of non variceal upper gastrointestinal bleeding are still a challenge for the Gastroenterologist. Peptic ulcer disease remains the main cause of bleeding, accounting for 50 % of cases in the medical literature. Dieulafoy lesion and some special types of ulcer bleeding produce severe forms of active upper GI hemorrhage. Less severe bleeding is due to Mallory – Weiss esophageal tears, gastritis, esophagitis, angiodysplasia and the so called “watermelon stomach”. Angiodysplastic lesions are the main source of chronic gastrointestinal bleeding. Novel treatments, specifically therapeutic endoscopy for high risk bleeding stigmata, profound acid suppression with proton pump inhibitors and intensive care of these patients in specialized units have significantly reduced the rate of bleeding recurrence, the need for blood transfusions, surgical interventions an...

Diagnostic and treatment aspects of non variceal upper gastrointestinal bleeding are still a challenge for the Gastroenterologist. Peptic ulcer disease remains the main cause of bleeding, accounting for 50 % of cases in the medical literature. Dieulafoy lesion and some special types of ulcer bleeding produce severe forms of active upper GI hemorrhage. Less severe bleeding is due to Mallory – Weiss esophageal tears, gastritis, esophagitis, angiodysplasia and the so called “watermelon stomach”. Angiodysplastic lesions are the main source of chronic gastrointestinal bleeding. Novel treatments, specifically therapeutic endoscopy for high risk bleeding stigmata, profound acid suppression with proton pump inhibitors and intensive care of these patients in specialized units have significantly reduced the rate of bleeding recurrence, the need for blood transfusions, surgical interventions an...

La pancreatitis aguda constituye un problema médico, ya que se desconocen aún mecanismos etiopatogénicos de esta enfermedad, su fisiopatología es compleja, con repercusión multisistémica, y el pronóstico, a veces, sombrío, más aún cuando no existen pautas terapéuticas universalmente válidas. En este trabajo se revisan algunos conceptos etiopatogénicos, diagnósticos y pronósticos.

Digestive diseases are the fourth leading cause of outpatient care in Peruvian healthcare centers, with gastritis and peptic ulcers being the most common. This is a retrospective, cross-sectional, descriptive study of secondary analysis of medical record data to evaluate the prevalence of Helicobacter pylori in patients undergoing upper digestive endoscopy during 2019 at Clinica Delgado, Lima, Peru. An association between males (PRa 1.27, 95% CI 1.10-1.48, p<0.001), age categories and upper digestive endoscopy (PRa 2.53, 95% CI 2.16-2.97, p<0.001) was reported. Based on these findings, it is recommended that other causes of gastritis be identified, especially in young women with deep chronic gastritis. Furthermore, we present a review of the scientific literature of Peru on factors associated with the positivity of Helicobacter pylori in the results of superior digestive endoscopy.