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Concurrent Hiatal Hernia, Gastric Polyp, and Lupus Nephritis in an Adolescent: A Case Report Yugatama, Andyan; Yusri Dianne Jurnalis; M. Iqbal Rivai; Irwan
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 11 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i11.1125

Abstract

Background: The coexistence of hiatal hernia (HH), gastric polyp, and lupus nephritis in an adolescent patient presents a unique clinical challenge, demanding a multidisciplinary approach to diagnosis and management. This case report aims to highlight the complexities involved in addressing these concurrent conditions and their implications for patient care. Case presentation: A 16-year-old girl with a history of systemic lupus erythematosus (SLE) and lupus nephritis presented with recurrent abdominal pain. Esophagogastroduodenoscopy (EGD) revealed a hiatal hernia and an esophageal polyp. The patient underwent laparoscopic gastrofundoplication for the hiatal hernia, and the polyp was subsequently removed via polypectomy. Histopathological examination confirmed a hyperplastic gastric polyp. The patient's postoperative course was complicated by electrolyte imbalances and dysphagia, which were managed successfully. Conclusion: This case underscores the importance of a thorough diagnostic workup in adolescents with SLE presenting with gastrointestinal symptoms. The concurrent presence of HH, gastric polyp, and lupus nephritis necessitates a multidisciplinary approach involving gastroenterologists, surgeons, rheumatologists, and other specialists. Careful attention to potential complications, such as electrolyte imbalances and dysphagia, is crucial for optimal patient outcomes.
Analisis Dampak Suplementasi Oral Selenium terhadap Kadar Selenium Urin dan Durasi Diare Akut pada Anak Usia Balita Yugatama, Andyan; Jurnalis, Yusri Dianne; Rusdi, Rusdi; Nurdin, Asrawati; Masnadi, Nice Rachmawati; Lubis, Gustina
Sari Pediatri Vol 26, No 6 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.6.2025.343-9

Abstract

Latar belakang. Diare akut pada anak-anak masih menjadi masalah kesehatan global, terutama di negara berkembang seperti Indonesia. Penelitian sebelumnya menunjukkan peran selenium dalam meningkatkan imunitas dan mengurangi stres oksidatif pada infeksi gastrointestinal, namun penelitian mengenai hubungan antara suplementasi selenium dan diare akut masih terbatas.Tujuan. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian suplementasi selenium terhadap kadar selenium urin dan durasi diare akut pada anak. Metode. Penelitian diakukan di Puskesmas dan Rumah Sakit di Kota Padang. Merupakan studi eksperimental dengan desain acak terkontrol. Sampel terdiri dari anak-anak yang mengalami diare akut, dibagi menjadi kelompok perlakuan yang menerima suplementasi selenium dan kelompok kontrol yang tidak menerima suplementasi. Pengukuran kadar selenium urin dan durasi diare dilakukan sebelum dan sesudah intervensi.Hasil. Penelitian melibatkan 54 anak, dengan 27 anak pada kelompok kasus dan 27 anak pada kelompok kontrol. Durasi diare menunjukkan perbedaan durasi diare yang signifikan sebanyak 2,48 ± 4 jam (p<0,05). Kadar selenium urin pada kelompok kasus meningkat signifikan dari 45,26 ± 8,61 µg/L menjadi 52,52±5,39 µg/L m (p < 0,05). Tidak terdapat perubahan signifikan pada durasi diare dan kadar selenium urin di kelompok kontrol. Kesimpulan. Suplementasi selenium signifikan dalam meningkatkan kadar selenium urin dan mengurangi durasi diare akut pada anak.
Concurrent Hiatal Hernia, Gastric Polyp, and Lupus Nephritis in an Adolescent: A Case Report Yugatama, Andyan; Yusri Dianne Jurnalis; M. Iqbal Rivai; Irwan
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 11 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i11.1125

Abstract

Background: The coexistence of hiatal hernia (HH), gastric polyp, and lupus nephritis in an adolescent patient presents a unique clinical challenge, demanding a multidisciplinary approach to diagnosis and management. This case report aims to highlight the complexities involved in addressing these concurrent conditions and their implications for patient care. Case presentation: A 16-year-old girl with a history of systemic lupus erythematosus (SLE) and lupus nephritis presented with recurrent abdominal pain. Esophagogastroduodenoscopy (EGD) revealed a hiatal hernia and an esophageal polyp. The patient underwent laparoscopic gastrofundoplication for the hiatal hernia, and the polyp was subsequently removed via polypectomy. Histopathological examination confirmed a hyperplastic gastric polyp. The patient's postoperative course was complicated by electrolyte imbalances and dysphagia, which were managed successfully. Conclusion: This case underscores the importance of a thorough diagnostic workup in adolescents with SLE presenting with gastrointestinal symptoms. The concurrent presence of HH, gastric polyp, and lupus nephritis necessitates a multidisciplinary approach involving gastroenterologists, surgeons, rheumatologists, and other specialists. Careful attention to potential complications, such as electrolyte imbalances and dysphagia, is crucial for optimal patient outcomes.