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All Journal Medica Hospitalia Jurnal of Syiah Kuala Dentistry Society
Christianto, Febe
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Korelasi Status Gizi dengan Phase Angle pada Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisis Hartanto, Okky; Puruhita, Niken; Khairuddin, Khairuddin; Muis, Siti Fatimah; Christianto, Febe
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 1 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i1.795

Abstract

BACKGROUND: Nutritional problem are often experienced by patients with chronic kidney disease (CKD) undergoing regular hemodialysis. There are various tools that can be used to evaluate nutritional status, such as the 7-point Subjective Global Assessment (SGA), nevertheless, malnutrition in these patients is still underdiagnosed and resulting in worse clinical outcomes. Phase Angle (PhA) as measured by multi-frequency Bioelectrical Impedance Analysis (BIA) may detect nutritional problem in early stage in order to start nutrition therapy early. OBJECTIVE: To analyze correlation between nutritional status and PhA in CKD patients with regular hemodialysis. METHODS: The subject of this study were 39 CKD patients undergoing regular hemodialysis who met the inclusion and exclusion criteria. Nutritional status was evaluated by 7-point SGA, while PhA was measured by multi-frequency BIA. Correlation between variables analyzed by Spearman correlation test. RESULT: Positive correlation was observed between nutritional status and PhA (r = 0,64; p < 0,001). There was a negative correlation between PhA and number of comorbids (r = -0,381, p = 0,017). PhA was not correlated with sex and hemodialysis duration. CONCLUSION: There is positive correlation between nutritional status measured by 7-point SGA and PhA in CKD patients with regular hemodialysis.
Perioperative Nutritional Therapy in Bariatric Surgery: A Case Report Amelia, Fiona Desi; Christianto, Febe
Journal of Syiah Kuala Dentistry Society Vol 9, No 1 (2024): June 2024
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v9i1.41875

Abstract

Background: Metabolic and bariatric surgery, such as laparoscopic sleeve gastrectomy (LSG), is effective for obese patients with type 2 diabetes mellitus (DM), proven to improve metabolic profiles, control hyperglycemia, and provide DM remission in 55-85% of patients, as well as reducing medication use and body weight (BW) within one year after surgery. Case Report: A 23-year-old female patient with grade II obesity (BMI 31.42 kg/m), DM, and cholecystolithiasis underwent laparoscopic cholecystectomy and LSG. Perioperative clinical nutrition therapy was performed to support the success of the surgery, including BW management, a preoperative diet through the Enhanced Recovery After Surgery (ERAS) protocol, and a gradual postoperative diet from liquid consistency. Evaluation 5 days after surgery showed decreased BW, waist circumference, body fat mass, visceral fat, and HbA1C without complications. The patient was discharged on the 6th day and was advised to adopt a transitional diet, multivitamins, and calcium supplementation. The mechanism of LSG involves calorie restriction, early satiety due to decreased gastric volume, and faster gastric emptying time. Conclusion: Short-term perioperative LSG nutrition therapy aims to meet nutritional needs, support weight loss, and improve metabolic profiles, thus contributing to clinical success for patients with obesity, type 2 diabetes, and metabolic syndrome.
Co-Authors Amelia, Fiona Desi Hartanto, Okky Khairuddin - Niken Puruhita Siti Fatimah Muis