Characteristics and Endoscopy Findings of Liver Cirrhosis Patients at Waled Hospital, Cirebon, Indonesia (2020-2023)
DOI:
https://doi.org/10.35898/ghmj-741071Keywords:
Liver cirrhosis, Endoscopy findings, Gastroesophageal varices, Portal hypertensive gastropathyAbstract
Background: Hepatic cirrhosis is a terminal manifestation of chronic liver disease. The causes of cirrhosis in the Asia Pacific it was caused by hepatitis B. Older adults are more likely to experience complications, which might be due to abnormalities in the liver. Various complications occurred during the progression from compensated to decompensated, and endoscopic examination showed images of gastroesophageal varices or PHG.
Aims: The aim was to determine the characteristics of liver cirrhosis patients and the endoscopy findings at waled hospital from 2020 to 2023.
Methods: This research used descriptive observational methods. The sample in this study were patients with liver cirrhosis at Waled hospital from 2020-2023, there were 135 sample who were selected using total sampling techniques. Information was acquired from medical records of 33 patients who met the consideration rules.
Results: This study showed that the largest number of patients with liver cirrhosis based on age 45 years old (12.1%), predominantly male (72.7%), with the etiology hepatitis B (69.7%), and all (100%) were in decompensated stage. Endoscopy results revealed that the majority of patients experiences esophageal varices and PHG (54.5%), with grade 3 esophageal varices (81.8%) and mild grade PHG (60.6%) dominating.
Conclusion: The majority of patients with liver cirrhosis were 45 years old, predominantly male, with the most common etiology hepatitis B, and all were in the decompensated stage. The most common endoscopy results showed esophageal varices and PHG, with grade 3 esophageal varices and mild grade PHG.
Received: 26 September 2024 | Reviewed: 23 October 2024 |
Revised: 30 November 2024 | Accepted: 12 December 2024.
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Adnyasuputra, Made Agung, I. Ketut Mariadi, Ni Made, Renny Anggreni Rena, I. Made, and Pande Dwipayana. 2024. "Hubungan Riwayat Konsumsi Alkohol, Ukuran Varises, Derajat Sirosis Hati Terhadap Perdarahan Varises Esofagus Pada Pasien Sirosis Hati Di RSUP Prof. I Goesti Ngoerah Gde Ngoerah." Intisari Sains Medis | Intisari Sains Medis 15(1):408-13. https://doi.org/10.15562/ism.v15i1.1995
Afzal, Muhammad, Shahida Husain Tarar, and Syed Muhammad Ali Shah. 2018. "Spectrum of Endoscopic Findings in Patients with Liver Cirrhosis Due to Chronic Viral Hepatitis." Pakistan Journal of Medical and Health Sciences 12(1):10-13.
Amalia, Mutiara, Prema Hapsari Hidayati, Andi Kartini Eka Yanti, Sri Vitayani, and Sri Wahyuni Gayatri. 2023. "Karakteristik Pasien Sirosis Hepatis." UMI Medical Journal 8(1):53-61. https://doi.org/10.33096/umj.v8i1.244
Carrier, Paul, Marilyne Debette-Gratien, Jérémie Jacques, and Véronique Loustaud-Ratti. 2019. "Cirrhotic Patients and Older People." World Journal of Hepatology 11(9):663-77. https://doi.org/10.4254/wjh.v11.i9.663
Devarbhavi, Harshad, Sumeet K. Asrani, Juan Pablo Arab, Yvonne Ayerki Nartey, Elisa Pose, and Patrick S. Kamath. 2023. "Global Burden of Liver Disease: 2023 Update." Journal of Hepatology 79(2):516-37. https://doi.org/10.1016/j.jhep.2023.03.017
Huang, Daniel Q., Norah A. Terrault, Frank Tacke, Lise Lotte Gluud, Marco Arrese, Elisabetta Bugianesi, and Rohit Loomba. 2023. "Global Epidemiology of Cirrhosis - Aetiology, Trends and Predictions." Nature Reviews Gastroenterology and Hepatology 20(6):388-98. https://doi.org/10.1038/s41575-023-00759-2
Kalista, Kemal Fariz, Cosmas Rinaldi Adithya Lesmana, Andri Sanityoso Sulaiman, Rino Alvani Gani, and Irsan Hasan. 2019. "Profil Klinis Pasien Sirosis Hati Dengan Varises Esofagus Yang Menjalani Ligasi Varises Esofagus Di Rumah Sakit Dr. Cipto Mangunkusumo." Jurnal Penyakit Dalam Indonesia 6(1):36. https://doi.org/10.7454/jpdi.v6i1.300
Pallio, Socrate, Giuseppinella Melita, Endrit Shahini, Alessandro Vitello, Emanuele Sinagra, Barbara Lattanzi, Antonio Facciorusso, Daryl Ramai, and Marcello Maida. 2023. "Diagnosis and Management of Esophagogastric Varices." Diagnostics 13(6). https://doi.org/10.3390/diagnostics13061031
Setiati, Siti, Idrus Alwi, and Aru W. Sudoyo. 2014. Buku Ajar Ilmu Penyakit Dalam.
Smith, Andrew, Katrina Baumgartner, and Christopher Bositis. 2019. "Cirrhosis: Diagnosis and Management." American Family Physician 100(12):759-70.
Virma Sarah Gita, Adelin Prima, and Mona Letvi. 2023. "Karakteristik Pasien Sirosis Hepatis Di Rumah Sakit Dr. Achmad Mochtar Bukittinggi Periode Tahun 2018 - 2020." Jurnal Kedokteran Nanggroe Medika 6(1):6.
Wu, Ran, Kunyi Liu, Chengyi Shi, Hui Tian, and Na Wang. 2022. "Risk Factors for Portal Hypertensive Gastropathy." BMC Gastroenterology 22(1):1-7. https://doi.org/10.1186/s12876-022-02468-7
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