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Etiology Profile of Lower Gastrointestinal Bleeding Masrul Lubis; Lukman Hakim Zain
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 13, NUMBER 2, August 2012
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (586.764 KB) | DOI: 10.24871/132201294-96

Abstract

Background: Lower gastrointestinal bleeding (LGIB) is still a significant health problem since the unknown etiology had not existed until now. Similar condition occurs at Adam Malik Hospital. No data about the etiology of LGIB has been defined. Therefore, this study was aimed to recognize the etiology profile of LGIB at Adam Malik Hospital, Medan. Method: A retrospective descriptive study was conducted on medical records of patients who had undergone lower gastrointestinal tract endoscopy (colonoscopy) at Adam Malik Hospital, Medan between January 2009 and December 2010 based on their complaint of hematochezia. Data was analyzed using SPSS version 19. The data was categorized based on subjects’ age, sex and etiology of their hematochezia. Results: There were 116 patients consisted of 61 (52.6%) males and 55 (47.4%) females with mean age of 50.52 (17-84) years. The colonoscopy revealed 52 (44.7%) cases of hemorrhoidal varices, 17 (14.7%) cases of rectal carcinoma, 17 (14.7%) normal endoscopic results, 8 (6.9%) cases of sigmoid carcinoma, 8 (6.9%) of proctitis, 6 (5.1%) cases of colitis, 4 (3.5%) cases of colon carcinoma, and 4 (3.5%) cases of rectosigmoid carcinoma. Conclusion: This study found that hemorrhoidal varices is the most common etiology of LGIB. Keywords: LGIB, colonoscopy, hemorrhoids
Differences in Inflammatory Parameters of Child-Pugh B and Child-Pugh C Scores of Liver Cirrhosis with Hepatorenal Syndrome Panggabean, Lider Olmen; Siregar, Gontar Alamsyah; Lubis, Masrul
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 3 No. 1 (2021): Journal of Endocrinology, Tropical Medicine, and Infectiouse Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (718.637 KB) | DOI: 10.32734/jetromi.v3i1.5507

Abstract

Background: Child-Pugh score is used to predict the poor prognosis of liver cirrhosis patients. The study objectives analyzed differences in inflammatory parameters of Child-Pugh B and Child-Pugh C of liver cirrhosis with hepatorenal syndrome. Method: Desain's study is cross-sectional in liver cirrhosis patients with hepatorenal syndrome.  This research was approved by the Health Research Ethics Commission FK USU / RSUP H. Adam Malik Medan and meets the criteria of inclusion or exclusion. Diagnosis of Liver cirrhosis Child-Pugh B and Child-Pugh C score is done by clinical examination, laboratory, and ultrasound, CT scan, MRI. The hepatorenal syndrome was diagnosed using Criteria International Ascites Club, 2007. Results: The sample number of this study was 26 liver cirrhosis with hepatorenal syndrome patients consisting of Child-Pugh B patients 9 patients and Child-Pugh C patients 17  patients. The comparison between Child-Pugh B and Child-Pugh C has significant differences in leukocyte, Na, Cl, SGOT, and CTP. There is a significant correlation between CTP and leukocytes, platelets, Cl, creatinine, GFR, albumin, total bilirubin, and glued bilirubin. Conclusion: There is no clear difference in the inflammatory parameters of the Child-Pug B and Child-Pug C scores in liver cirrhosis with hepatorenal syndrome.
Incidence and Characteristic of Gastroesophageal Reflux Disease (GERD): Before and During Covid-19 Pandemic Lubis, Masrul; Sianturi, Yolanda Anastasia
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 24, No 2 (2023): VOLUME 24, NUMBER 2, August, 2023
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/2422023116-121

Abstract

Background: The incident numbers of gastroesophageal reflux disease (GERD) in Asia is increasing gradually from year to year. Activity restriction (lockdown) that happened during COVID-19 pandemic affects society’s eating habit and life style which are risk factors of GERD and the incidence of gastroesophageal reflux. This study was conducted to find the incidence and characteristics of GERD during COVID-19 pandemic and compared with the previous situation in patients who met the diagnostic criteria at H. Adam Malik General Hospital. Method: This research is a descriptive research study with a cross sectional design study where data were taken based on data from medical records at H. Adam Malik General Hospital in 2017–2022 with the sampling technique used is total sampling, where the research subjects were all patients diagnosed GERD that met the inclusion criteria.Results: The incidence of GERD before (2017–2019) and during the COVID-19 pandemic (2020–2022) were 21 and 37 patients respectively (there was a 76% escalation in the incidence of GERD during the COVID-19 pandemic compared to before the COVID-19 pandemic). The similar characteristics of GERD patients before and during the COVID-19 pandemic are age 40 years, work as an employee, high school graduate, and overweight body mass index (BMI).Conclusion: The incidence of GERD has increased during the COVID-19 pandemic compared to before the pandemic.