Article Per Year (5 Year)
p-Index From 2021 - 2026
0.408
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This Author published in this journals
All Journal The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Darius Hartanto
Department of Internal Medicine, Indra Medical Centre Hospital, West Java, Indonesia
Medicine & Pharmacology

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Advances and Challenges in Budd-Chiari Syndrome Management: A Review of the Literature Darius Hartanto; Jeanne Winarta; Andrew Waleleng
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 27, No 2 (2026): VOLUME 27, NUMBER 2, August, 2026
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/2722026173-181

Abstract

Budd-Chiari syndrome (BCS) is a medical condition caused by a partial or complete obstruction of hepatic venous outflow. Epidemiologically, BCS was considered rare, and its infrequent diagnosis was attributed to limited diagnostic tools and low clinical awareness. Therefore, this review aimed to enhance clinicians' awareness, from accurate diagnosis to appropriate management of patients with BCS. The symptoms experienced by patients ranged from asymptomatic cases to fulminant forms of the disease. Imaging methods, such as Doppler ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI), were often used to establish the diagnosis. The primary treatment for BCS included anticoagulants, typically warfarin or low-molecular-weight heparin (LMWH). Depending on the patient's clinical status, more invasive therapeutic interventions could also be necessary.
Gallbladder Polyps: Benign Bystanders or Malignant Precursors? Defining the Path from Detection to Treatment Darius Hartanto; Bradley Jimmy Waleleng; Luciana Rotty; Fandy Gosal; Jeanne Winarta; Andrew Waleleng
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 27, No 2 (2026): VOLUME 27, NUMBER 2, August, 2026
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/2722026182-190

Abstract

Gallbladder polyps (GP) are defined as elevations of gallbladder wall that protrude into the lumen. These elevations are commonly detected incidentally during abdominal ultrasonography and predominantly asymptomatic. Based on malignant potential, gallbladder polyps are broadly classified into neoplastic and non-neoplastic types. Although most cases remain clinically silent, some patients may present with right upper quadrant pain, localized tenderness, and, in certain instances, a palpable mass in the upper abdomen. Abdominal ultrasound (US) remains the primary modality for both diagnosis and surveillance of gallbladder polyps. In general, a polyp size of ≥10 mm serves as a key threshold for considering cholecystectomy. However, additional risk factors such as age 60 years, primary sclerosing cholangitis, Asian ethnicity, and sessile morphology should also be considered in clinical decision-making. Therefore, this review aimed to enhance clinical awareness and inform appropriate management strategies for patients with gallbladder polyps.
Co-Authors Andrew Waleleng Bradley Jimmy Waleleng Fandy Gosal Jeanne Winarta Luciana Rotty