A. H. Sutanto, A. H.
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Spectrum of Digestive Tract Diseases 1985-1987 at the Pediatric Gastroenterology Outpatient Clinic of Dr. Pirngadi General Hospital, Medan Siregar, Charles Darwin; Sinuhaji, Atan Baas; Sutanto, A. H.
Paediatrica Indonesiana Vol. 30 No. 5-6 (1990): May-June 1990
Publisher : Indonesian Pediatric Society

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Abstract

A retrospective study has been done on infants and children attending to the Pediatric Gastroenterology Outpatient Clinic of Dr.Pirngadi General Hospital in Medan, from 1985 through 1987. During the study there were 874 patients, 477 (54,58%) suffered from diarrhea, 209 (23,91%) had bloody stool, 20 (2,99%) jaundice, 57 (6,52%) abdominal pain, 48 (5,49%) abdominal distention, 30 (3,43%) vomiting, 13 (1,49%) constipation, and 20 (2,29%) others. Of all cases with diarrhoea, watery diarrhoea were found in only 319 (66,88%), diarrhoea with vomiting 84 (17,61%), and bloody diarrhoea 74 (15,51%). Stool examination in patients with diarrhoea revealed 144 (30,19%) cases with Candida albicans, while 16 (3,35%) of them with steatorrhoea. Of 63 patients with diarrhoea on which the clinitest had been performed, sugar intolerance were found in 30 (47,62%) cases.
lntussusception at the Pediatric Ward of Dr. Pirngadi Hospital, Medan Lubis, Azwan Hakmi; Sinuhaji, Atan Baas; Sutanto, A. H.; Yosodiharjo, Asmui
Paediatrica Indonesiana Vol. 30 No. 5-6 (1990): May-June 1990
Publisher : Indonesian Pediatric Society

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Abstract

A retrospective study had been conducted on hospitalized infants and children in the Pediatric ward of Dr. Pirngadi Hospital, Medan from January 1, 1987 through December 31, 1988. The purpose is to assess the incidence and clinical manifestations of intussusception. During the same period, there were 6484 infants and children hospitalized, 39 (0.6%) with intussusception, consisting of 23 (58.9%) males and (41.1%) females. Most of the cases (53.85%) were in the age group of 4-6 months. Thirty four patients (87,12%) were well-nourished, and 5 patients (12.82%) were undernourished. The major symptoms of intussusception were bloody diarrhoea (87.17%), vomiting (82.05%) and abdominal distention (66.41%). Successful reposition with barium enema occured in I (20%) out of 5 patients. The major symptoms of intussusception were bloody diarrhoea (87.17%), vomiting. Surgical intervention was performed in 22 patients (56.41%). The result was as follows: discharged in good condition in 15 (68.18%) and deaths occurred in the remaining cases (7 cases = 31.82%). Of those 7 cases who died after operation, 2 cases were hospitalized in less than 2 days, 3 cases in less than 3 days and the remaining 2 cases in more than 3 days, after the symptoms developed.