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Ditemukan 8 dokumen yang sesuai dengan query
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Adi Wijaya
"Incidence of esophageal adenocarcinoma is increasing in western countries and has poor prognosis due to late diagnosis. Barren's esophagus is considered as premalignant lesion in which some of squamous epithelium in distal esophagus has been replaced by metaplastic columnar ephithelium. It occurs as complication of longstanding gastroesophageal reflux.
Endoscopic examination is very important for early detection especially in patients with chronic symptoms of gastroesophageal reflux disease (GERD) for more than 5 years. Aggressive antireflux treatment may reduce the risk of esophageal carcinoma. However, no single therapeutic modality had been proven superior compare to others, but until now surgery remains the most popular treatment of choice in the management of Barren's esophagus.
"
2005
IJGH-6-2-August2005-42
Artikel Jurnal  Universitas Indonesia Library
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Kanetaka, Kengo
"ABSTRACT
Advances in tissue engineering techniques have made it possible to use human cells as biological material. This has enabled pharmacological studies to be conducted to investigate drug effects and toxicity, to clarify the mechanisms underlying diseases, and to elucidate how they compensate for impaired organ function. Many researchers have tried to construct artificial organs using these techniques, but none has succeeded in growing a whole organ. Unlike other digestive organs with complicated functions, such as the processing and absorption of nutrients, the esophagus has the relatively simple function of transporting content, which can be replicated easily by a substitute. In regenerative medicine, various combinations of materials have been applied, including scaffolding, cell sources, and bioreactors. Exciting results of tissue engineering techniques for the esophagus have been reported. In animal models, replacing full-thickness and full-circumferential defects remains challenging because of stenosis and leakage after implantation. Although many reports have manipulated various scaffolds, most have emphasized the importance of both epithelial and mesenchymal cells for the prevention of stenosis. However, the results of repair of partial full-thickness defects and mucosal defects have been promising. Two successful approaches for the replacement of mucosal defects in a clinical setting have been reported, although in contrast to the many animal models, there are few pilot studies in humans. We review the recent results and evaluate the future of regenerative medicine for the esophagus."
Tokyo: Springer, 2018
617 SUT 48:8 (2018)
Artikel Jurnal  Universitas Indonesia Library
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Ukhti Jamil Rustiasari
"[ABSTRAK
Latar Belakang : Esofagus Barrett (EB) merupakan lesi premaligna
adenokarsinoma esofagus yang meningkatkan risiko menjadi adenokarsinoma
sebesar 30-125 kali. EB didefinisikan sebagai perubahan epitel esofagus normal
digantikan oleh epitel kolumnar metaplastik, meskipun secara universal belum ada
kesepakatan definisi. Kehadiran sel goblet (metaplasia intestinal) sebagai penanda
EB hingga saat ini masih kontroversi. CDX2 adalah gen regulator transkripsi dalam
diferensiasi intestinal dan diketahui terekspresi pada EB. Studi mengenai ekspresi
protein Cdx2 menggunakan pulasan imunohistokimia pada EB dengan metaplasia
kolumnar (MK) maupun metaplasia intestinal (MI) masih terbatas. Penelitian ini
bertujuan untuk mengetahui ekspresi Cdx2 pada EB dengan MK dan MI serta
hubungannya dengan derajat keparahan endoskopi.
Bahan dan cara : Dilakukan pulasan imunohistokimia Cdx2 pada 38 kasus dari 19
pasien EB dengan MK dan 19 dengan MI. Penilaian dilakukan dengan menghitung
skor pulasan yang menilai intensitas pulasan dan persentase area positif.
Imunoekspresi Cdx2 dinilai positif apabila skor pulasan ≥ 0,1.
Hasil : Ekspresi Cdx2 ditemukan pada 12 (63,16%) kasus MK dan pada 16
(84,21%) kasus MI. Didapatkan nilai median kelompok MK sebesar 0,15 dan MI
sebesar 0,58. Terdapat perbedaan bermakna antara skor Cdx2 pada kelompok MK
dan MI (p=0,05). Diperoleh korelasi bermakna antara kehadiran MI dan skor Cdx2
dengan nilai korelasi positif lemah (0,322). Tidak terdapat hubungan bermakna
antara derajat keparahan endoskopi dengan jenis metaplasia (p=0,794), derajat
inflamasi berdasarkan histopatologik (p=0,300) maupun dengan positivitas Cdx2
(p=0,278).
