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Surya Djaya, Alfonsus Mario Eri
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Health Professions Medicine & Pharmacology Public Health

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Diagnosis dan Tatalaksana Intususepsi Surya Djaya, Alfonsus Mario Eri
Cermin Dunia Kedokteran Vol 46, No 3 (2019): Nutrisi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (674.485 KB) | DOI: 10.55175/cdk.v46i3.507

Abstract

Intususepsi adalah keadaan inversi segmen usus ke segmen usus lainnya. Intususepsi dapat terjadi pada segala usia, terutama pada anak anak. Penyebab intususepsi pada anak mayoritas idiopatik. Sedangkan intususepsi pada orang dewasa mayoritas bersifat sekunder, disebabkan penyakit lain seperti polip, neoplasma, striktur, atau divertikulum. Diagnosis berdasarkan pemeriksaan klinis dan penunjang radiologis. Terapi selain operasi, bisa menggunakan enema.Intussusception is characterized by the inversion of an intestinal segment into another segment. Intussusception is found mostly in children. The etiology in children is mostly idiopathic. In adult, intussusception is usually secondary to other disease like polyp, neoplasm, stricture, or diverticulum. Diagnosis is clinical and radiological. Treatment is with enema, or surgical.
Fournier’s Gangrene Surya Djaya, Alfonsus Mario Eri
Cermin Dunia Kedokteran Vol 45, No 7 (2018): Onkologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (752.125 KB) | DOI: 10.55175/cdk.v45i7.646

Abstract

Fournier’s Gangrene merupakan suatu fasiitis nekrotikans perianal, perineal, serta genital yang progresif dan fatal. Diagnosis bisa ditegakkan dengan gambaran klinis. Prinsip utama penanganan adalah resusitasi adekuat, antibiotik parenteral, serta debridement. Diversi urin maupun fekal, terapi hiperbarik, dan operasi rekonstruksi memperbaiki hasil akhir. Walau penanganan tepat, angka mortalitas cukup tinggi. Beberapa metode prediksi mortalitas meliputi Laboratory Risk Indicator for Necrotizing Fasciitis Score (LRINEC) dan Fournier Gangrene Severity Index (FGSI). Dilaporkan kasus dan penanganan Fournier’s gangrene di rumah sakit tipe C di Jember, Jawa Timur.Fournier’s gangrene is a progressive and fatal necrotizing fasciitis of the perianal, perineal, and genital. Diagnosis is through clinical examination. Main principle of therapy is adequate resuscitation, parenteral antibiotic, and debridement. Urine and fecal diversion, hyperbaric treatment, and reconstructive surgery can improve the outcome. Some scoring system for diagnostic accuracy and mortality predictions are Laboratory Risk Indicator for Necrotizing Fasciitis Score (LRINEC) and Fournier Gangrene Severity Index (FGSI). Mortality rate is still high despite appropriate treatment. Management of Fournier’s gangrene in type C hospital was discussed.
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