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All Journal The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Ryan Ranitya
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Medicine & Pharmacology

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Advanced Gastric Cancer in a Young Patient Ryan Ranitya; Ari Fahrial Syam; Murdani Abdullah; Marcellus Simadibrata; Vera Yuwono
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 4, ISSUE 3, December 2003
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/432003100-102

Abstract

Gastric cancer remains the second most common cancer in the world, and is usually found in men, especially those over 50 years of age. The diagnosis is made by endoscopic biopsy. The high frequency of late diagnosis or advanced stages accounts for the overall poor prognosis for this tumor. Surgery is the most frequently employed modality for both cure and palliation. However, most patients present with advanced disease that is incurable. We reported a rare case of young female patient aged 23 years old with advanced gastric carcinoma. The main clinical features were epigastric discomfort, vomiting, and weight loss. An abdominal mass was palpable on physical examination. Endoscopy showed a giant tumor mass causing gastric outlet obstruction, nodular lesion, ulcerative and hemorrhagic. The histopathologic examination revealed mucinous gastric carcinoma. Palliative resection could not be performed because the tumor tightly adhered to adjacent structures. Jejunostomy was performed to allow enteral nutrition. Best supportive care is very important to improve the quality of life. Keywords: Gastric cancer, young patient
Diagnostic Problem and Management of Intestinal Tuberculosis Ryan Ranitya; Ari Fahrial Syam; Marcellus S Kolopaking; Vera Yoewono
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 2, NUMBER 3, December 2001
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/23200125-27

Abstract

Intestinal tuberculosis, without any evidence of pulmonary or tuberculous infection elsewhere in the body, is still a rare case. Sometimes it is very difficult to make an early and prompt diagnosis for this, because clinical manifestations are varied, unspecific, and mimic other diseases. Examinations, including chest x-ray, tuberculin test, acid-fast stained smear, endoscopic and histological findings may still be inconclusive. Thus, therapeutic trials of anti- tuberculous drugs are advised. We report a case of intestinal tuberculosis with a chief clinical manifestation of chronic diarrhea. There was no evidence of tuberculous infection elsewhere in the body Endoscopic appearance and histological findings were atypical and unspecific. The patient was given anti- tuberculous drugs and responded very well clinically within 2 weeks.    Keywords: Intestinal tuberculosis, difficult diagnosis, management
Co-Authors Ari Fahrial Syam Marcellus S Kolopaking Marcellus Simadibrata Marcellus Simadibrata Murdani Abdullah Murdani Abdullah Vera Yoewono Vera Yuwono