KARAKTERISTIK BENDA ASING ESOFAGUS DI RSUP SANGLAH PERIODE JANUARI 2019 – DESEMBER 2020
| Main Authors: | William, ., Dewantara, I Putu Santhi, Asthuta, Agus Rudi, Sutanegara, Sari Wulan Dwi |
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| Format: | Article info application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Universitas Udayana
, 2022
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| Online Access: |
https://ojs.unud.ac.id/index.php/eum/article/view/80560 https://ojs.unud.ac.id/index.php/eum/article/view/80560/44873 |
Daftar Isi:
- ABSTARK Latar Belakang: Benda asing esofagus merupakan makanan atau benda yang tajam maupun tumpul yang terhenti di esofagus dan tidak dapat melewati saluran cerna secara spontan dan merupakan kasus kegawatdaruratan. Penderita benda asing esofagus banyak ditemukan pada anak-anak, dimana koin merupakan benda tersering yang ditemukan di daerah servikal atau dibawah krikofaringeus, beragamnya karakteristik pasien dan sedikitnya penelitian terkait benda asing esofagus di Indonesia. Tujuan: Mengetahui jumlah kasus benda asing esofagus dan karakteristik pasien berdasarkan usia, jenis kelamin, lokasi benda asing, keluhan utama, durasi tertelan, jenis benda asing, penatalaksanaan dan komplikasi terbanyak di RSUP Sanglah Denpasar periode Januari 2019 – Desember 2020. Metode: Penelitian ini menggunakan metode deskriptif dengan desain penelitian studi potong lintang secara retrospektif. Hasil: Terdapat 89 kasus penelitian yang didapat secara total sampling, dimana sebagian besar pasien berjenis kelamin perempuan sebanyak 46 pasien (51.7%), berdasarkan kelompok usia anak- anak merupakan kasus tersering sebanyak 40 pasien (44.9%), dan keluhan utama tersering pada seluruh pasien adalah keluhan berupa disfagia sebanyak 52 kasus (58.5%), dan koin merupakan benda asing yang paling banyak ditemukan yaitu 30 kasus (33.6%). Pars cervicalis merupakan lokasi tersering ditemukanya benda asing yaitu dengan jumlah 55 kasus (61.7%), 79 kasus (88.8%) pasien benda asing esofagus menjalani esofagoskopi sebagai penatalaksanaannya, dan 34 pasien (38.2%) tidak mengalami komplikasi dikarenakan sebagian besar benda asing berhasil di ekstrasi dalam durasi waktu 0 – 24 jam, yaitu sebanyak 54 kasus (60.7%). Kesimpulan: Benda asing terjadi terbanyak pada anak-anak dengan jenis benda asing berupa koin, sehingga pentingnya edukasi kepada orang tua untuk meningkatkan kewaspadaan anak-anaknya saat bermain dengan benda yang berpotensial non-organik seperti koin masuk ke dalam rongga tubuh terutama esofagus, dan edukasi kepada masyarakat luas mengenai makan tidak terburu buru dan hati hati. Kata kunci: Benda asing, esofagus, RSUP Sanglah, Denpasar, esofagoskopi, karakteristik.
- ABSTRACT Background: Esophageal foreign bodies are food or sharp or blunt objects that stop in the esophagus and cannot pass through the gastrointestinal tract spontaneously and are an emergency case. Patients with esophageal foreign bodies are often found in children, where coins are the most common object found in the cervical area or below the cricopharyngeal, various patient characteristics and the lack of research related to esophageal foreign bodies in Indonesia. Objective: To obtain the total cases of esophageal foreign body and patient characteristics based on age, gender, location of foreign body, chief complaint, duration of ingestion, type of foreign body, management and most complications at Sanglah Hospital, Denpasar for the period January 2019 – December 2020. Methods: This Study uses a descriptive method with a retrospective cross-sectional study design. Results: There were 89 cases obtained by total sampling, the most of the patients were female as many as 46 patients (51.7%), based on the age group of children were the most frequent cases as many as 40 patients (44.9%), and the most common chief complaint were dysphagia which were 52 cases (58.5%), and coins were the most common foreign bodies found in 30 cases (33.6%). Pars cervicalis is the most common location of impaction, with 55 cases (61.7%), 79 cases (88.8%) of patients underwent esophagoscopy as treatment, and 34 patients (38.2%) were without complications. Foreign bodies were successfully extracted within a duration of 0-24 hours in 54 cases (60.7%). Conclusion: Foreign bodies occur mostly in children with the forms of coin, so the importance of educating parents to increase their children's awareness when playing with potentially non-organic objects such as coins entering the body cavity, especially the esophagus, and educating the public about eating not in a hurry and with caution. Keywords: Foreign body, esophagus, Sanglah Hospital, Denpasar, esophagoscopy, characteristics