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Correlation Between TNF\u002D Α and Degree of Gastritis Image
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Correlation Between TNF- Α and Degree of Gastritis

Advanced Gastric Cancer in a Young Male Patient Image
Journal article

Advanced Gastric Cancer in a Young Male Patient

Correlation Between TNF\u002D Α and Degree of Gastritis Image
Correlation Between TNF\u002D Α and Degree of Gastritis Image
Journal article

Correlation Between TNF- Α and Degree of Gastritis

Advanced Gastric Cancer in a Young Male Patient Image
Advanced Gastric Cancer in a Young Male Patient Image
Journal article

Advanced Gastric Cancer in a Young Male Patient

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Inducing and Aggravating Factors of Gastroesophageal Reflux Symptoms Image
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Inducing and Aggravating Factors of Gastroesophageal Reflux Symptoms

Gastroesophageal reflux disease (subsequently abbreviated as GERD) is a disease commonly found in the community. Several factors have been recognized as inducing and aggravating factors of GERD symptoms such as older age, female gender, obesity, smoking habit, alcohol consumption, certain diet and poor eating habit like eating fatty, spicy, and acid food.
CD38+ Liver Stellate Cells in Chronic Hepatitis C Patients with Fibrosis Image
Journal article

CD38+ Liver Stellate Cells in Chronic Hepatitis C Patients with Fibrosis

Background: Approximately 3% of the world population is infected with hepatitis C virus (HCV). Protein of hepatitis C virus modulates apoptosis and steatosis, liver cell injury, activates liver stellate cells and liver fibrosis. Hepatitis C virus infection will cause injury to the hepatocytes. This injury to the hepatocyte will activate liver stellate cells. Stellate cells have a huge role in the development of liver fibrosis. The objective of this study is to evaluate the difference of active CD38+ liver stellate cells in various degree of fibrosis as well as its relation with aspartate transaminase (AST), alanine transaminase (ALT), and quantitative amount of hepatitis c virus ribonucleic acid (HCV RNA) in chronic hepatitis C.Method: This study was a cross-sectional study performed in 32 patients with chronic hepatitis C who had undergone liver USG, did not suffer from hepatoma, had undergone liver biopsy. Paraffin block of patients' liver tissue was further stained using Haematoxylin and Eosin technique to identify the Metavir degree which is categorized into mild-moderate or severe degree. Special staining is performed to evaluate liver stellate cells that were then counted in averagely in five fields of view.Results: In this study, we found significant difference in the amount of CD38+ stellate liver cells between severe and mild-moderate fibrosis (p < 0.001), there was no association between CD38+ stellate liver cells with AST (p = 0.2) or ALT (p = 0.7), and there was association between CD38+ stellate liver cells with quantitative HCV RNA (r = -0.372).Conclusion: Total amount of CD38+ stellate liver cells in severe fibrosis was higher compared to the total amount of CD38+ liver stellate cells in mild-moderate fibrosis. There was no association between the value of AST, ALT, and quantitative HCV RNA with the number of CD38+ stellate liver cells.
Etiology Profile of Lower Gastrointestinal Bleeding Image
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Etiology Profile of Lower Gastrointestinal Bleeding

The Role of Vitamin D in Inflammatory Bowel Disease Pathogenesis and Management Image
Journal article

The Role of Vitamin D in Inflammatory Bowel Disease Pathogenesis and Management

Prevalence of Gastroesophageal Reflux Disease and Its Risk Factors in Rural Area Image
Journal article

Prevalence of Gastroesophageal Reflux Disease and Its Risk Factors in Rural Area

Etiology Profile of Lower Gastrointestinal Bleeding Image
Etiology Profile of Lower Gastrointestinal Bleeding Image
Journal article

Etiology Profile of Lower Gastrointestinal Bleeding

The Role of Vitamin D in Inflammatory Bowel Disease Pathogenesis and Management Image
The Role of Vitamin D in Inflammatory Bowel Disease Pathogenesis and Management Image
Journal article

The Role of Vitamin D in Inflammatory Bowel Disease Pathogenesis and Management

Prevalence of Gastroesophageal Reflux Disease and Its Risk Factors in Rural Area Image
Prevalence of Gastroesophageal Reflux Disease and Its Risk Factors in Rural Area Image
Journal article

Prevalence of Gastroesophageal Reflux Disease and Its Risk Factors in Rural Area

Cost Effectiveness and Efficiency of Reusing Single\u002Duse Medical Devices Image
Cost Effectiveness and Efficiency of Reusing Single\u002Duse Medical Devices Image
Journal article

Cost Effectiveness and Efficiency of Reusing Single-use Medical Devices

Correlation Between Serum Albumin Level and Degree of Esophageal Varices in Patients with Liver Cirrhosis Image
Correlation Between Serum Albumin Level and Degree of Esophageal Varices in Patients with Liver Cirrhosis Image
Journal article

