cover
Contact Name
Sunny Wangko
Contact Email
sunnypatriciawangko@gmail.com
Phone
+628124455733
Journal Mail Official
sunnypatriciawangko@gmail.com
Editorial Address
eclinic.paai@gmail.com
Location
Kota manado,
Sulawesi utara
INDONESIA
e-CliniC
ISSN : 23375949     EISSN : -     DOI : -
Core Subject : Health,
Jurnal e-CliniC (eCl) diterbitkan oleh Perhimpunan Ahli Anatomi Indonesia bekerja sama dengan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Jurnal ini diterbitkan 3 (tiga) kali setahun (Maret, Juli, dan November). Sejak tahun 2016 Jurnal e-CliniC diterbitkan 2 (dua) kali setahun (Juni dan Desember). Jurnal e-CliniC memuat artikel penelitian, telaah ilmiah, dan laporan kasus di bidang ilmu kedokteran klinik.
Articles 25 Documents
Search results for , issue "Vol. 13 No. 1 (2025): e-CliniC" : 25 Documents clear
Odontogenic Necrotizing Fasciitis in the Neck and Thoracic Region: A Case Report Tangkilisan, Adrian; Sukanto, Wega; Tamburian, Christa; Satriadi, Wayan
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.54850

Abstract

Abstract: Mediastinitis and necrotizing fasciitis are the most threatening complications of odontogenic infection that are not appropriately treated. We reported a 32-year-old woman with odontogenic necrotizing fasciitis in the neck and thoracic region due to second and third lower molar infection that started and progressed in ten weeks. This disease course was initiated by a small abscess in the submandibular region that spread to the neck and right chest. This condition did not progress into mediastinitis which had a poorer prognosis. Early rupture of the abscess may prevent the extent of the infection into the mediastinum. The patient’s condition improved after consuming antibiotic, analgesic, and debridement performed on her. The case management was consistent with the literature. The patient only came for first follow-up and then loss-to-follow-up. Therefore, skin flap surgery cannot be conducted. Keywords: necrotizing fasciitis; odontogenic source; neck; thoracic region
Hubungan Gagal Jantung Iskemik dengan Jumlah Faktor Risiko Penyakit Jantung Koroner terhadap Lama Rawat Inap di Rumah Sakit Tandipanga, Mayprengki B.; Rampengan, Starry H.; Jim, Edmond L.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.54949

Abstract

Abstract: Heart failure is one of the cardiovascular diseases with high hospitalization and mortality rates. Ischemic heart failure is a type of heart failure that is caused by coronary heart disease. Risk factors for coronary heart disease include age, sex, family history, early menopause, smoking, hypertension, dyslipidemia, and diabetes mellitus. Length of Hospital Stay (LOS) is a matrix to measure the length of time a patient stays in the hospital. This study aimed to evaluate the relationship between ischemic heart failure and many risk factors for coronary heart disease on the length of stay at RSUP Prof. Dr. R. D. Kandou. This was an observational and analytical study with cohort studies with a retrospective approach during the period September 2021 – October 2023. The results showed that there were 112 cases with 70 samples that met the inclusion criteria and found 26 cases with a length of stay of >7 days and 44 cases with a length of stay of ≤7 days. Based on the bivariate analysis that has been performed on patients with ischemic heart failure who undergo hospitalization, it shows that there is no significant relationship between the number of risk factors for coronary heart disease and the longer length of hospitalization. In conclusion, there is no significant association between the number of risk factors for coronary heart disease and the longer length of stay in patients with ischemic heart failure. Keywords: ischemic heart failure; coronary heart disease risk factors; length of stay    Abstrak: Gagal jantung merupakan salah satu penyakit kardiovaskular dengan angka kematian dan perawatan di rumah sakit yang tinggi. Gagal jantung iskemik merupakan gagal jantung yang diakibatkan oleh penyakit jantung koroner. Faktor risiko penyakit jantung koroner antara lain, usia, jenis kelamin, riwayat keluarga, menopause dini, merokok, hipertensi, dislipidemia, dan diabetes melitus. Lama rawat inap atau Length of Hospital Stay (LOS) merupakan matriks untuk mengukur lama waktu rawat inap pasien di rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan gagal jantung iskemik dengan Jumlah faktor risiko penyakit jantung koroner terhadap lama rawat inap di RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah analitik observasional dengan studi kohort dengan pendekatan restrospektif selama periode September 2021 - Oktober 2023. Hasil penelitian mendapatkan 112 kasus dengan 70 sampel yang memenuhi kriteria inklusi dan didapatkan 26 kasus dengan lama rawat >7 hari dan 44 kasus dengan lama rawat ≤7 hari. Berdasarkan analisis bivariat yang telah dilakukan pada pasien gagal jantung iskemik yang menjalani rawat inap menunjukkan bahwa tidak didapatkan hubungan yang bermakna antara jumlah faktor risiko penyakit jantung koroner dengan lama rawat inap yang lebih lama. Simpulan penelitian ini ialah tidak didapatkan hubungan bermakna antara jumlah faktor risiko penyakit jantung koroner dengan lama rawat yang lebih lama pada pasien gagal jantung iskemik. Kata kunci: gagal jantung iskemik; faktor risiko penyakit jantung koroner; lama rawat inap
Hubungan Kepatuhan Penggunaan Obat Antihipertensi dengan Kualitas Hidup Pasien Hipertensi Wagiu, Ariel E.; Wiyono, Weny I.; Mpila, Deby A.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.58790

