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Archives of Pediatric Gastroenterology, Hepatology, and Nutrition
Published by Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition
ISSN : -     EISSN : 28305442     DOI : -
Core Subject : Health,
Medicine & Pharmacology
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition (APGHN) is the official journal issued by the Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition (Perhimpunan Gastroenterologi, Hepatologi, dan Nutrisi Anak Indonesia). APGHN is issued four times in a year and published in English. Previously published in print form as Jurnal Gastrohepatologi Anak Indonesia (JGAI), APGHN is committed to promote scientific development in child’s health through high-quality publication and provides recent updates on pediatric gastroenterology, hepatology, and nutrition for health practitioners and scholars. APGHN accepts original articles, case reports, review articles, medical illustrations and clinical practice guidelines, all of which have been peer-reviewed carefully by our selected experts.
Arjuna Subject : Kedokteran - Pediatrics, Perinatology, and Child Health
Articles 5 Documents
 1 
Search results for , issue "Vol. 2 No. 4 (2023): APGHN Vol. 2 No. 4 November 2023" : 5 Documents clear
Endoscopic Retrograde Cholangiopancreatography with an Ultra-Slim Forward-Viewing Gastroscope in a 3.8 kg Infant: A Case-Report Maria Inês Canha; Rita Prata; Pedro Martins; Gonçalo Ramos; Rui Alves; Isabel Afonso; António Mateus Dias; João Coimbra
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 2 No. 4 (2023): APGHN Vol. 2 No. 4 November 2023
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.2.4.2023.24-9

Abstract

Background: Experience with pediatric endoscopic retrograde cholangiopancreatography (ERCP), particularly in infants, is limited. The lower incidence of biliopancreatic disorders in infants and the discontinuation of pediatric duodenoscopes raise concerns regarding ERCP’s technical efficacy and safety in this vulnerable population, for whom conventional duodenoscopes are not recommended. Short case description: We report the case of a low-weight infant with short bowel syndrome under parenteral nutrition, who was referred for ERCP due to choledocholithiasis with progressive jaundice. We opted for an ultra-slim forward viewing gastroscope (5.4mm distal end outer diameter and 2.2mm working channel) with a needle knife sphincterotome (1.8mm outer sheath diameter). This allowed sphincterotomy with adequate gallstone removal and complete normalization of cholestasis parameters without associated complications. Discussion and conclusion: With this case we aimed to describe a previously unreported approach to a low-weight infant with gallstone disease requiring ERCP, which proved to be safe and effective.
Analysis of the Impact of Continuous Ambulatory Peritoneal Dialysis on Nutritional Status in Pediatric Chronic Kidney Disease Putri Amirah; Henny Adriani Puspitasari; Cut Nurul Hafifah
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 2 No. 4 (2023): APGHN Vol. 2 No. 4 November 2023
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.2.4.2023.1-10

Abstract

Background: Chronic kidney disease (CKD) is a serious problem for all age groups, particularly in children. Several studies have shown that patients with CKD who underwent dialysis, including Continuous Ambulatory Peritoneal Dialysis (CAPD), experienced malnutrition, short stature and growth retardation. This study aimed to evaluate the correlation between the indicators of CAPD regiments with the nutritional status of pediatric patients with CKD and factors that influence it. Method: We conducted a cross-sectional study by collecting secondary data from medical records such as disease stage and duration, the most recent CAPD regimen, etiology, and comorbidities. Data on nutritional status was then obtained by measuring body weight, height, and upper arm circumference. The measurement was then plotted using the WHO anthropometry application or the CDC growth chart. Demographic data such as the education level of father and mother, family economic status, age, and gender were obtained by filling out the Case Report Form (CRF). Result: A total of fifteen respondents were included in this study. Children with CKD who underwent CAPD primarily had normal nutritional status with very short stature. Furthermore, no significant association was found between the CAPD regiments with the nutritional status of children with chronic kidney disease who are undergoing CAPD (p>0.05). Conclusion: Children with CKD who underwent CAPD primarily had normal nutritional status with very short stature. There was no correlation between the parameters of CAPD regiments with the nutritional status of CKD patients who underwent CAPD. This indicates that the regiment used in this study is already quite satisfactory as it does not impact the nutritional status of those patients.
Pediatric Nutritional Assessment Helisa Rachel Patrice Sianipar; Jully Neily Kasie; Yuda Satrio Wicaksono
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 2 No. 4 (2023): APGHN Vol. 2 No. 4 November 2023
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.2.4.2023.36-46

