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Multimodality Treatment of Bile Duct Stone Hakiki, Arief; Simadibrata, Marcellus; Putranto, Agi Satria; Rasyid, Nur
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 10, ISSUE 1, April 2009
Publisher : The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.036 KB) | DOI: 10.24871/101200918-22

Abstract

Gallstone and bile duct stone is a common disease and affects people from every society, race, age and gender. Advance in medicine has led us to a new paradigm of bile duct stone treatment. Endoscopic procedures for bile duct stone by means of Endoscopy Retrograde Cholangio-pancreatography (ERCP), sphincterotomy, balloon dilation, basket extraction, and lithotripsy, and even using laser as well as the shockwave-has brought a lot of novel innovation with high success rate. Appropriate indication and the ability to recognize various risk factors of complication are the keys to successful treatment, in order to decrease morbidity and mortality rate. Multimodality treatment of bile duct stone includes endoscopy, surgery, and drugs are a treatment approach which has always to be carried out in bile duct stone management. Difficult bile duct stone cases such as large stone, impacted stone, biliary stone in pregnancy, and recurrent stone can be treated by endoscopy with excellent success rate particularly if it is accomplished using multimodality treatment.   Keywords: bile duct stone, endoscopy, ERCP, sphincterotomy, mechanical lithotripsy, laser lithotripsy, shockwave, cholecystectomy laparoscopy, precut sphincerotomy
ESTIMASI MODEL INDEKS PEMBANGUNAN MANUSIA DI KABUPATEN/KOTA PROVINSI JAMBI Arief Hakiki; Yulmardi Yulmardi; Zulfanetti Zulfanetti
Jurnal Akrab Juara Vol 5 No 3 (2020)
Publisher : Yayasan Akrab Pekanbaru

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Abstract

Tujuan penelitian ini adalah untuk menganalisis pengaruh Pertumbuhan Ekonomi, Ketimpangan Distribusi Pendapatan, Angka Partisipasi Sekolah SMA/MA, Tingkat Partisipasi Angkatan Kerja, dan Belanja Pemerintah Bidang Kesehatan terhadap Indeks Pembangunan Manusia (IPM) di Kab/Kota Provinsi Jambi pada tahun 2013-2018. Metode analisis yang digunakan dalam penelitian ini adalah kuantitatif dan deskriptif kuantitatif. Berdasarkan hasil penelitian bahwa Pertumbuhan Ekonomi berpengaruh negatif dan signifikan terhadap indeks pembangunan manusia, ketimpangan distribusi pendapatan tidak berpengaruh signifikan terhadap indeks pembangunan manusia, angka partisipasi sekolah tidak berpengaruh signifikan terhadap indeks pembangunan manusia, tingkat partisipasi angkatan kerja berpengaruh positif dan signifikan terhadap indeks pembangunan manusia, belanja pemerintah bidang kesehatan berpengaruh positif dan signifikan terhadap indeks pembangunan manusia.
Multimodality Treatment of Bile Duct Stone Arief Hakiki; Marcellus Simadibrata; Agi Satria Putranto; Nur Rasyid
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 10, ISSUE 1, April 2009
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/101200918-22

Abstract

Gallstone and bile duct stone is a common disease and affects people from every society, race, age and gender. Advance in medicine has led us to a new paradigm of bile duct stone treatment. Endoscopic procedures for bile duct stone by means of Endoscopy Retrograde Cholangio-pancreatography (ERCP), sphincterotomy, balloon dilation, basket extraction, and lithotripsy, and even using laser as well as the shockwave-has brought a lot of novel innovation with high success rate. Appropriate indication and the ability to recognize various risk factors of complication are the keys to successful treatment, in order to decrease morbidity and mortality rate. Multimodality treatment of bile duct stone includes endoscopy, surgery, and drugs are a treatment approach which has always to be carried out in bile duct stone management. Difficult bile duct stone cases such as large stone, impacted stone, biliary stone in pregnancy, and recurrent stone can be treated by endoscopy with excellent success rate particularly if it is accomplished using multimodality treatment.   Keywords: bile duct stone, endoscopy, ERCP, sphincterotomy, mechanical lithotripsy, laser lithotripsy, shockwave, cholecystectomy laparoscopy, precut sphincerotomy