PROFIL KLINIS HIRSCHSPRUNG PADA ANAK DI RSUP DR. MOHAMMAD HOESIN PALEMBANG TAHUN 2019-2022

DIBYA, NAZWA ZAHWALIVA and Dastamuar, Shalita and Ziske, Maritska (2023) PROFIL KLINIS HIRSCHSPRUNG PADA ANAK DI RSUP DR. MOHAMMAD HOESIN PALEMBANG TAHUN 2019-2022. Undergraduate thesis, Sriwijaya University.

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Abstract

Background: Hirschsprung's Disease is a condition characterized by a disorder of the enteric nervous system, marked by the absence of ganglion cells in the myenteric and submucosal plexuses of the distal intestine. HSCR is a congenital disease and is considered one of the most challenging diagnoses in Pediatric Surgery. Additionally, Down Syndrome is the most common disorder associated with HSCR. HSCR is a complex congenital condition that has long-term implications for the quality of life of affected individuals. The aim of this research is to determine the clinical profile of Hirschsprung's Disease in children at Dr. Mohammad Hoesin Hospital Palembang from 2019 to 2022. Methods: This research is a descriptive observational research using secondary data from the medical records of pediatric patients with Hirschsprung's Disease at Dr. Mohammad Hoesin Hospital Palembang from 2019 to 2022, employing a cross-sectional approach. The obtained data were analyzed using univariate analysis. Results: In this study, out of 177 patients, 100 patients (56.5%) were neonates, 31 patients (17.5%) were infants, 22 patients (12.4%) were toddlers, 19 patients (10.7%) were children, and 5 patients (2.8%) were adolescents. Of the total, 134 patients (75.7%) were male, while 43 patients (24.3%) were female. Hirschsprung's short-segment type was observed in 172 cases (97.2%), long-segment in 3 cases (1.7%), and Total Colonic Aganglionosis in 2 cases (1.1%). The main complaints were abdominal distension in 113 cases (63.8%), constipation in 39 cases (22%), inability to defecate in 14 cases (7.9%), green vomiting in 7 cases (4%), delayed meconium passage and diarrhea in 2 cases (1.1%). The most common surgical interventions were the Soave technique in 52 procedures (29.4%), the Swenson technique in 42 procedures (23.7%), Rectal washing in 48 procedures (27.1%), Colostomy in 31 procedures (17.5%), the Duhamel technique in 3 procedures (1.7%), and the Kimura procedure in 1 procedure (0.6%). All 177 patients (100%) denied having a history of the same illness. Eight patients had Down Syndrome (4.5%), and 6 patients (3.4%) experienced complications in the form of Hirschsprung-Associated Enterocolitis. Conclusion: In this study, out of 177 patients, the majority belonged to the neonatal age group, totaling 100 patients (56.5%). The most common type was short-segment, with a total of 172 cases (97.2%). The most prevalent complaint was abdominal distension, totaling 113 cases (63.8%). The most common treatment approach was the Soave technique, with a total of 52 procedures (29.4%). All 177 patients (100%) denied having a history of the same illness. Eight patients had Down Syndrome (4.5%), and 6 patients (3.4%) experienced complications in the form of Hirschsprung-Associated Enterocolitis.

Item Type:	Thesis (Undergraduate)
Uncontrolled Keywords:	Profil Klinis Hirschsprung (HSCR), Hirschsprung-Associated Enterocoliti (HAEC).
Subjects:	R Medicine > RD Surgery > RD1-811 Surgery
Divisions:	04-Faculty of Medicine > 11201-Medicine (S1)
Depositing User:	Nazwa Zahwaliva Dibya
Date Deposited:	22 Dec 2023 06:50
Last Modified:	22 Dec 2023 07:53
URI:	http://repository.unsri.ac.id/id/eprint/136883

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