Abstract

Background: Pediatric nutrition plays a vital role in the growth and development of children. It not only meets the daily nutritional needs of healthy children but also supports their normal growth. In contrast, for unhealthy children, it aims to prevent growth delays and developmental issues, especially in cognitive functions. The situation in Indonesia presents a unique challenge with the coexistence of undernutrition and overnutrition, both having significant short-term and long-term health impacts. Discussion: In the realm of pediatric nutrition, malnutrition manifests in various forms. Nutritional deficiencies such as wasting, stunting, and being underweight arise from inadequate dietary intake. Additionally, there are concerns about micronutrient malnutrition, which includes both deficiencies and excesses of vital nutrients. Overnutrition, leading to obesity and associated chronic diseases, is also a significant problem. The approach to pediatric nutritional care is multi-faceted, involving the assessment of nutritional status, determination of individual caloric needs, and selecting the appropriate method for nutrition delivery, whether it be oral, enteral, or parenteral. Monitoring and evaluating the effectiveness of these interventions is a critical ongoing process. An important aspect of preventive care includes educating parents about proper feeding techniques, such as establishing regular meal times and understanding the child's hunger and satiety signals, to avoid feeding difficulties. For cases like Failure to Thrive (FTT), where children do not meet standard growth metrics, careful management is necessary to ensure adequate nutrition and to prevent complications like refeeding syndrome. Conclusion: Effective pediatric nutrition requires a holistic and personalized approach. It is crucial in addressing the dual burden of undernutrition and overnutrition in Indonesia. By implementing proper nutritional care and structured feeding practices, children's health outcomes can be significantly improved, supporting their growth and developmental processes.
The Relationship Between Nutritional Status, Vegetable Consumption and Physical Activity with Age of Menarche in Adolescent Girls Rachelya Nurfirdausi Islamah; Dwiana Ocviyanti
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 2 No. 4 (2023): APGHN Vol. 2 No. 4 November 2023
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.2.4.2023.11-23

Abstract

Background:Menarche is the first menstrual period and marks the maturity of an adolescent girl's body. In the last decade, there has been an increase in nutritional status of children and adolescents which is often associated with an accelerated age of menarche. Several studies have shown a strong relationship between physical activity, body mass index (BMI) with the age at which menarche occurs in teenage girls. The habit of consuming certain foods such as meat and fast food is proven to accelerate the age of menarche due to an increase in fat levels. This study aims to evaluate the relationship between age of menarche with BMI, physical activity, and vegetable consumption. Methods: This research was conducted using cross-sectional study design. Participants had been filtered by inclusion criteria and exclusion criteria. Selected participants then had their height and weight measured, and filled out an online questionnaire regarding menarche and physical activity. Participants also underwent a 24-hour recall interview to determine their vegetable consumption. Results: Fifty-two participants were recruited in this study. Most of them were 12 and 13 years of age (42.3% each). Based on the results of Kruskal-Wallis test, there was no relationship between age of menarche and BMI (p = 0.071), between age of menarche and physical activity (p=0.251) and between age of menarche and vegetable consumption (p=0.753) Conclusion: In conclusion, based on the results of this study, we did not find any correlation between the age of menarche and BMI, physical activity and vegetable consumption among adolescent girls in West Java region.
Ulcerative Colitis with Henoch Schonlein Purpura in Pediatric Patient: A Case-Report Ninung Rose Diana Kusumawati; Juwita Pratiwi; Sonya Leonardy Low; Dyan Ajeng Paramitha; Wahyu Aditya Prawirasatra; Nindya Riesmania Pratiwi; Adinda Ratna Puspita
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 2 No. 4 (2023): APGHN Vol. 2 No. 4 November 2023
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.2.4.2023.30-5

Abstract

Background: Inflammatory bowel disease (IBD) is defined as idiopathic disorder which associated with inflammation of gastrointestinal tract. Ulcerative colitis (UC) and Chron's disease are the predominant forms of IBD. Henoch Schonlein Purpura and UC share some similar symptoms and can mimic each other especially in children. In this case report, we present an eight-year-old boy who had main complaint of recurrent bloody stools and abdominal pain.  Diagnosis was made through history taking, physical examination, laboratory examination and colonoscopy in this patient. Case: A boy aged 8 years and 1 month had main complaint of bloody stools with fluid consistency. This complaint was accompanied by abdominal pain all over the abdominal region and vomiting. Upon physical examination, the child was in pain. The vital signs were within normal limits. Laboratory examination showed leukocytosis. The routine stool examination showed malabsorption of fat, protein, and carbohydrates, followed with positive erythrocytes, leukocytes, epithelium, bacteria, and yeast cells; but the stool culture was sterile. Gastroscopy and colonoscopy were performed which showed erosive gastritis, duodenitis, and proctitis. Discussion: The relationship between ulcerative colitis and HSP remains unknown. Recent research showed overproduction of IgA may induce chronic inflammation in the intestinal. While HSP is IgA/immune complex mediated, IBD is thought to be predominantly T-cell driven. Recently, in IBD patients especially those with ulcerative colitis, IgA were found in their histopathologic biopsy result. Conclusion: The relationship between ulcerative colitis and HSP remains unknown. Recent research has shown that the overproduction of IgA may induce chronic inflammation in the intestinal. As such, symptoms of both diseases may mimic each other as seen in our patients.

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