Kesimpulan : Hasil penelitian menunjukkan ekspresi Cdx2 dapat digunakan sebagai penanda kehadiran MI pada kasus EB dengan MK tanpa gambaran sel goblet.ABSTRACT Background : Barrett?s Esophagus (BE) is premalignan lesion of the esophageal
adenocarcinoma that increases risk of adenocarcinoma as much as 30-125 times.
BE is defined as normal esophageal epithelium that is changed by columnar
epithelial metaplasia. Nevertheless, there is no general agreement about its
definition yet. Currently, the presence of goblet cell (intestinal metaplasia) as an
indicator of BE is still controversial. Cdx2 is a regulator transcript gene in intestinal
differentiation and is known expressed in BE. Study about Cdx2 protein expression
using immunohistochemistry staining in BE with columnar metaplasia (CM) or
intestinal metaplasia (IM) is still limited. This research is intended to find Cdx2
expression in BE with CM and IM as well as its relationship with the severity degree
of endoscopy.
Material and Method : Immunohistochemistry staining of Cdx2 was performed
on 38 cases (i.e. each 19 BE patients with CM and IM). The assessment was
evaluated by calculating staining score that assessed staining intensity and
percentage of positive area. Immunoexpression was considered as positive if
staining score ≥ 0.1.
Result : Cdx2 expression was found on 12 CM patients (63,16%) and 16 IM
patients (84,21%). Median scores of 0,15 and 0,58 were obtained from CM and IM
groups, respectively. There was a significant difference between Cdx2 score of CM
group and IM group (p = 0,05). Significant correlation between the presence of IM
and Cdx2 score was weak positive (0,322). There was no relationship between
severity degree of endoscopy with types of metaplasia (p=0,794), histopathologic
inflammation degree (p=0,300) or Cdx2 positivity (p=0,278).
Conclusion : This study shows that Cdx2 expression can be used an indicator of IM presence on EB cases with CM without goblet cell appearance.;Background : Barrett?s Esophagus (BE) is premalignan lesion of the esophageal
adenocarcinoma that increases risk of adenocarcinoma as much as 30-125 times.
BE is defined as normal esophageal epithelium that is changed by columnar
epithelial metaplasia. Nevertheless, there is no general agreement about its
definition yet. Currently, the presence of goblet cell (intestinal metaplasia) as an
indicator of BE is still controversial. Cdx2 is a regulator transcript gene in intestinal
differentiation and is known expressed in BE. Study about Cdx2 protein expression
using immunohistochemistry staining in BE with columnar metaplasia (CM) or
intestinal metaplasia (IM) is still limited. This research is intended to find Cdx2
expression in BE with CM and IM as well as its relationship with the severity degree
of endoscopy.
Material and Method : Immunohistochemistry staining of Cdx2 was performed
on 38 cases (i.e. each 19 BE patients with CM and IM). The assessment was
evaluated by calculating staining score that assessed staining intensity and
percentage of positive area. Immunoexpression was considered as positive if
staining score ≥ 0.1.
Result : Cdx2 expression was found on 12 CM patients (63,16%) and 16 IM
patients (84,21%). Median scores of 0,15 and 0,58 were obtained from CM and IM
groups, respectively. There was a significant difference between Cdx2 score of CM
group and IM group (p = 0,05). Significant correlation between the presence of IM
and Cdx2 score was weak positive (0,322). There was no relationship between
severity degree of endoscopy with types of metaplasia (p=0,794), histopathologic
inflammation degree (p=0,300) or Cdx2 positivity (p=0,278).
Conclusion : This study shows that Cdx2 expression can be used an indicator of IM presence on EB cases with CM without goblet cell appearance., Background : Barrett’s Esophagus (BE) is premalignan lesion of the esophageal
adenocarcinoma that increases risk of adenocarcinoma as much as 30-125 times.
BE is defined as normal esophageal epithelium that is changed by columnar
epithelial metaplasia. Nevertheless, there is no general agreement about its
definition yet. Currently, the presence of goblet cell (intestinal metaplasia) as an
indicator of BE is still controversial. Cdx2 is a regulator transcript gene in intestinal
differentiation and is known expressed in BE. Study about Cdx2 protein expression
using immunohistochemistry staining in BE with columnar metaplasia (CM) or
intestinal metaplasia (IM) is still limited. This research is intended to find Cdx2
expression in BE with CM and IM as well as its relationship with the severity degree
of endoscopy.
