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All Journal The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Chaidir Aulia
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Medicine & Pharmacology

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Adenoid Cystic Carcinoma of the Esophagus Chaidir Aulia
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 7, ISSUE 2, August 2006
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/72200651-53

Abstract

Adenoid cystic carcinoma is an extremely rare case of the esophagus. We present a female patient, aged 76 years who present with dysphagia and weight loss for the last three month. On endoscopy there was a luminal narrowing in the middle third of the esophagus. Diagnosis was challenging due to the stenosis and the tumor size.   Histopathological   confirmation   was   obtained   by  subcarinal   fine-needle aspiration biopsy. This type of cancer is very aggressive with short survival time. Further studies are needed to define optimal treatment. Keywords: dysphagia, adenoid cystic carcinoma
Emerging Cases of Hepatitis C Virus and Human Immunodeficiency Virus Co-infection Among Narcotics Abusers in Pondok Indah Hospital, Jakarta Chaidir Aulia
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 6, ISSUE 2, August 2005
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/62200533-36

Abstract

Background: Narcotics and psychoactive substances abuse, particularly by intravenous route, currently is a major health problem affecting young Indonesian people. Consequently, there is an increasing incidence of blood-borne viral diseases, including hepatitis C virus (HCV) and human immunodeficiency virus (HIV) infections. This study was aimed to investigate the prevalence of HCV and HIV co-infection among narcotics abusers in Pondok Indah Hospital, Jakarta. Method: This was a cross-sectional study in Pondok Indah Hospital, Jakarta using patients’ medical records. Data from patients with the diagnosis of mental and behavioral disorders due to various psychoactive substances and HIV-related diseases were retrieved to obtain demographic characteristics, history of drug abuse and serological testing. Patients were excluded if there were another organic mental disorders found or a history of blood transfusion prior to infection. Results: There were 157 cases of drug abuse collected between January 2000 and May 2005, 85.4% were men and their median age was 24 years old. The peak age group was 21-25 years old. Injection drug users (IDUs) were found in 72% of cases. Anti-HCV total antibody was found in 45.2% cases, including 2 non-IDUs, while anti-HIV antibody and combined anti-HCV/anti HIV antibodies were found in 13.4% and 7.6% cases, respectively. Anti-HCV positive patient are significantly younger than anti- HCV negative patients (27.9 + 8.2 vs. 23.7 + 4.4 years, p 0.001), while the duration of use was not significantly correlated with HCV infection. Neither age nor duration of use was statistically significant with the presence of anti-HIV antibody. However, there is a significant correlation between the duration of drug abuse with HCV and HIV co-infection (6.0 + 3.0 vs. 4.1 + 2.8 years, p = 0.027). Conclusion: The prevalence of HCV and HIV co-infection among narcotics abusers in Pondok Indah Hospital was 7.6%. The emerging cases of hepatitis C and HIV infections during the last several years was significantly related to the increasing numbers of narcotics abusers. Keywords: hepatitis C virus, human immunodeficiency virus, co-infection, injection drug users
Early Experiences with Percutaneous Endoscopic Gastrostomy in Pondok Indah Hospital Chaidir Aulia; Hermansjur Kartowisastro; Lanny Ch Salim
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 10, ISSUE 1, April 2009
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/101200914-17

Abstract

Background: Percutaneous endoscopic gastrostomy (PEG) is only recently being introduced in Indonesia with limited clinical experience. Clinical study of patients underwent PEG is very limited. This study was aimed to evaluate clinical profile of patients underwent PEG in a private hospital in Jakarta. Method: A retrospective study was done to patients underwent PEG in Pondok Indah hospital, Jakarta using medical record. Clinical data collected were patients’ demographics, diagnosis of underlying disease, indication for PEG insertion, and follow-up visits. Results: Ten cases were found between 2000 and 2008, six among them were men. All but one cases aged more than 50 years. Ninety percents of the patients had cerebrovascular disorder as their primary diagnosis and 60% of the main indication was dysphagia. Conclusion: No procedure-related major complications and death has occurred. This procedure was safe and potentially be offered to more widely clinical settings. Keywords: dysphagia, percutanelus endoscopic gastrostomy, enteral feeding
Co-Authors Hermansjur Kartowisastro Lanny Ch Salim