Abstract

Abstract: Hypertension is a condition where systolic and diastolic blood pressure exceeds values of 140 mmHg and 90 mmHg, respectively. Patient compliance related to the use of antihypertensive drugs is a major factor in improving the quality of life of hypertensive patients. This study aimed to determine the relationship between the level of compliance in consumption of antihypertensive drugs and the quality of life of hypertensive patients at Puskesmas Kawangkoan (public health center). This was an observational and analytical study with a cross-sectional approach. A total of 80 patients as samples were obtained using purposive sampling technique. Data on the level of compliance with drug use were obtained from the Morisky Medication Adherence Scale (MMAS-8) questionnaire and the Short-Form 36 (SF 36) questionnaire to measure quality of life in hypertensive patients. The results obtained 80 patients as samples. Data were statistically analyzed using the Spearman-rho test which showed a significant relationship between the level of compliance in drug consumption and the quality of life of hypertensive patients at Puskesmas Kawangkoan (p=0.000<0.05). In conclusion, there is a significant relationship between the level of compliance in antihypertensive drug consumption and the quality of life of hypertensive patients at Puskesmas Kawangkoan. Keywords: hypertension; medication adherence; quality of life.   Abstrak: Hipertensi adalah keadaan dimana tekanan darah sistolik dan diastolik melebihi nilai  140 mmHg dan 90 mmHg. Kepatuhan pasien dalam penggunaan obat antihipertensi merupakan faktor utama dalam peningkatan kualitas hidup pasien. Penelitian ini bertujuan untuk mengetahui hubungan tingkat kepatuhan penggunaan obat antihipertensi dengan kualitas hidup pasien hipertensi di Puskesmas Kawangkoan. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Sampel penelitian diperoleh dengan teknik purposive sampling. Data tingkat kepatuhan penggunaan obat diperoleh dari kuesioner Morisky Medication Adherence Scale (MMAS-8) dan kuesioner Short-Form 36 (SF 36) untuk mengukur kualitas hidup pada pasien hipertensi. Hasil penelitian mendapatkan sebanyak 80 pasien sebagai sampel. Hasil uji Spearman-rho menunjukkan adanya hubungan bermakna antara tingkat kepatuhan penggunaan obat dengan kualitas hidup pasien hipertensi (p=0,000<0,05). Simpulan penelitian ini ialah terdapat hubungan bermakna antara tingkat kepatuhan penggunaan obat antihipertensi dengan kualitas hidup pasien hipertensi di Puskesmas Kawangkoan. Kata kunci: hipertensi; kepatuhan penggunaan obat; kualitas hidup
Neoadjuvant Lenvatinib in Advanced Unresectable Thyroid Carcinoma: Case Series and Literature Review Albert, Albert; Manginstar, Christian O.; Saleh, Denny; Merung, Marselus A.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.58793