Correlation Between Serum Albumin Level and Degree of Esophageal Varices in Patients with Liver Cirrhosis

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Treatment Options of Lemmel\u0027s Syndrome: a Case of Benign Obstructive Jaundice in the Elderly Image
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Treatment Options of Lemmel's Syndrome: a Case of Benign Obstructive Jaundice in the Elderly

Lemmel's syndrome, also known as duodenal diverticulum obstructive jaundice, is a rare cause of benign obstructive jaundice that should be included in the differential diagnosis of biliary obstruction when PAD is present, in the absence of cholelithiasis or other detectable obstacle. Diagnosing Lemmel's syndrome could be challenging, but being aware of this condition is important to avoid mismanagement and it begins with identification of PAD, while interpreting any bile duct imaging. It can be misinterpreted as periampullary tumors, biliary stones, or pancreatic pseudocyst. Symptomatic patients can be successfully managed endoscopically in many cases but surgical management would be necessary in selected cases.We present a patient with benign obstructive jaundice caused by Lemmel's syndrome who was successfully treated with endoscopic sphicterectomy. A 67 years old female presented to the emergency department with chief complaint of jaundice. The patient was assesed to have obstructive jaundice cause by a duodenal mass, elevation of transaminase enzime supected caused by drug induced liver injury, hypertension (controlled), and anterior extensive coronary ischemia. Endoscopic retrograde cholangiopancreatografi (ERCP) showing mutiple giant diverticle in second part of duodenum, stenosis of the distal CBD with compression of diverticular extra luminal as a differential diagnosis. Endoscopic ultrasound (EUS) was performed to exlude a periampullary tumor, resulting distal CBD stenosis due to compression of multiple periampullary diverticula (PAD). We performed an endoscopic sphinterectomy (EST) and the stent was removed. A further evaluation of the tuberculous lymphadenitis was planned as outpatient setting. One month follow-up, no recurence of jaundice was observed.
The Use of Immunochemical Fecal Occult Blood Test as Colorectal Cancer Screening Tool in Asymptomatic Population in Indonesia Image
Journal article

The Use of Immunochemical Fecal Occult Blood Test as Colorectal Cancer Screening Tool in Asymptomatic Population in Indonesia

Age and Alarm Symptoms Predict Upper Gastrointestinal Malignancy Among Patients with Dyspepsia Image
Journal article

Age and Alarm Symptoms Predict Upper Gastrointestinal Malignancy Among Patients with Dyspepsia

Pharmacological and Non\u002DPharmacological Treatment in Non\u002DAlcoholic Fatty Liver Disease Image
Journal article

Pharmacological and Non-Pharmacological Treatment in Non-Alcoholic Fatty Liver Disease

The Use of Immunochemical Fecal Occult Blood Test as Colorectal Cancer Screening Tool in Asymptomatic Population in Indonesia Image
The Use of Immunochemical Fecal Occult Blood Test as Colorectal Cancer Screening Tool in Asymptomatic Population in Indonesia Image
Journal article

The Use of Immunochemical Fecal Occult Blood Test as Colorectal Cancer Screening Tool in Asymptomatic Population in Indonesia

Age and Alarm Symptoms Predict Upper Gastrointestinal Malignancy Among Patients with Dyspepsia Image
Age and Alarm Symptoms Predict Upper Gastrointestinal Malignancy Among Patients with Dyspepsia Image
Journal article

Age and Alarm Symptoms Predict Upper Gastrointestinal Malignancy Among Patients with Dyspepsia

Pharmacological and Non\u002DPharmacological Treatment in Non\u002DAlcoholic Fatty Liver Disease Image
Pharmacological and Non\u002DPharmacological Treatment in Non\u002DAlcoholic Fatty Liver Disease Image
Journal article

Pharmacological and Non-Pharmacological Treatment in Non-Alcoholic Fatty Liver Disease

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Procalcitonin Level Differences in Patients with Liver Cirrhosis Without Bacterial Infection

Procalcitonin Level Differences in Patients with Liver Cirrhosis Without Bacterial Infection Image
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Gastric PH Comparison Between Mild and Severe Cirrhotic Portal Hypertensive Gastropathy

Gastric PH Comparison Between Mild and Severe Cirrhotic Portal Hypertensive Gastropathy Image
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Precancerous Lesions in Gastrointestinal Tract

Precancerous Lesions in Gastrointestinal Tract Image
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Common Bile Duct Stricture Post Open Cholecystectomy

Common Bile Duct Stricture Post Open Cholecystectomy Image
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Gallstone Analysis

Gallstone Analysis Image
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