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INDONESIA
e-CliniC
Published by Universitas Sam Ratulangi
ISSN : 23375949     EISSN : -     DOI : -
Core Subject : Health,
Health Professions
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.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 1,092 Documents
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Karakteristik Pasien dengan Benda Asing Esofagus di RSUP Prof. Dr. R. D. Kandou Manado Karokaro, Yose L. F. H.; Mengko, Steward K.; Najoan, Rizki R.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65856

Abstract

Abstract: Esophageal foreign bodies represent a medical emergency that may lead to serious complications in adults and children. Esophagoscopy serves as the main modality for identifying the location and removing the foreign body, either using rigid or flexible instruments. This study aimed to determine the characteristics of patients with esophageal foreign bodies at Prof. Dr. R. D. Kandou General Hospital Manado. This was a descriptive and retrospective study using medical record data of patients diagnosed with esophageal foreign bodies at Prof. Dr. R. D. Kandou General Hospital Manado for the years 2020–2024. The results showed that out of 56 samples, 55.35% were male patients. The highest percentages were found in childhood age group (48.21%), odynophagia (32.14%), and dysphagia (30.36%) as the primary symptoms, inorganic foreign bodies (85.71%), and cervical esophagus (80.36%) as the site of impaction. Rigid esophagoscopy was the most commonly used extraction method (96.42%). In conclusion, esophageal foreign bodies are more commonly found in males, predominantly in children. Odynophagia was the most frequently reported symptom. Most foreign bodies causing impaction were inorganic in nature, and the cervical esophagus was the most common site of lodgment. Rigid esophagoscopy remains the primary modality used in management. Keywords: esophageal foreign body; esophagoscopy management; rigid esophagoscopy   Abstrak: Benda asing esofagus merupakan salah satu kegawatdaruratan medis yang berpotensi menimbulkan komplikasi serius baik pada anak maupun dewasa. Esofagoskopi menjadi modalitas utama dalam menentukan lokasi dan sekaligus mengekstraksi benda asing, baik dengan esofagoskopi kaku maupun fleksibel. Penelitian ini bertujuan untuk mengetahui karakteristik pasien dengan benda asing esofagus di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif, menggunakan data rekam medis pasien dengan diagnosis benda asing esofagus di RSUP Prof. Dr. R. D. Kandou Manado periode 2020-2024. Hasil penelitian mendapatkan 56 sampel penelitian; 55,35% ialah pasien laki-laki. Persentase tertinggi didapatkan pada kelompok usia anak-anak (48,21%), gejala utama odinofagia (32,14%) dan disfagia (30,36%), jenis benda asing anorganik (85,71%), lokasi impaksi pada segmen servikal (80,36%), dan esofagoskopi kaku sebagai metode ekstraksi (96,42%). Simpulan penelitian ialah kejadian benda asing esofagus lebih sering ditemukan pada laki-laki, terutama kelompok usia anak-anak, dengan keluhan odinofagia, benda asing anorganik, lokasi pada segmen servikal esofagus, dan penatalaksanaan menggunakan esofagoskopi kaku. Kata kunci: benda asing esofagus; tatalaksana esofagoskopi; esofagoskopi kaku
Perbedaan Luaran Maternal dan Perinatal¬¬ pada Preeklamsia Onset Dini dan Onset Lambat di RSUP Prof. Dr. R. D. Kandou Manado Arikalang, Natan; Suparman, Erna; Wantania, John J. E.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65895

Abstract

Abstract: Timing of preeclampsia onset, early-onset (<34 weeks) and late-onset (≥34 weeks), is known to be associated with varying degrees of severity and pregnancy outcomes. This study aimed to determine the differences in maternal and perinatal outcomes between early-onset and late-onset preeclampsia at Prof. Dr. R. D. Kandou General Hospital Manado during years 2022–2024. This was an analytical and observational study with a cross-sectional approach. Data were collected retrospectively from medical records using a total sampling technique. Data were analyzed using the chi-square test or Fisher’s exact test. The results obtained 488 patients that met the inclusion criteria, consisting of 159 patients with early-onset preeclampsia and 329 patients with late-onset preeclampsia. Maternal outcomes such as eclampsia (13.2% vs 1.8%; p<0,001), HELLP syndrome (33.3% vs 4.9%; p<0.001), and maternal mortality (5.0% vs 0.9%; p=0.007) were significantly higher in the early-onset group. Meanwhile, pulmonary edema and placental abruption showed no significant difference. For perinatal outcomes, early-onset preeclampsia demonstrated a markedly higher rate of complications, including prematurity (91.8%), low birth weight (92.5%), neonatal asphyxia (58.5%), IUGR (34.0%), and perinatal mortality (54.7%), all with p<0.001 compared to the late-onset group. In conclusion, there are significant differences in maternal and perinatal outcomes between early-onset and late-onset preeclampsia at Prof. Dr. R. D. Kandou General Hospital Manado, with early-onset preeclampsia being associated with poorer maternal and perinatal outcomes. Keywords: preeclampsia; early-onset; late-onset; maternal outcomes; perinatal outcomes   Abstrak: Waktu munculnya preeklamsia, yaitu onset dini (<34 minggu) dan onset lambat (≥34 minggu), diketahui berkaitan dengan variasi tingkat keparahan dan luaran kehamilan. Penelitian ini bertujuan untuk mengetahui perbedaan luaran maternal dan perinatal pada preeklamsia onset dini dan onset lambat di RSUP Prof. Dr. R. D. Kandou Manado periode 2022–2024. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Data dikumpulkan secara retrospektif melalui rekam medis menggunakan teknik total sampling Hasil penelitian mendapatkan 488 pasien yang memenuhi kriteria inklusi, terdiri dari 159 pasien dengan preeklamsia onset dini dan 329 pasien dengan onset lambat. Analisis statistik menggunakan uji chi-square atau Fisher’s Exact. Luaran maternal seperti eklampsia (13,2% vs 1,8%; p<0,001), sindrom HELLP (33,3% vs 4,9%; p<0,001), serta mortalitas maternal (5,0% vs 0,9%; p=0,007) secara bermakna lebih tinggi pada kelompok onset dini, sedangkan edema paru dan solusio plasenta tidak menunjukkan perbedaan bermakna. Pada luaran perinatal, onset dini memiliki proporsi komplikasi yang jauh lebih tinggi, mencakup prematuritas (91,8%), BBLR (92,5%), asfiksia neonatorum (58,5%), IUGR (34,0%), dan mortalitas perinatal (54,7%), seluruhnya dengan nilai p<0,001 dibanding onset lambat. Simpulan penelitian ini ialah terdapat perbedaan bermakna antara luaran maternal dan perinatal pada pasien preeklamsia onset dini dan onset lambat di RSUP Prof. Dr. R. D. Kandou Manado, dimana onset dini berkaitan dengan luaran maternal dan perinatal yang lebih buruk. Kata kunci: preeklamsia; onset dini; onset lambat; luaran maternal; luaran perinatal

Page 110 of 110 | Total Record : 1092

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