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All Journal Majalah Kedokteran Bandung Berkala Kedokteran Majalah Patologi Indonesia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Neuroanestesi Indonesia Homeostasis: Jurnal Mahasiswa Pendidikan Dokter
Agung Ary Wibowo, Agung Ary
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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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.
The Role of Basal Cistern as Prognostic Factor in Head Injury Cases Fath, Tri Putra Nuur; Suhendar, Agus; Kania, Nia; Wibowo, Agung Ary; Poerwosusanta, Hery; Abidin, Zainal; Huldani, Huldani
Jurnal Neuroanestesi Indonesia Vol 14, No 1 (2025)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v14i1.596

Abstract

Background and Objective: Head injury is a medical condition affecting various individuals around the world and is characterized by high mortality and morbidity rates. Several studies have shown that accurate management and appropriate interventions are required to achieve favorable outcomes. In this context, head CT scan has been reported to be the gold standard in diagnostic imaging for patients with head injury. In addition, head CT scan can be used to evaluate basal cistern, which is an area around the brain with a significant role in consciousness due to its close association with the brainstem. Several factors are known to influence prognosis of head injury treatment, including age, gender, severity of head injury, type of bleeding lesion, and the condition of basal cistern, which play a crucial role in the outcome of patients care. Therefore, this study aims to determine the role of basal cistern as a predictor of prognosis in cases of head injury. Subject and Method: The study procedures were carried out using the prospective observational method, and the sample population comprised 67 head injury patients at Ulin Regional General Hospital (RSUD) from February to April in 2024. Based on the inclusion and exclusion criteria, a total of 60 patients were selected as participants, and their primary data were collected. Subsequently, each variable's data was analyzed using SPSS with Chi-square and Spearman correlation tests. Results: Significant differences were observed between various variables, including 1) the type of bleeding lesion and the condition of basal cistern (p-value: 0.004), 2) action (surgery and non-surgery) and prognosis (p-value: 0.017), and 3) prognosis and the condition of basal cistern (p-value: 0.0001). Conclusion: Based on the results, basal cistern could be used as a predictor of prognosis in patients with head injury. In addition, the severity of head injury was closely related to the condition of basal cistern. The more severe head injury, the worse prognosis for patients. The results also showed that the type of bleeding lesion affected the condition of basal cistern
Helicobacter pylori Increasing Spread of An Inflammation Cells and Gastric Mucosal Atrophy in Gastritis Patients Oktaviyanti, Ika Kustiyah; Widodo, Firman Aprilianto; Hafidza, Fadhil; Rosida, Lena; Wibowo, Agung Ary; Yuliana, Ida
Majalah Patologi Indonesia Vol. 33 No. 1, Januari 2024
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v33i1.654

Abstract

Background Helicobacter pylori (H. pylori) is a bacterium which could reason chronic gastritis and then has the capability to purpose gastric mucosal atrophy. The modifications within the degree of gastric mucosal atrophy have been appreciably correlated with the degree of risk of gastric cancer. The purpose of the observe turned into to research the relationship among H. pylori and the spread of inflammatory cellular infiltration and gastric mucosal atrophy in gastritis patients in Banjarmasin. Method The study was carried out in September-November 2021 using a cross-sectional method with purposive sampling, that is as many as 87 samples of histopathological slides of gastritis patients in the anatomical pathology laboratory of Sari Mulia Hospital, Banjarmasin for the period 2019. Research analysis used Kolmogorov-Smirnov. Slide preparations were stained with immunohistochemistry (IHC) and hematoxylin-eosin (HE). Inflammatory cellular clearance was measured the use of a scale from revised Sydney system and gastric mucosal atrophy become measured the use of the OLGA staging system. Results The results showed as many as 40 (45.98%) H.pylori-positive patients with the most chronic inflammatory cell infiltration in 24 (60%) patients at grade 3 (p<0.001) and for gastric mucosal atrophy as many as 29 (72, 50%) of patients at various stages (p<0.001). Conclusion H. pylori has a significant relationship with inflammatory cell infiltration and gastric mucosal atrophy. H. pylori-positive causes a growth within the severity of inflammatory cellular irritation and mucosal atrophy in gastritis patients.
Effect of Striped Catfish (Pangasianodon Hypophthalmus) Supplementation on Mice (Mus Musculus) Colon Wibowo, Agung Ary; Hosea, Nathania; Triawanti, Triawanti; Lahdimawan, Ardik; Priyono, Sasongko Hadi; Siagian, Andreas Marojohan Haratua; Sikumbang, Kenanga Marwan
Majalah Kedokteran Bandung Vol 57, No 4 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.4395

