ANALISIS PEMERIKSAAN CT SCAN ABDOMEN PADA KASUS SUSP STENOSIS PYLORUS GASTER DI INSTALASI RADIOLOGI RSUP PERSAHABATAN
DOI:
https://doi.org/10.31004/prepotif.v8i3.34682Keywords:
Abdomen, Stenosis Pylorus, Gaster, Oral, IntravenaAbstract
Stenosis pylorus adalah kondisi penyempitan pada bagian pylorus gaster yang menghambat pengosongan lambung ke usus. Penyakit ini lebih sering terjadi pada bayi dan jarang ditemukan pada orang dewasa. Pemeriksaan CT Scan abdomen dengan kontras merupakan modalitas efektif untuk menegakkan diagnosis stenosis pylorus karena mampu memberikan visualisasi anatomi lambung dan pylorus yang lebih baik dibandingkan modalitas lain. Penelitian ini bertujuan untuk mengetahui prosedur pemeriksaan CT Scan abdomen, serta penggunaan media kontras oral dan intravena pada kasus susp stenosis pylorus gaster di RSUP Persahabatan. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus, yang dilaksanakan pada Juli–Agustus 2024. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi. Analisis data dilakukan dengan mentranskrip hasil wawancara, mereduksi informasi relevan, dan melakukan coding terbuka untuk menarik kesimpulan. Prosedur pemeriksaan CT Scan abdomen dimulai dengan pemindaian topogram dari diafragma hingga symphysis pubis, diikuti dengan scan pre-kontras, post-kontras, dan scan full-blass. Media kontras oral berupa campuran 150 ml iodine dan 450 ml air mineral diberikan sekali sebelum pemeriksaan, sedangkan media kontras intravena sebanyak 50 ml dengan flow rate 2,5 ml/detik diberikan setelah scan pre-kontras selesai. Meskipun metode ini berbeda dari teori yang melibatkan tiga jenis kontras (oral, anal, dan intravena), pendekatan yang digunakan di RSUP Persahabatan tetap memberikan visualisasi anatomi yang memadai untuk menegakkan diagnosis stenosis pylorus.References
Alabousi, A., Patlas, M. N., Sne, N., & Katz, D. S. (2015). Is oral contrast necessary for multidetector computed tomography imaging of patients with acute abdominal pain? Canadian Association of Radiologists Journal, 66(4), 318–322. https://doi.org/10.1016/j.carj.2015.03.003
Almeida, C. S. de, Miccoli, L. S., Andhini, N. F., Aranha, S., Oliveira, L. C. de, Artigo, C. E., Em, A. A. R., Em, A. A. R., Bachman, L., Chick, K., Curtis, D., Peirce, B. N., Askey, D., Rubin, J., Egnatoff, D. W. J., Uhl Chamot, A., El?Dinary, P. B., Scott, J.; Marshall, G., Prensky, M., … Santa, U. F. De. (2014). Bontrager’s TEXTBOOK of RADIOGRAPHIC POSITIONING and RELATED ANATOMY. In Revista Brasileira de Linguística Aplicada (Vol. 5, Issue 1). https://revistas.ufrj.br/index.php/rce/article/download/1659/1508%0Ahttp://hipatiapress.com/hpjournals/index.php/qre/article/view/1348%5Cnhttp://www.tandfonline.com/doi/abs/10.1080/09500799708666915%5Cnhttps://mckinseyonsociety.com/downloads/reports/Educa
Bontrager, K. L., & Lampignano, J. P. (2018). Textbook of Positioning and Related Anatomy.
Brungardt, J. G., & Aguayo, P. (2022). Hypertrophic Pyloric Stenosis. Fundamentals of Pediatric Surgery, Third Edition, 8(4), 547–552. https://doi.org/10.1007/978-3-031-07524-7_53
Center, M. M. (2014). Procedure of CT Abdomen and/or Pelvis.
Chiu, T. M., & Chu, S. Y. (2022). Hypersensitivity Reactions to Iodinated Contrast Media. Biomedicines, 10(5). https://doi.org/10.3390/biomedicines10051036
Demaio, D. N. (2018). Mosby’s Exam Review for Computed Tomography Third Edition.
Kessner, R., Barnes, S., Halpern, P., Makrin, V., & Blachar, A. (2017). CT for Acute Nontraumatic Abdominal Pain—Is Oral Contrast Really Required? Academic Radiology, 24(7), 840–845. https://doi.org/10.1016/j.acra.2017.01.013
Liu, H., Zhao, L., Liu, J., Lan, F., Cai, L., Fang, J., & Li, X. (2022). Change the preprocedural fasting policy for contrast-enhanced CT: results of 127,200 cases. Insights into Imaging, 13(1). https://doi.org/10.1186/s13244-022-01173-z
Megibow, A. J., Babb, J. S., Hecht, E. M., Cho, J. J., Houston, C., Boruch, M. M., & Williams, A. B. (2016). Evaluation of bowel distention and bowel wall appearance by using neutral oral contrast agent for multi-detector row CT. Radiology, 238(1), 87–95. https://doi.org/10.1148/radiol.2381041985
Putri, C. N. (2021). Prosedur pemeriksaan radiografi oesophagus maag duodenum (OMD) pada pediatric dengan kasus stenosis pilorus: studi serial kasus.
Romans, L. E. (2018). Computed tomography for technologists: A comprehensive text, second edition. In Computed Tomography for Technologists: A Comprehensive Text (pp. 1–440).
Seeram DE. A. (2016). Textbook Fourth Edition. Vol. 15, American Speech. 310 p.
Utami, H. S., Susanto, F., Oviyanti, P. N., & Purwokerto, U. M. (2022). Analysis of the Chest Msct Angiography Procedure With Bolus Tracking in the Massive Hemoptoe Case Analisis Prosedur Pemeriksaan Msct Angiografi Thorax Dengan Menggunakan Bolus Tracking. September, 42–48.
Wijongko. (2017). Protokol Radiologi CT Scan MRI. 2nd edn. Inti Medika Pustaka.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Maria Selania Taufani, I Made Lana Prasetya, I Made Adi Mahendrayana
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
