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All Journal Berkala Kedokteran 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
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 Huldani Huldani Ida Yuliana Ika Kustiyah Oktaviyanti Indah Situmorang Irwan Irwan 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 Putra, Jeffri Qothrunnada, Salsabila Rahmadania, Emma Rahmiati Rahmiati Reno Rudiman Ridhana, Achmad Rivai, Muhammad Iqbal Romdoni, Muhammad Akbar Setyadi, Kunsemedi Skripsiana, Nika Sterina Sorayya, Laina Suprapto, Bambang Tendean, Michael Wahyuni, Dina Warsinggih, Warsinggih Winata, Winardi Budi Zainal Abidin