Material and Method : Immunohistochemistry staining of Cdx2 was performed
on 38 cases (i.e. each 19 BE patients with CM and IM). The assessment was
evaluated by calculating staining score that assessed staining intensity and
percentage of positive area. Immunoexpression was considered as positive if
staining score ≥ 0.1.
Result : Cdx2 expression was found on 12 CM patients (63,16%) and 16 IM
patients (84,21%). Median scores of 0,15 and 0,58 were obtained from CM and IM
groups, respectively. There was a significant difference between Cdx2 score of CM
group and IM group (p = 0,05). Significant correlation between the presence of IM
and Cdx2 score was weak positive (0,322). There was no relationship between
severity degree of endoscopy with types of metaplasia (p=0,794), histopathologic
inflammation degree (p=0,300) or Cdx2 positivity (p=0,278).
Conclusion : This study shows that Cdx2 expression can be used an indicator of IM presence on EB cases with CM without goblet cell appearance.]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Intan Nevita Oktamiya Bernanthos
"Latar belakang: Kanker esofagus dilaporkan sebagai penyebab kematian keenam dari seluruh jenis kanker yang ada di seluruh dunia. Salah satu faktor risiko terjadinya
keganasan esofagus, terutama adenokarsinoma esofagus adalah gastroesophageal reflux disease (GERD). Diagnosis dini GERD sangat penting karena esofagitis refluks kronis
merupakan faktor risiko utama terjadinya Barret esofagus, yang merupakan lesi prekursor terjadinya adenokarsinoma esofagus.Tujuan penelitian ini adalah untuk mengetahui ekspresi p53 dan Ki67 pada esofagitis refluks derajat ringan, esofagitis refluks derajat berat dengan kriteria Esohisto dan Barret esofagus. Bahan dan cara: Penelitian ini merupakan penelitian deskriptif dengan desain
penelitian potong lintang, dengan melakukan pulasan imunohistokimia p53 dan Ki67 pada 76 kasus sampel yang terbagi menjadi 30 kasus esofagitis refluks derajat ringan, 14 kasus esofagitis refluks derajat berat, dan 32 kasus Barret esofagus di Departemen Patologi Anatomik Fakultas Kedokteran Universitas Indonesia/Rumah Sakit Cipto mangunkusumo (FKUI/RSCM) tahun 2016-2018.
Hasil: Ekspresi p53 positif pada 54 kasus sampel (71,1%), terbanyak pada Barret esofagus sebanyak 28 kasus (51,9%). Ekspresi Ki67 tinggi pada 46 kasus (60,5%), terbanyak pada esofagitis refluks derajat berat sebanyak 12 kasus (85,7%) Kesimpulan: Ekspresi p53 dan Ki67 pada esofagitis refluks derajat berrat dan Barret esofagus lebih tinggi dibanding dengan esofagitis refluks derajat ringan.

Background: Esophageal cancer is reported as the sixth leading cause of death from all types of cancer worldwide. One of the risk factors for esophageal malignancy, especially esophageal adenocarcinoma is gastroesophageal reflux disease (GERD). Early diagnosis of GERD is very important because chronic reflux esophagitis is a major risk factor for Barrett esophagus, which is a precursor lesion to esophageal adenocarcinoma. The aim of this study was to determine p53 and Ki67 expression in mild reflux esophagitis, severe reflux esophagitis with the criteria of Esohisto and Barrett esophagus. Materials and methods: This study is a descriptive study with a cross-sectional design, by performing immunohistochemical results of p53 and Ki67 in 76 sample cases which were divided into 30 cases of mild reflux esophagitis, 14 cases of severe reflux esophagitis, and 32 cases of Barret esophagus in the Department Anatomical Pathology, Faculty of Medicine, University of Indonesia / Cipto Mangunkusumo Hospital (FKUI / RSCM) 2016-2018. Results: P53 positive expression in 54 sample cases (71.1%), most in Barret esophagus
as many as 28 cases (51.9%). Ki67 expression was high in 46 cases (60.5%), most in severe reflux esophagitis as many as 12 cases (85.7%) Conclusion: The expression of p53 and Ki67 in severe reflux esophagitis and Barrett esophagus was higher than in mild reflux esophagitis.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2020
T57616
UI - Tesis Membership  Universitas Indonesia Library
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Irene Saveria
"ABSTRACT
Non-Cirrhotic Portal Hypertension (NCPH) is a rare cause of hematemesis and melena. Like in cirrhotic patient, hematemesis in NCPH patient was caused by rupture of esophageal varices. But unlike in cirrhotic patient, in NCPH there are no sign of liver failure, because liver physiology is still normal. We reported case of male patient with NCPH that had hematemesis because of rupture of esophageal varices."