Abstract

Diet affects the microbial structure of the gut and human metabolic functions. Disruption of nutrient sources that produce short-chain fatty acids (SCFA) will cause atrophy and inflammation of the colonic mucous. Striped catfish (Pangasianodon hypophthalmus) increases SCFA production because of its high levels of carbohydrates, protein, and fat content. This experimental study used 50 male mice (Mus musculus) aged 3 months old, weighing 20-30 grams, divided into control group (given standard feed) and treatment group (given mixture of standard feed and striped catfish meat). The mice were given treatment for eight (8) weeks at the Faculty of Medicine and Health Sciences, Lambung Mangkurat University, Indonesia, from May to July 2024 and then sacrificed. Colon biopsies were examined using hematoxylin-eosin staining to determine crypt morphology, number of goblet cells, and number of inflammatory cells at Ulin Hospital Banjarmasin, Indonesia, from July until October 2024. The crypt morphology in the treatment group showed fewer abnormalities (5 out of 25 samples) compared to the control group (11 out of 23 samples) (p=0.041) with a moderate correlation (p=0.295). The number of goblet cells was higher in the treatment group (200.4±54.1) than in the control group (134.5±34.3) (p=0.001) with a strong correlation (p = 0.616). The number of inflammatory cells was lower in the treatment group (9.9±4.4) than in the control group (27.6±7.8) (p=0.001) with a very strong correlation (p=0.838). Thus, striped catfish supplementation reduces morphological abnormalities of the crypts and the number of inflammatory cells, as well as increases the number of goblet cells in the colon of mice.
Co-Authors Adeodatus Yuda Handaya Adianto Nugroho Agus Suhendar, Agus Al Hasani, Siti Atthahirah Ardik Lahdimawan, Ardik Azma Rosida, Azma Budiwinata, Winardi Dhia Raihana Rahdi, Dhia Raihana Fath, Tri Putra Nuur Fransiscus Arifin Hafidza, Fadhil Hosea, Nathania Huldani Huldani Ida Yuliana Ika Kustiyah Oktaviyanti Indah Situmorang Irwan Irwan Kenanga Marwan Sikumbang, Kenanga Marwan Lalisang, Arnetta Naomi Louise Lalisang, Toar Jean Maurice Lena Rosida Lesmana, Tommy Manik, Sarmono Lotma Saipon Maria Mayasari Maria Ulfah Mazni, Yarman Meitria Syahadatina Noor Muhar, Adi Muradi Mulyani, Nina Mulyawan, I Made Muthmainah, Noor Nia Kania Niam, Muhammad Shobachun Nur Fadhilah Poerwosusanta, Hery Prabowo, Erik Priyono, Sasongko Hadi Putra, Jeffri Qothrunnada, Salsabila Rahmadania, Emma Rahmiati Rahmiati Reno Rudiman Ridhana, Achmad Rivai, Muhammad Iqbal Romdoni, Muhammad Akbar Setyadi, Kunsemedi Siagian, Andreas Marojohan Haratua Skripsiana, Nika Sterina Sorayya, Laina Suprapto, Bambang Tendean, Michael Triawanti Triawanti Wahyuni, Dina Warsinggih, Warsinggih Widodo, Firman Aprilianto Winata, Winardi Budi Zainal Abidin