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Left\u002DSided Portal Hypertension: a Case Series Image
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Left-Sided Portal Hypertension: a Case Series

Signet\u002DRing Cell Carcinoma of the Ampulla of Vater Image
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Signet-Ring Cell Carcinoma of the Ampulla of Vater

Left\u002DSided Portal Hypertension: a Case Series Image
Left\u002DSided Portal Hypertension: a Case Series Image
Journal article

Left-Sided Portal Hypertension: a Case Series

Signet\u002DRing Cell Carcinoma of the Ampulla of Vater Image
Signet\u002DRing Cell Carcinoma of the Ampulla of Vater Image
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Signet-Ring Cell Carcinoma of the Ampulla of Vater

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Effect of Omeprazole to Dyspeptic Symptom on Ramadan Fasting Patient Based on Dyspepsia Symptoms Severity Index Scores Image
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Effect of Omeprazole to Dyspeptic Symptom on Ramadan Fasting Patient Based on Dyspepsia Symptoms Severity Index Scores

Background: Dyspepsia is a symptoms collection of discomfort at the upper abdomen. Ramadan Fasting is a worship that must be run by all Moslems that do not eat and drink for ± 12 hours. Proton pump inhibitors are drugs commonly given to patients with dyspepsia with mechanism controlling gastric acid secretion. The aim of this study is to find the effect of omeprazole to the patient with dyspepsia and undergo Ramadan fasting.Method: Using analytic study design, conducted in outpatient in Koja Hospital Jakarta from June - July 2013, for patients with dyspepsia who will undergo Ramadan fasting. Subjects are divided into 2 groups; one group was given omeprazole while others were given a placebo. Before and after 2 weeks of fasting, dyspepsia symptoms severity index scores (DSSI) was taken which assessed changes in both groups and compared using student T-test.Results: DSSI scores on average before the intervention of both groups (n = 30) was not significant (p = 0.9). In the placebo group obtained increasing of DSSI score from 27.7 ± 14 to 36 ± 14.8 (p = 0.001), whereas in the omeprazole group obtained increasing of score only from 27.2 ± 9.4 to 30 ± 9.9 (p = 0.08). In the placebo group score worsened by 8.3 ± 7.2 but in the omeprazole group with only 2.7 ± 5.7 (p = 0.02).Conclusion: There was a significant decrease of DSSI scores in fasting patient with omeprazole. Therapy with omeprazole 20 mg twice daily during the month of fasting can reduce the abdominal complain in patient with dyspepsia.
Approach to the Patient with Accidentally Swallowing a Needle Image
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Approach to the Patient with Accidentally Swallowing a Needle

People are capable of ingesting, inserting, or injecting themselves or others with all manner of foreign objects. Ingested or inserted foreign bodies may cause bowel obstruction or perforation; which lead to severe hemorrhage, abscess formation, or septicemia; or distant embolization. Fortunately, once a foreign body has reached the stomach, it has an 80-90% chance of passage. All sharp foreign bodies should be removed before they pass from the stomach because 15-35% of these will cause intestinal perforation, usually in the area of the ileocecal valve. The abdominal radiograph should be made and repeated to confirm the location of foreign bodies. If a sharp foreign body does not progress for three consecutive days, surgical intervention should be considered and, if the patient becomes symptomatic, surgical intervention will be necessary. In this case, the patient had accidentally swallowed needle 2 days prior to admission, with no complaint any symptoms of abdominal discomfort, and no bloody stools. Observation is the treatment of choice for this case, since needle had passed stomach and reached colon, and it is hoped that the needle pass through without any complication.
Cause of Upper Gastrointestinal Tract Bleeding in Dengue Hemorrhagic Fever Patient Image
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Cause of Upper Gastrointestinal Tract Bleeding in Dengue Hemorrhagic Fever Patient

Gastroesophageal Reflux Disease in Push Up and Sit Up Exercise Image
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Gastroesophageal Reflux Disease in Push Up and Sit Up Exercise

Diagnosis and Treatment of Refractory Gastroesophageal Reflux Disease (GERD) Image
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Diagnosis and Treatment of Refractory Gastroesophageal Reflux Disease (GERD)

Do Hepatic Encephalopathy Patients Really Need a Low Protein in Their Diet Image
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Do Hepatic Encephalopathy Patients Really Need a Low Protein in Their Diet

