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All Journal Narra J Journal of International Surgery and Clinical Medicine
Muzakkir, Yumna
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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The Characteristics and Knowledge of Family of Patients with CKD about AV- Shunt At Dr. Zainoel Abidin General Hospital Rivai, Mohammad Arif; Junaidi, Fachrul; Khalilullah, Saif Alvin; Muzakkir, Yumna
Journal of International Surgery and Clinical Medicine Vol. 3 No. 2 (2023): (Available online: December 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i2.43

Abstract

Introduction: Identifying the CKD progression of the patient should be presented with a range of choices for renal replacement treatment. Therefore, establishing vascular access for hemodialysis is significantly correlated with the survival rate of patients as well as knowledge related to access. Thus, in this study, we aim to report the characteristics and knowledge of the family of patients with CKD about AV-shunt at Dr. Zainoel Abidin General Hospital. Method: This research is descriptive research with a retrospective approach. This study evaluated the "Social Demographic and Medical Character" and "Knowledge towards AV Shunt" family of patients with CKD at RSUD Dr. Zainoel Abidin in Banda Aceh.  The samples in this study were all patients undergoing hemodialysis who had carried out AV-shunt at the hemodialysis installation at RSUD Dr. Zainoel Abidin from July 1 to July 31, 2021.  The data were analyzed descriptively by using SPSS. Results: From 80 respondents, an average age of 50.39 ± 12.594. Most AV Shunt care trainers are from doctors, and the rest are from doctors and nurses (6,3%). Regarding our study, 88,8% of the patients' families received education related to the AV-shunt, and only 11,3% did not. Conclusion: Regarding this study, we can conclude that the patient’s family knows about AV Shunt but must still be evaluated to maintain good AV Shunt function.
A choledochal cyst type IVa in a child treated with Roux-en-Y hepaticojejunostomy Yusuf, Sulaiman; Nuriyanto, Alivia R.; Nadia, Nurul; Muntadhar, Muntadhar; Muzakkir, Yumna; Susanti, Nurhayani D.; Al-shather, Zain; Harrika, Fenny
Narra J Vol. 3 No. 2 (2023): August 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i2.201

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A choledochal cyst is a bile duct anomaly that disrupts the transportation of bile from the liver to the gallbladder and small intestine. Choledochal cysts are rare, occurring in approximately one out of every 100,000 to 150,000 children in Western countries, with a girls-to-boys ratio of 4:1. Immediate surgery to excise the cyst and construct a biliary-enteric continuity is necessary to treat this condition. This case-report aimed to present a child with choledochal cyst type IVa who underwent a Roux-en-Y hepaticojejunostomy. A 3-year-11-month-old girl with an abdominal mass experienced jaundice, nausea, and vomiting over the past two years, which worsened in the last month. Abdominal ultrasonography indicated intrahepatic biliary dilatation. Abdominal computed tomography (CT) scan results confirmed a choledochal cyst type IVa, characterized by fusiform cyst dilatation at the bilateral intrahepatic bile duct, common hepatic duct, cystic duct, and common bile duct. The cyst exerted pressure on the pancreas and small intestine. Before the surgery, the patient was treated with ceftriaxone 100 mg/kg/day and gentamicin 5 mg/kg/day. Roux-en-Y hepaticojejunostomy was performed, involving the complete excision of the extrahepatic bile duct to reconstruct the biliary system. During the surgery, a retroperitoneal cyst measuring 20 cm x 10 cm with a volume of 200 cc was discovered. Following the surgery, the patient showed clinical improvement. Patient follow-ups indicated that no complications such as wound infection, acute pancreatitis, and the formation of pancreatic or biliary fistula occurred. This case highlights that Roux-en-Y hepaticojejunostomy proves to be an effective surgical approach for managing choledochal cyst type IVa in children, helping to prevent further complications.
Co-Authors Al-shather, Zain Harrika, Fenny Junaidi, Fachrul Khalilullah, Saif Alvin Muntadhar, Muntadhar Nadia, Nurul Nuriyanto, Alivia R. Rivai, Mohammad Arif Sulaiman Yusuf Susanti, Nurhayani D.