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All Journal Jurnal Impresi Indonesia Jurnal Ilmu Multidisplin Journal Research of Social Science, Economics, and Management
Ritonga, Nisa Alyananda
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Religion Agriculture, Biological Sciences & Forestry Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Law, Crime, Criminology & Criminal Justice Public Health Social Sciences

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Jejunal Atresia with Santulli Procedure on Neonate 10 Days: Case Report Ritonga, Nisa Alyananda; Nurmasithah, Nurmasithah; Hermanto , Hermanto
Jurnal Impresi Indonesia Vol. 4 No. 7 (2025): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i7.6865

Abstract

Jejunal atresia is a rare congenital anomaly causing intestinal obstruction in neonates, necessitating prompt diagnosis and surgical intervention for optimal outcomes. This case report highlights the management of a 10-day-old neonate presenting with persistent bilious vomiting, abdominal distension, and failure to pass meconium. Diagnostic imaging confirmed jejunal atresia, and the Santulli procedure was performed to restore intestinal continuity while allowing distal bowel decompression. Despite postoperative challenges, including sepsis and unstable vital signs, the case underscores the importance of timely surgical intervention and comprehensive postoperative care. The study aims to identify risk factors, diagnostic approaches, and effective management strategies for jejunal atresia in neonates. Research methods included clinical evaluation, imaging (X-ray), and exploratory laparotomy, followed by the Santulli procedure. Findings revealed type IV atresia with multiple lesions, treated surgically. However, the patient succumbed to sepsis 26 hours post-operation, emphasizing the critical need for early intervention and robust postoperative monitoring. The implications of this research stress the urgency of early diagnosis, appropriate surgical techniques, and multidisciplinary care to improve survival rates in such cases.
The Discovery of Familia Adenomatous Polyposis in Patients With Intestinal Malrotations : A Rare Case Ritonga, Nisa Alyananda; Hermanto, Hermanto; Akbar, Muhammad Khalilul; Nurmasithah, Nurmasithah; Rumondang, Sonia Edna
Journal Research of Social Science, Economics, and Management Vol. 5 No. 3 (2025): Journal Research of Social Science, Economics, and Management
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jrssem.v5i3.1156

Abstract

Polyps are masses that project into the gastrointestinal tract, common in childhood, affecting about 1% of preschool and school-age children. They are the leading cause of rectal bleeding in children aged 2 to 5. Adenomatous polyps, found in less than 3% of children with polyps, are often discovered incidentally. In this case, they were found alongside midgut malrotation volvulus, diagnosed late. An 8-year-old boy presented with worsening abdominal pain over the last month, which was intermittent and position-dependent. The pain was accompanied by explosive diarrhea, bloating, and a sensation of water moving in the abdomen when changing position. He also experienced daily vomiting, nausea, and a decrease in appetite. During treatment evaluation, midgut malrotation volvulus was detected along with familial adenomatous polyposis in the small intestine and colon. Early detection could have improved the prognosis, which is better when identified sooner. Once histopathology results are available, it will be determined if chemoprevention is necessary or if regular check-ups are sufficient.
Unexpected Ileal Perforation in A Neonate with Anorectal Malformation: A Rare Case Report Nurmasithah; Ritonga, Nisa Alyananda; Hermanto; Rumondang, Sonia Edna; Hartomarasiddin
Jurnal Ilmu Multidisiplin Vol. 5 No. 1 (2026): Jurnal Ilmu Multidisplin (April - Mei 2026)
Publisher : Green Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jim.v5i1.1785

Abstract

Intestinal perforation in neonates with anorectal malformations (ARM) is rare but associated with high mortality. This report presents a rare case of ileal perforation in ARM of ileal perforation associated with ARM. A 4-day-old female neonate presented with abdominal distention, fever, and failure to pass meconium; babygram examination showed only meteorism without signs of pneumoperitoneum. Exploratory laparotomy revealed ileal perforation with meconium leakage, followed by resection and anastomosis, along with the creation of a sigmoid loop colostomy with a plan for subsequent anoplasty. Despite surgical intervention, the patient unfortunately died on the third postoperative day due to sepsis. Bowel perforation is a known complication of ARM and may arise from vascular or congenital causes; the ileum, being thinner than the colon, is less able to tolerate increased intraluminal pressure, and perforation can occur even in the absence of pneumoperitoneum, with anterior abdominal wall edema serving as an important clinical clue. Although ileal perforation in ARM is extremely uncommon, early recognition of this potential complication is essential to prevent deterioration and reduce mortality in affected neonates.
Co-Authors Akbar, Muhammad Khalilul Hartomarasiddin Hermanto Hermanto , Hermanto Hermanto Hermanto Nurmasithah Nurmasithah, Nurmasithah Rumondang, Sonia Edna