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Advanced Gastric Cancer in a Young Male Patient Febyan, Febyan; Martamala, Ruswhandi; Nurliana, Diany; Salmi, Salmi
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 19, No 1 (2018): VOLUME 19, NUMBER 1, April 2018
Publisher : The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy

Gastric cancer remains the second most common GI cancer in the world, and is usually found in men, especially those over 50 years of age. Gastric cancer is a multifactorial disease resulting from the interaction between genetic and environmental factors at the stomach mucosa level. The diagnosis is made by endoscopic biopsy. The high frequency of late diagnosis or advanced stages accounts for the overall poor prognosis for this tumor. Surgery is the most frequently employed modality for both cure and palliation. However, most patients present with advanced disease that is incurable.We reported a rare case of young male patient aged 24 years old with advanced gastric adenocarcinoma. The main clinical features were epigastric pain, vomiting, melena and weight loss. An abdominal mass was palpable on physical examination. Endoscopy showed a giant tumor mass causing gastric outlet obstruction, that appear edematous, there were hemorrhagic lesions. The histopathologic examination revealed poorly differentiated adenocarcinoma. Palliative resection could not be performed because the tumor tightly adhered to adjacent structures. Jejunostomy or nasojejunostomy tube were performed to allow enteral nutrition. Best supportive care is very important to improve the quality of life.

The Pathogenesis and Diagnosis of Bile Reflux Gastropathy Martamala, Ruswhandi; Rani, Abdul Aziz
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 2, NUMBER 1, April 2001
Publisher : The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy

Bile reflux gastropathy is a disease caused by reflux of duodenal fluid to the gaster. This fluid contains pancreatic juices and duodenal secretion. The manifestations that occur depend on the frequency, amount, and duration of reflux. This disorder is quite rarely recognized in daily clinical practice. Endoscopy of the upper gastrointestinal tract is required to establish the diagnosis of this disorder. This paper will give a brief view of the pathogenesis and diagnostic method for this disorder. Keywords: gastropathy, bile reflux, motility

INSIDENSI KHOLANGITIS KRONIK SEBAGAI MANIFESTASI EKSTRAINTESTINAL PENDERITA IBD DI RSPAD GATOT SOEBROTO JAKARTA PUSAT ARL, Syafruddin; Martamala, Ruswhandi
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 11, No 1 (2017): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

IBD (Inflammatory Bowel Disease) as a disease of inflammation of chronic intestinal. The extraintestinal manifestation is predominantly in the form Pericholangitis, chronic cholitis or primary sclerosing cholangitis (PSC), which usually appear after a few years later from the pop-up cases of IBD with the incidence rate of 5%. Want to know the incidence rate of IBD and PSC in patients were undergoing colonoscopy at RSPAD GS since of March 1, 2016 until February 28, 2017. All patients were undergoing colonoscopy for one year included as a subject of research. Subjects sorted and selected on the findings of the colonoscopy as IBD and non-IBD. Data Cholitis chronic (KHK) is based on the findings of aspartate aminotransferase (AST) and total bilirubin elevated serum and serum albumin divided into groups of KHK-IBD or PSC, KHK-non-IBD, Non-KHK-IBD and Non- KHK-non-IBD. Correlation between the PSC and the PSC with IBD were tested statistically by Fisher, materials taken retrospective descriptive. Data PSC and IBD patients as follows: The incidence rate of IBD and PSC are 18.6% and 5.4%; Correlation PSC with extraintestinal manifestation of IBD acceptable expectation (p = 0.000); demographic data of IBD (30 patients) with male 62.4% (18 people), mean age was 50.6 years and incidence between 40 - 59 years old.

The Pathogenesis and Diagnosis of Bile Reflux Gastropathy Ruswhandi Martamala; Abdul Aziz Rani
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 2, NUMBER 1, April 2001
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/21200114-20

Bile reflux gastropathy is a disease caused by reflux of duodenal fluid to the gaster. This fluid contains pancreatic juices and duodenal secretion. The manifestations that occur depend on the frequency, amount, and duration of reflux. This disorder is quite rarely recognized in daily clinical practice. Endoscopy of the upper gastrointestinal tract is required to establish the diagnosis of this disorder. This paper will give a brief view of the pathogenesis and diagnostic method for this disorder. Keywords: gastropathy, bile reflux, motility

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