Abstract

Abstract: Lenvatinib, a tyrosine kinase inhibitor (TKI), has shown potential as a neoadjuvant therapy for inoperable thyroid cancer (TC). In this case series, we present three patients with unresectable thyroid tumors who responded favorably to lenvatinib treatment. A 60-year-old male with papillary thyroid cancer (PTC) experienced a 60% tumor volume reduction after five months of therapy. A 61-year-old male with medullary thyroid cancer (MTC) saw a 99% reduction after four months of lenvatinib and decrease of serum calcitonin and no residual disease six months after surgery. Lastly, a 67-year-old female with anaplastic thyroid cancer (ATC) showed a 70% tumor reduction and significant symptomatic relief. These cases highlight lenvatinib’s efficacy in reducing tumor size and stabilizing disease, improving surgical outcomes in patients initially deemed inoperable due to locally advanced tumors. Lenvatinib’s antitumor effects, driven by its antiangiogenic properties, suggest its potential as a valuable neoadjuvant treatment option in advanced thyroid cancer. Keywords: thyroid carcinoma; lenvatinib; case series
First Endoscopic-Guided Percutaneous Nephrolithotomy (ePSL) with Prone Split-Leg Position in Manado Phoebus, Andrien; Astram, Ari; Toreh, Christof; Arianto, Eko; Wihono, Frendy
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.59320

Abstract

Abstract: Literature has not yet defined the best position for percutaneous nephrolithotomy (PCNL) based on the complexity of the stone burden. This case of left-sided complex kidney stones underwent endoscopic-guided PCNL in an PSL (prone split-leg position). A 61-year-old woman with a chief complaint of right pelvic pain. Standard prone PCNL was planned for this patient, however, due to so much debris in the pelviocalyceal system during URS evaluation and ureter catheter insertion, we decided to puncture with ultrasound guidance rather than fluoroscopy. Intraoperatively there was residual superior calyx stone that was beyond the reach of nephroscope. We decided not to do a double puncture because of poor vision due to the floating debris. In the second procedure, the ePSL method was utilized. A C-arm and nephroscope examination revealed no active bleeding, no infundibulum laceration, and no remaining stones. The primary goals of this method were to remove stones from the urinary tract throughout the entire tract using a one-step, one-access procedure that made the most of the full range of endourologic equipment. There were a number of reasons why the prone split-leg position was chosen, including operator preference, familiarity with the position, and the inability to make a direct puncture in the upper pole. The main drawback was that patient would not be able to see how well and safely this method worked over time. In conclusion, complex kidney stones can be treated with ePSL performed in the prone split-leg position, which is a safe procedure with a low risk of complications. Keywords: percutaneous nephrolithotomy; prone split-leg position; complex kidney stones
Faktor Risiko Terjadinya Enterokolitis Nekrotikan pada Neonatus Palinggi, Eoudia S.; Manoppo, Jeanette I. Ch.; Rompis, Johnny L.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.59445