Jakarta: University of Indonesia. Faculty of Medicine, 2019
610 UI-IJIM 51:2 (2019)
Artikel Jurnal  Universitas Indonesia Library
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Manzoni, Giovanni de, editor
"This book aims to give a homogeneous approach to esophageal cancer treatment, based on the author’s lifetime experience in conjunction with exhaustive review of recent literature. In each chapter surgeons and oncologists will find appropriate tools for correct management of the diagnosis and therapy of this difficult disease. The book analyzes all the aspects of staging and treatment, such as modern diagnostic and staging techniques (MRI or PET-CT), endoscopic treatment of early cancer, new minimally invasive and open surgical techniques, and combined treatment. In addition, there are chapters dedicated to the postoperative course of these patients, as well as their quality of life, with indications for the correct follow-up and treatment of relapses."
Milan: Springer, 2012
e20420782
eBooks  Universitas Indonesia Library
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Nadya Putsa Dhiniansa
"ABSTRAK
Praktek kerja profesi di Rumah Sakit Umum Pusat Fatmawati Periode Juli ndash; Agustus Tahun 2017 bertujuan untuk memahami peranan, tugas, dan tanggung jawab apoteker dalam praktek pelayanan kefarmasian dan memiliki pengetahuan, keterampilan, sikap perilaku serta wawasan dan pengalaman nyata untuk melakukan pekerjaan kefarmasian di rumah sakit. Selain itu, calon apoteker juga dapat mempelajari strategi dan pengembangan praktek profesi apoteker, memiliki gambaran nyata tentang permasalahan pekerjaan kefarmasian, serta mampu berkomunikasi dan berinteraksi dengan tenaga kesehatan lain yang bertugas di rumah sakit. Praktek kerja profesi di Rumah Sakit Umum Pusat Fatmawati dilakukan selama enam minggu dengan tugas khusus yaitu ldquo;Pemantauan Terapi Obat pada Bayi dengan Kondisi Berat Badan Lahir Rendah dan Atresia Esofagus di Ruang Perina Gedung Bougenville rdquo;. Tujuan dari tugas khusus ini adalah untuk memantau terapi obat pada pasien yang terdapat di ruangan NICU Perina dan mengetahui rekomendasi solusi yang tepat untuk mencapai keberhasilan terapi yang diterima pasien.
Internship at General Hospital Center of Fatmawati Period July-August 2017 aims to understand the role, duties, and responsibilities of pharmacists in the practice of pharmaceutical services and have the knowledge, skills, professionalism, as well as insights and real experience to undertake pharmaceutical work in the hospital. In addition, the pharmacist candidate can also learn the strategies and development of professional practice of pharmacists, have a real picture about pharmaceutical work issues, as well as be able to communicate and interact with other health personnel who served in the hospital Internship at General Hospital Center of Fatmawati was conducted for six weeks with special assignment ldquo;Monitoring Drug Therapy In Baby With Low Birth Weight and Esophagus Atresia in Perina Room of Bougenville Building rdquo;. The purpose of this special assignment is to monitor drug therapy of patient in NICU and know the right recomendation to achieve the success of therapy received by the patient."
Depok: Fakultas Farmasi Universitas Indonesia, 2020
PR-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
"This textbook provides a comprehensive and state-of-the-art overview of the major issues specific to the field of pediatric gastroenterology, hepatology, and nutrition. The first part of the book, Gastroenterology and Nutrition, presents in a systematic way the overall scope of issues encountered by children (newborn to teenagers) suffering from disorders of the gastrointestinal tract, pancreas and/or presenting nutritional issues. These chapters are structured in logical sections to facilitate consultation and include major topics ranging from congenital disorders to gastrointestinal problems of the newborn, infectious diseases of the gastrointestinal tract, and approach to nutritional problems in the various pediatric ages. The second part of the book, Hepatology, is articulated in a series of chapters which present a comprehensive review of congenital and acquired disorders of the biliary tract and liver. This section also includes a critical analysis of available diagnostic and therapeutic procedures and future perspectives. 
Written by experts in the field, Textbook of Pediatric Gastroenterology, Hepatology and Nutrition: A Comprehensive Guide to Practice constitutes a much needed, innovative resource combining updated, reliable and comprehensive information with agile consultation for a streamlined approach to the care of children with such disorders."
United Kingdom: Springer-Verlag, 2016
e20528454
eBooks  Universitas Indonesia Library