Introducción: La obesidad es un problema de salud pública y la cirugía bariátrica es considerada como un tratamiento efectivo a largo plazo. Estos procedimientos tienen una mortalidad de hasta el 0.08% dentro de los 30 días postoperatorios y una tasa de complicaciones de hasta el 17%. El índice neutrófilo linfocito (INL) es un marcador de inflamación que ha sido utilizado como marcador pronóstico en diversas patologías inflamatorias y cirugías. Objetivo: El presente estudio tuvo el objetivo de evaluar el rendimiento del índice neutrófilo-linfocito (INL) preoperatorio como predictor de complicaciones tempranas posterior a la gastrectomía en manga. Métodos: Se realizó un estudio de cohorte retrospectivo a partir del análisis de la base de datos institucional de la Clínica Avendaño durante los años 2017 a 2020. El índice neutrófilo linfocito se calculó a partir del he...

Introducción: Un adecuado abastecimiento de medicamentos en los establecimientos de salud aumentará la posibilidad de un adecuado control de la hipertensión y la diabetes. Objetivo: Determinar el desabastecimiento de antidiabéticos y antihipertensivos a nivel nacional en el contexto de la etapa inicial de la pandemia por la COVID-19 en Perú. Material y métodos: Análisis del “Sistema integrado de suministro de medicamentos e insumos médicos quirúrgicos” (SISMED) entre el 13 de junio y 15 de julio del 2020, de acuerdo a la lista del “Petitorio nacional único de medicamentos de medicamentos esenciales” (PNUME) del Ministerio de Salud. Resultados: Entre el 16 % y 24% de las regiones están totalmente desabastecidos en al menos un antidiabético y entre 4 y 96 % en al menos un antihipertensivo. El antidiabético más desabastecido fue la Metformina de 500 mg y los antihipert...

Background: An adequate supply of medicines in health establishments will increase the possibility of adequate control of hypertension and diabetes. Objective: To determine the shortage of antidiabetic and antihypertensive drugs at the national level in the context of the initial stage of the COVID-19 pandemic in Peru. Material y methods: Analysis of the "Sistema Integrado de Suministro de Medicamentos e Insumos Médicos Quirúrgicos" (SISMED) Database, between June 13th and July 15th, 2020, according to the "National list for medicines of essential medicines" (PNUME) of Ministry of health. Results: And between 4 and 96% of the departments have a total shortage of at least one antidiabetic, and 4% and 96% of at least one antihypertensive. The most depleted antidiabetic was Metformin 500 mg, and the most depleted antihypertensive drugs were Labetalol 5 mg / ml iny, Atenolol 50 mg tab and ...

Background: An adequate supply of medicines in health establishments will increase the possibility of adequate control of hypertension and diabetes. Objective: To determine the shortage of antidiabetic and antihypertensive drugs at the national level in the context of the initial stage of the COVID-19 pandemic in Peru. Material y methods: Analysis of the “Sistema Integrado de Suministro de Medicamentos e Insumos Médicos Quirúrgicos” (SISMED) Database, between June 13th and July 15th, 2020, according to the “National list for medicines of essential medicines” (PNUME) of Ministry of health. Results: and between 4 and 96% of the departments have a total shortage of at least one antidiabetic, and 4% and 96% of at least one antihypertensive. The most depleted antidiabetic was Metformin 500 mg, and the most depleted antihypertensive drugs were Labetalol 5 mg / ml iny, Atenolol 50 mg ...

Letter to the Editor (without abstract)

Carta al editor

Aim: To evaluate the prognostic performance of the preoperative neutrophil-to-lymphocyte ratio (NLR) for early complications following sleeve gastrectomy. Methods: A retrospective cohort study was conducted by analyzing the institutional database of a bariatric clinic from 2017 to 2020. The neutrophil-to-lymphocyte ratio was determined from the preoperative blood count. The area under the curve (AUC) was calculated to determine the performance of the preoperative NLR for early postoperative complications following sleeve gastrectomy. Results: Among the 387 patients who underwent sleeve gastrectomy, 45 experienced complications within the first 30 postoperative days (11.6%). The AUC for NLR as a predictor of overall early complications after sleeve gastrectomy was 0.42, and for severe complications, it was 0.39. Conclusion: The preoperative NLR does not perform well as a prognostic indica...

“Objective: To assess the association between the percentage of excess body mass index loss (%EBMIL) and cardiometabolic risk reduction in Peruvian adults undergoing laparoscopic sleeve gastrectomy (LSG). Methods: Retrospective cohort study conducted with adult patients who underwent LSG in a bariatric clinic during 2016–2020. The outcome variable was cardiometabolic risk change (expressed in Δ) 1 year after LSG. To that effect, the variables total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein (LDL) cholesterol, very LDL (VLDL) cholesterol, triglycerides, glucose, insulin, and HOMA-IR at baseline and after 12 months were considered. The exposure variable was %EBMIL. Crude and adjusted β coefficients were estimated with linear regression models. Results: Of the 110 patients analyzed, 68.2% were women, and the median patient age was 34.5 years. In the mod...

Objective: To assess the association between the percentage of excess body mass index loss (%EBMIL) and cardiometabolic risk reduction in Peruvian adults undergoing laparoscopic sleeve gastrectomy (LSG). Methods: Retrospective cohort study conducted with adult patients who underwent LSG in a bariatric clinic during 2016–2020. The outcome variable was cardiometabolic risk change (expressed in Δ) 1 year after LSG. To that effect, the variables total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein (LDL) cholesterol, very LDL (VLDL) cholesterol, triglycerides, glucose, insulin, and HOMA-IR at baseline and after 12 months were considered. The exposure variable was %EBMIL. Crude and adjusted β coefficients were estimated with linear regression models. Results: Of the 110 patients analyzed, 68.2% were women, and the median patient age was 34.5 years. In the model ...