Introducción: existen estudios epidemiológicos que sustentan el rol del síndrome metabólico como factor de riesgo para el desarrollo de adenomas de colon y posterior evolución al cáncer colorectal, estas observaciones sugieren una acción continua de mecanismos carcinogénicos relacionados con la resistencia a la insulina. El objetivo del presente estudio fue determinar la asociación entre el síndrome metabólico y la presencia de adenomas colorectales en pacientes adultos del HCFAP. Material y Métodos: el estudio que se propuso en el presente trabajo fue fundamentalmente observacional retrospectivo de corte transversal en el cual en base a la población con informe de colonoscopia se dividió en dos grupos que se diferencian en presentar el síndrome metabólico y se comparó el hallazgo de adenoma colorectal por colonoscopia y toma de biopsia respectiva. Los datos de analizaro...

The formation of a fistula between large caliber arteries and the digestive tract is an uncommon complication of reconstructive surgery of the large vessels secondary to the use of vascular prostheses, which manifest themselves with massive hemorrhages with high mortality. We report two cases of aorto-enteric fistula and carotid-esophageal fistula that share common characteristics such as the clinical manifestation of massive and fatal gastrointestinal bleeding in patients with a history of vascular prosthesis placement.

Introducction: neurocysticercosis is the most common parasitic disease of the Central Nervous System in Perú; it is hyperendemic in the Highlands and also in some areas of the Coast and Jungle.Objectives: To determine the prevalence and risk factors related to neurocysticercosis in workers of a slaughterhouse in an impoverished area of Lima.Materials and methods: this is a transversal study in 60 workers of a slaughterhouse in the capital of Perú; the workers underwent a clinical, epidemiological and serological (EITB) evaluation; an axial computer tomography was obtained from those who were EITB positive. The O.H Del Brutto (1996) neurocysticercosis diagnostic criteria were used. The prevalence of neurocysticercosis and its association with risk factors were calculated with the SPSS statistical package, v 10.0.Results: the prevalence of neurocysticercosis in our st...

Introducction: neurocysticercosis is the most common parasitic disease of the Central Nervous System in Perú; it is hyperendemic in the Highlands and also in some areas of the Coast and Jungle.Objectives: To determine the prevalence and risk factors related to neurocysticercosis in workers of a slaughterhouse in an impoverished area of Lima.Materials and methods: this is a transversal study in 60 workers of a slaughterhouse in the capital of Perú; the workers underwent a clinical, epidemiological and serological (EITB) evaluation; an axial computer tomography was obtained from those who were EITB positive. The O.H Del Brutto (1996) neurocysticercosis diagnostic criteria were used. The prevalence of neurocysticercosis and its association with risk factors were calculated with the SPSS statistical package, v 10.0.Results: the prevalence of neurocysticercosis in our st...

En este documento se plasma la evaluación de la eficacia y seguridad del uso del producto farmacéutico adalimumab para el tratamiento de enfermedad de Crohn severa en pacientes con falla al tratamiento con infliximab; cuyos resultados sustentaron la aprobación del uso de esta tecnología sanitaria en EsSalud.