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Congenital absence of the portal vein with splenomegaly in a young woman (Case Report) Dahlan, Murnizal; Situmorang, Indah
Medical Journal of Indonesia Vol 14, No 2 (2005): April-June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (399.634 KB) | DOI: 10.13181/mji.v14i2.177

Abstract

Congenital Absence of the Portal Vein (CAPV) is a rare anomaly in which the intestinal and splenic venous drainage bypasses the liver and drains into the systemic veins through various venous shunts. We present a case of a 32-year-old woman with this malformation, the patient experienced hematemesis and melena repetitively and had splenomegaly and hypersplenism. The angiography demonstrated absence of portal vein. Splenectomy was performed to reduce the pressure of the veins around stomach and to correct the hypersplenism. In endoscopy examination six months after surgery, the esophageal varices had disappear and the size of gastric varices had decrease. (Med J Indones 2005; 14: 122-7)Keywords: Congenital absence of portal vein, splenomegaly, hypersplenism, hematemesis and melena
FAKTOR-FAKTOR YANG MEMPENGARUHI PETANI DALAM PENGAMBILAN KREDIT PADA PT. BANK RAKYAT INDONESIA (PERSERO) Tbk CABANG MEDAN SISINGAMANGARAJA UNIT KATAMSO Indah Situmorang; M. Jufri; Salmiah Salmiah
JOURNAL ON SOCIAL ECONOMIC OF AGRICULTURE AND AGRIBUSINESS Vol 9, No 2 (2018): Volume 9 No. 2 Februari 2018
Publisher : Program Studi Agribisnis, Fakultas Pertanian, Universitas Sumatera Utara

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Abstract

ABSTRAK Indah Situmorang (110304029) dengan judul skripsi Faktor-faktor yang Mempengaruhi Petani dalam Mengambil Kredit Pada PT. BANK RAKYAT INDONESIA (PERSERO) Tbk, CABANG MEDAN SISINGAMANGARAJA UNIT KATAMSO. Penelitian ini dibimbing oleh Bapak Ir.M.Jufri, MSi, selaku Ketua Komisi  Pembimbing dan Ibu Dr. Ir. Salmiah, MS selaku Anggota Komisi Pembimbing. Tujuan dari penelitian ini adalah untuk mengetahui alasan petani dalam mengambil kredit di bank, menganalisis faktor-faktor yang mempengaruhi petani dalam pengambilan kredit pada PT. Bank Rakyat Indonesia (Persero) Tbk, Cabang Medan Sisingamangaraja Unit Katamso, dan untuk mengetahui perbedaan pendapatan sebelum dan setelah memperoleh kredit. Penelitian ini menggunakan metode Analisis Deskriptif, Skala Likert dan Uji Beda. Penentuan jumlah sampel ditentukan dengan sampel minimun menurut analisis korelasi  maka diperoleh jumlah sampel sebesar 30, dimana sampel merupakan nasabah bank yang memiliki usaha berlatar belakang bidang pertanian. Hasil penelitian menunjukkan bahwa alasan petani dalam mengambil kredit di bank adalah untuk modal usaha, untuk investasi dan untuk kebutuhsn keluarga. Faktor yang mempengaruhi petani dalam mengambil kredit di bank yang paling dominan adalah faktor proses penyaluran kredit.Dan terjadi penurunan pendapatan petani setelah memperoleh kredit dari bank.   Kata Kunci : Tingkat Suku Bunga, Proses Penyaluran Kredit, Lokasi Bank, Jumlah Kredit, Pelayanan, Jangka Waktu, Pengambilan Keputusan
Diagnostic Approach and Treatment of Dieulafoy's lesion Saifuddin, Anshari; Renaldi, Kaka; Situmorang, Indah
Jurnal Penyakit Dalam Indonesia Vol. 4, No. 2
Publisher : UI Scholars Hub

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Abstract

Dieulafoy’s lesion is a rare cause of upper gastrointestinal bleeding but become an important etiology. Pathogenesis of the disease evolved from earlier of its invention till now. It has been stated in recent study that the etiology of this disease is vary, from age to genetic. Size and arteriol configuration abnormality has been known as the main pathogenesis of the disease. Endoscopic procedure become the primary diagnostic tool, which effectiveness reached more than 90%. However, in some situation, it’s difficult to find the abnormality by endoscopic procedure. Hemostatic procedure via endoscopy is the main therapy of Dieulafoy’s lesion, which has been progressed from thermal coagulation, mechanical procedure, and epinephrine injection. The development of medical technology has made the better prognosis of the disease.
Konsensus Perhimpunan Dokter Spesialis Bedah Digestif Indonesia tentang Pedoman Diagnosis dan Tatalaksana Batu Saluran Empedu Rivai, Muhammad Iqbal; Lalisang, Arnetta Naomi Louise; Nugroho, Adianto; Wibowo, Agung Ary; Handaya, Adeodatus Yuda; Arifin, Fransiscus; Situmorang, Indah; Prabowo, Erik; Irwan, Irwan; Mayasari, Maria; Tendean, Michael; Rudiman, Reno; Setyadi, Kunsemedi; Niam, Muhammad Shobachun; Suprapto, Bambang; Putra, Jeffri; Lesmana, Tommy; Mazni, Yarman; Muhar, Adi Muradi; Mulyawan, I Made; Warsinggih, Warsinggih; Lalisang, Toar Jean Maurice
Majalah Kedokteran Indonesia Vol 74 No 2 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.2-2024-1188

Abstract

Introduction: Choledocholithiasis, the presence of stones in the common bile duct (CBD), is a challenge in the field of digestive surgery due to the wide range of cases with varying levels of difficulty. Until now, the options for diagnostic and therapeutic modalities have been increasingly evolving, ranging from non-invasive to invasive procedures. Therefore, the Indonesian Society of Digestive Surgeons provides recommendations for the management of CBD stone cases in Indonesia.Method: The consensus was developed using the Delphi survey method involving digestive surgery experts from various cities in Indonesia. Several issues related to the diagnosis and management of CBD stones were formulated and answered based on current research, while also considering the opinions of the experts.Result: This consensus consists of two parts: 15 recommendations related to the selection of diagnostic modalities and 10 recommendations related to management options. Recommendations regarding diagnosis include the use of ultrasonography, abdominal CT-scan, and magnetic resonance cholangiopancreatography (MRCP). In addition to standard therapeutic procedures, this consensus also provides recommendations regarding contemporary procedures such as endoscopic retrograde cholangiopancreatography (ERCP), laparoscopic common bile duct exploration (LCBDE), and open common bile duct exploration (OCBDE).Conclusion: These recommendations are aimed to assist digestive surgery experts in providing the best management for CBD stone cases.