Cause of Upper Gastrointestinal Tract Bleeding in Dengue Hemorrhagic Fever Patient Image
Cause of Upper Gastrointestinal Tract Bleeding in Dengue Hemorrhagic Fever Patient Image
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Cause of Upper Gastrointestinal Tract Bleeding in Dengue Hemorrhagic Fever Patient

Gastroesophageal Reflux Disease in Push Up and Sit Up Exercise Image
Gastroesophageal Reflux Disease in Push Up and Sit Up Exercise Image
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Gastroesophageal Reflux Disease in Push Up and Sit Up Exercise

Diagnosis and Treatment of Refractory Gastroesophageal Reflux Disease (GERD) Image
Diagnosis and Treatment of Refractory Gastroesophageal Reflux Disease (GERD) Image
Journal article

Diagnosis and Treatment of Refractory Gastroesophageal Reflux Disease (GERD)

Do Hepatic Encephalopathy Patients Really Need a Low Protein in Their Diet Image
Do Hepatic Encephalopathy Patients Really Need a Low Protein in Their Diet Image
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Do Hepatic Encephalopathy Patients Really Need a Low Protein in Their Diet

Management of Paralytic Ileus Image
Management of Paralytic Ileus Image
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Management of Paralytic Ileus

Gastroesophageal Reflux Disease in Indonesia Image
Gastroesophageal Reflux Disease in Indonesia Image
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Gastroesophageal Reflux Disease in Indonesia

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Correlation Between Quantitative HBsAg and HBV\u002DDNA in Chronic Hepatitis B Infection Image
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Correlation Between Quantitative HBsAg and HBV-DNA in Chronic Hepatitis B Infection

Background: Methods used to diagnose and monitor chronic hepatitis B (CHB) by quantitation of hepatitis B virus-deoxyribonucleic acid (HBV-DNA) levels is expensive. Cheaper laboratory test as an additional markeris needed, thus we studied serum quantitative HBsAg to be used as surrogate marker in CHB patients. This study was aimed to investigate correlation between serum quantitative HBsAg and HBV-DNA in CHB patients.Method: In this cross-sectional study, we enrolled 62 CHB patients between January 2010 and December 2012 who had quantitative HBsAg and HBV-DNA assays in a private laboratory at Denpasar. HBV-DNA was measured by real-time polymerase chain reaction and quantitative serum HBsAg was measured by chemiluminescent microparticle immunoassay (CMIA). Stastistical analysis was performed by Mann-Whitney and Spearman's correlation.Results: Of 62 patients, most subjects were males (82.26%). Mean HBsAg titer of CHB in HBeAg positive and negative patients were 281,000 and 4,900 IU/mL, respectively; while mean HBV-DNA in HBeAg positiveand negative patients were 59,000,000 and 7,530,000 IU/mL, respectively. We found that quantitative HBsAg and HBV-DNA in HBeAg positive and HBeAg negative patients were statistically signi cant (p = 0.0001, p = 0.0001, respectively). Signi cant correlation was found between serum quantitative HBsAg and HBV-DNA (r = 0.737; p= 0.000). Quantitative HBsAg was signi cantly correlated with HBV-DNA in HBeAg-positive subgroup (r = 0.717; p = 0.0001); and signi cant correlation was also found in HBeAg-negative subgroup (r = 0.443; p = 0.006) although the correlation was weak. Conclusion: Quantitative HBsAg has signi cant correlation with HBV-DNA in CHB patients.
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Gallstone and Diabetes Mellitus

Intestinal Amebiasis: Diagnosis and Management Image
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Intestinal Amebiasis: Diagnosis and Management

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Melanosis Coli

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Intestinal Amebiasis: Diagnosis and Management Image
Intestinal Amebiasis: Diagnosis and Management Image
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Intestinal Amebiasis: Diagnosis and Management

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Melanosis Coli Image
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Melanosis Coli

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Etiology Profile of Lower Gastrointestinal Bleeding

Etiology Profile of Lower Gastrointestinal Bleeding Image
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Normal Histological Appearances of the Duodenum Jejunum and Terminal Ileum in Indonesian People

Normal Histological Appearances of the Duodenum Jejunum and Terminal Ileum in Indonesian People Image
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