Abstract

Abstract: Necrotizing enterocolitis is inflammation of babies' digestive tract and the main cause of morbidity and mortality of premature neonates in the NICU. The exact etiology of necrotizing enterocolitis is not known so far. This study aimed to determine prematurity, formula feeding, sepsis, anemia, congenital heart disease and preeclampsia/eclampsia in mothers as risk factors for necrotizing enterocolitis in neonates and other risk factors that influence the incidence of necrotizing enterocolitis. This was a quantitative and analytical study with a cross sectional design. Sampling techniques were total sampling of necrotizing enterocolitis cases (38 patients) and executive sampling for control cases (38 patients) admitted to Prof. Dr. R. D. Kandou Hospital Manado using data of medical records. The results of the distribution table analysis and chi-square test showed that the risk factors analyzed that had p<0.05, namely prematurity (p<0.001), and sepsis (p<0.001). Other variables did not have significant relationships with the incidence of necrotizing enterocolitis (p>0.05), as follows: formula milk consumption (p>0.387), anemia (p>0.234), congenital heart disease (p>0.556), and mothers with preeclampsia/ eclampsia (p>0.556). In conclusion, prematurity and sepsis are risk factors for necrotizing enterocolitis in neonates at Prof. Dr. R. D. Kandou General Hospital, Manado. Keywords: risk factors; necrotizing enterocolitis; neonates   Abstrak: Enterokolitis nekrotikan (EKN) merupakan peradangan pada usus saluran cerna bayi yang menjadi penyebab utama morbiditas dan mortalitas neonatus prematur di NICU. Tingkat kematian EKN makin tinggi pada bayi yang lebih kecil. Sampai saat ini etiologi yang jelas mengenai EKN belum diketahui secara pasti. Penelitian ini bertujuan untuk mengetahui prematur, pemberian susu formula, sepsis, anemia, penyakit jantung bawaan, dan preeklamsi/eklamsi pada ibu sebagai faktor risiko terjadinya EKN pada neonatus, dan mengetahui faktor risiko lain yang memengaruhi kejadian EKN. Jenis penelitian ialah analitik kuantitatif dengan desain potong lintang. Teknik sampling penelitian ialah total sampling pada kasus EKN 38 pasien  dan executive sampling pada kontrol EKN 38 pasien yang dirawat di RSUP Prof. Dr. R. D. Kandou Manado melalui sumber data rekam medis. Hasil analisis tabel distribusi dan uji chi-square menunjukkan bahwa faktor risiko yang dianalisis mempunyai p<0,05 ialah faktor prematur (p<0,001), dan sepsis (p<0,001). Variabel lainnya tidak hubungan bermakna dengan kejadian EKN dengan nilai p>0,05 sebagai berikut:  pemberian susu formula (p>0,387), anemia (p>0,234), penyakit jantung bawaan (p>0,556), dan preeklamsi/eklamsi pada ibu (p>0,556). Simpulan penelitian ini ialah prematur dan sepsis merupakan faktor risiko terjadinya enterokolitis nekrotikan pada neonatus di RSUP Prof. Dr. R. D. Kandou Manado. Kata kunci: faktor risiko; enterokolitis nekrotikan; neonatus
Karakteristik Pasien dengan Epistaksis di RSUP Prof. Dr. R. D. Kandou Manado Manalu, Ralf P.; Mona , Moudi M.; Najoan, Rizki R.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.59449

Abstract

Abstract: Blood vessels of nasal cavity are susceptible to trauma, causing epistaxis or nosebleeds. Although often self-limiting, epistaxis is considered as an emergency by the otorhinolaryngology field, with the risk of increased costs and morbidity in elderly patients. Local factors such as nasal trauma and systemic factors such as hypertension can cause epistaxis. This study aimed to obtain the characteristics of patients with epistaxis at Prof. Dr. R. D. Kandou Hospital Manado. This waas a retrospective and descriptive study with a cross sectional approach. The results showed that epistaxis was most common in adults (64.1%) and male patients (55.1%). Most cases of epistaxis occurred idiopathically (47.4%) due to anterior bleeding (97.4%). Anterior tampon was the most frequently performed treatment (64.1%). In conclusion, epistaxis often occurs in males and adult ages. Most cases of epistaxis occur idiopathically. Bleeding occurs more often from the anterior blood vessels (97.4%) which causes most treatment to be carried out by inserting an anterior tampon. Therefore, further examination is necessary to determine the cause of the bleeding. Keywords: epistaxis; idiopathic cause; anterior bleeding; nasal packing   Abstrak: Rongga hidung memiliki pembuluh darah yang rentan terhadap trauma yang dapat menyebabkan epistaksis. Meskipun sering sembuh sendiri, epistaksis dianggap kegawatdaruratan oleh bidang THT-KL, dengan risiko biaya dan morbiditas meningkat pada pasien lanjut usia. Faktor lokal seperti trauma hidung dan faktor sistemik seperti hipertensi dapat menyebabkan epistaksis. Penelitian ini bertujuan untuk mengetahui karakteristik pasien dengan epistaksis di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang. Hasil penelitian mendapatkan epistaksis paling banyak dialami oleh usia dewasa (64,1%), lebih banyak terjadi pada laki-laki (55,1%). Kebanyakan kasus epistaksis pada penelitian ini terjadi secara idiopatik (47,4%) dengan perdarahan pembuluh darah anterior (97,4%). Pemasangan tampon anterior merupakan penanganan yang paling sering dilakukan (64,1%). Simpulan penelitian ini ialah epistaksis sering terjadi pada laki-laki, usia dewasa, secara idiopatik, dan terjadi di pembuluh darah anterior dengan penanganan pemasangan tampon anterior. Oleh karena itu perlu dilakukan pemeriksaan lebih lanjut untuk memastikan penyebab perdarahan. Kata kunci: epistaksis; idiopatik; perdarahan anterior; tampon
Profil Malaria pada Remaja di Kota Bitung Periode Juli – November 2023 Firra, Andi H. F.; Tuda, Josef S. B.; Pijoh, Victor D.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.60180

