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Open Surgery with Intraoperative Enteroscopy in Jejunoileal Massive Bleeding in Pediatric Patient: An Evidence-Based Case Report Husni, Rini Y; Rinaldhy, Kshetra
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Abstract

Introduction. A case report of surgical exploratory laparotomy with intraoperative enteroscopy (IOE) as a treatment in massive jejunoileal bleeding in children. Method. We conducted a literature search on databases such as Cochrane, PubMed, ScienceDirect, and Google Scholar. Abstract and title screening was done based on exclusion criteria, inclusion criteria, and double filtering. The selected article then reviewed using critical appraisal tools based on its validity, importance, and applicability. Selected articles were benchmark to the discussion. Results. The application of open surgery with IOE as the final treatment that can be recommended in the critical or life-threatening condition of jejunoileal bleeding. Conclusion: surgical exploratory laparotomy with intraoperative enteroscopy is the best final treatment that can be a choice for massive jejunoileal bleeding, whether in the acute case or repeated case, supported with the level of evidence 4
Analysis of knowledge regarding Biliary Atresia among healthcare providers and laypersons in East Jakarta after educational intervention Lianti, Hanna; Kurnia, Novi; Rinaldhy, Kshetra; Aji, Amanda Safira; Ismet, M Febriadi; Amaliah, Rizky
ASEAN Journal of Community Engagement Vol. 4, No. 1
Publisher : UI Scholars Hub

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Abstract

Biliary atresia (BA) is the most common cause of death due to liver disease in children and is the most common indication for pediatric liver transplantation. The success rate of the management of BA is very dependent on the age of the patient at the time of surgery. However, patients with BA were often diagnosed late because of the lack of parents’ and primary healthcare providers’ knowledge regarding BA. This study aims to evaluate the effectiveness of health education in improving the knowledge of healthcare providers and laypersons. A total of 371 respondents participated in this pre-post study with no control group, consisting of 234 laypersons (community health workers, new mothers, and expectant mothers) and 137 healthcare providers (medical doctors, midwives, and nurses). There were significant increases in the median values between pretest and posttest knowledge scores in both the healthcare provider and layperson groups (p < .05). Health education was effective in increasing public knowledge about BA.