Abstract

Abstract: In North Sulawesi, malaria remains as a significant health issue, indicated by the high number of clinical cases and positive results in several areas. Bitung City is an area with sandy soil and is directly adjacent to the coastline, with a high population density. Residing in a malaria-endemic area makes the population of Bitung City vulnerable to malaria, especially teenager who are in the explorative age group. This study aimed to determine the profile of malaria among teenagers in Bitung City during the period of July to November 2023. This was a descriptive study with a cross-sectional approach. The data obtained were organized in the form of frequency distribution tables, and discussed according to malaria agents and the respondents’ gender. The results showed that there were more male respondents than females (59%:41%). The most frequent type of malaria agent was Plasmodium vivax (49%), and less in Plasmodium falciparum (6%); none in Plasmodium ovale and Plasmodium malariae (0%). In conclusion, the dominant malaria parasite species among teenagers in Bitung was Plasmodium vivax. There are more male teenagers suffering from malaria than female teenagers. Keywords: Plasmodium; malaria; teenagers; gender    Abstrak: Di Sulawesi Utara malaria masih menjadi permasalahan kesehatan yang ditunjukkan oleh tingginya jumlah kasus klinis dan hasil positif pada beberapa daerah. Kota Bitung ialah wilayah dengan tanah berpasir dan berbatasan langsung dengan garis pantai yang memiliki kepadatan penduduk tinggi. Berdiam di wilayah endemik malaria membuat penduduk Kota Bitung rentan terhadap malaria, khususnya usia remaja yang merupakan usia eksploratif. Penelitian ini bertujuan untuk mengetahui profil malaria pada remaja di Kota Bitung periode Juli – November 2023. Jenis penelitian ini ialah deskriptif dengan desain potong lintang. Data perolehan disusun dalam bentuk tabel distribusi frekuensi, dan dibahas menurut agen malaria dan jenis kelamin responden. Hasil penelitian mendapatkan jenis kelamin responden paling banyak ialah laki-laki (59%), lebih sedikit pada perempuan (41%). Jenis agen malaria responden paling banyak ialah Plasmodium vivax (49%), sedikit pada Plasmodium falciparum (6%), dan tidak ada pada Plasmodium ovale dan Plasmodium malariae (0%). Simpulan penelitian ini ialah spesies parasit malaria yang dominan di Bitung ialah Plasmodium vivax. Penderita malaria didapatkan lebih banyak pada remaja laki-laki dibandingkan remaja perempuan. Kata kunci: plasmodium; malaria; remaja; jenis kelamin
Gambaran Komplikasi Terapi Intervensi Koroner Perkutan dengan Akses Transradial pada Pasien Penyakit Jantung Koroner Setiono, Richella M. W.; Pangemanan, Janry; Panda, Agnes L.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.60181

Abstract

Abstract: Coronary heart disease (CHD) is a serious health problem worldwide. Currently, the most common procedure for removing atherosclerotic plaque is percutaneous coronary intervention (PCI). This study aimed to describe the complications of PCI therapy with transradial access in patients with CHD at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective and descriptive study with a cross-sectional approach. Samples were medical records of CHD patients undergoing PCI with transradial access during the period January-December 2022. The results showed that the percentage of complications from percutaneous coronary intervention with transradial access was 4.3% with the highest complication was radial artery spasm (35.3%). The characteristics of those that experienced the most complications were age range 61-75 years (53.5%), males (53.5%), and body mass index 18.5-24.9 kg/m2. In conclusion, the rate of transradial access complication at Prof. Dr. R. D. Kandou Hospital Manado was low. Complications were more common in males of older age and had normal body mass index. This might be influenced by the number of coronary heart disease patients who underwent percutaneous coronary intervention with transradial access was dominated by males. Keywords: transradial access; coronary heart disease; percutaneous coronary intervention    Abstrak: Penyakit jantung koroner (PJK) masih merupakan masalah kesehatan serius dunia. Saat ini prosedur paling umum untuk menghilangkan plak aterosklerosis tersebut dengan intervensi koroner perkutan (IKP). Penelitian ini bertujuan untuk mengetahui gambaran komplikasi terapi intervensi koroner perkutan dengan akses transradial pada pasien PJK di RSUP Prof. Dr. R. D. Kandou Manado selama periode Januari-Desember 2022. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang. Sampel penelitian ialah rekam medis pasien PJK yang menjalani IKP akses transradial. Hasil penelitian mendapatkan persentase terjadi komplikasi IKP dengan akses transradial sebesar 4,3%, dengan komplikasi terbanyak yakni spasme arteri radial (35,3%). Karakteristik pasien yang mengalami komplikasi terbanyak ialah rentang usia 61-75 tahun (53,5%), laki-laki (53,5%), dan indeks massa tubuh 18,5-24,9 kg/m2. Simpulan penelitian ini ialah tingkat komplikasi terkait akses transradial di RSUP Prof. Dr. R. D. Kandou Manado tergolong rendah. Komplikasi lebih banyak ditemukan pada laki-laki dengan rentang usia lebih tua dan memiliki indeks massa tubuh normal. Hal ini dapat dipengaruhi oleh total sampel pasien penyakit jantung koroner yang menjalani intervensi koroner perkutan dengan akses transradial didominasi oleh laki-laki. Kata kunci: akses transradial; penyakit jantung koroner; intervensi koroner perkutan
Profil Pasien Inflammatory Bowel Disease di RSUP Prof. Dr. R. D. Kandou Manado Periode Tahun 2020 - 2022 Damiyanti, Ni Nyoman E.; Waleleng, Bradley J.; Umboh, Octavianus R. H.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.60182

Abstract

Abstract: Inflammatory bowel disease (IBD) is a chronic idiopathic inflammation occurring in the digestive tract, divided into two types, namely ulcerative colitis (UC) and Crohn's disease (CD). This study aimed to obtain the profile of inflammatory bowel disease patients based on gender, age, and the most common clinical manifestations at the Gastroenterology Division of the Department of Internal Medicine, Prof. Dr. R. D. Kandou Manado Hospital from January 1, 2020, to December 31, 2022. This was a retrospective descriptive study using patients’ medical records from 2020 to 2022. The results showed that there were 86 IBD patients, with 49 CD cases and 37 UC cases; males (n=54) and females (n=32); age>45 years (65.1%), age 25-45 years (26.7%), and age<25 years (8.1%). Clinical presentations included abdominal pain, epigastric pain, liquid stools, weakness, and bloody stools. In conclusion, patients with inflammatory bowel disease were more prevalent in Chron disease than ulcerative colitis. Males were more common than females and the majority were over 45 years old. The most common clinical manifestation was abdominal pain. Keywords: inflammatory bowel disease; Crohn's disease; ulcerative colitis    Abstrak: Penyakit radang usus merupakan radang idiopatik kronis yang terjadi pada saluran pencernaan yang dibagi atas dua jenis yaitu kolitis ulseratif (KU) dan penyakit Crohn (PC). Penelitian ini bertujuan untuk mengetahui gambaran pasien radang usus berdasarkan jenis kelamin, usia, dan gambaran klinis tersering di Divisi Gastroenterologi Ilmu Penyakit Dalam RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2020 - 31 Desember 2022. Jenis penelitian ialah deskriptif retrospektif menggunakan data sekunder pasien selama periode tahun 2020 - 2022. Hasil penelitian mendapatkan jumlah pasien radang usus (n=86), PC (n=49), dan KU (n=37); laki-laki (n=54) dan perempuan (n=32); usia >45 tahun (65,1%), usia 25-45 tahun (26,7%), dan usia <25 tahun (8,1%). Gambaran klinis nyeri perut, nyeri ulu hati, BAB cair, lemah badan, dan BAB darah. Simpulan penelitian ini ialah pasien radang usus lebih banyak terdapat pada penyakit Crohn daripada kolitis ulserosa, didominasi oleh laki-laki  dan usia >45 tahun. Gambaran klinis yang paling sering ditemukan ialah nyeri perut. Kata kunci: penyakit radang usus; kolitis ulseratif; penyakit Crohn

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