Page 210 - Abstract Book KONIKA 18

Gastroenterohepatology

P-GEH-001
The Differences of Diarrhea Incident on Children Under 5-year-old
who Consume Boiled Well Water with Bottled Drinking Water
in The Work Area of Pucangsawit Health Center Surakarta

Anjar Widarini, Bambang Subagyo, Dodik Nursanto
Faculty of Medicine Universitas Muhammadiyah Surakarta, Central Java, Indonesia
Abstract
Background Diarrhea is still the first cause of morbidity and mortality in children under five years old. Lack
of access to obtain the clean water is one of the risks of causing diarrhea. So that proper treatment is needed
at the source of drinking water to avoid contamination by microorganisms. Objective To determine the
difference in the incidence of diarrhea in toddlers who consume boiled well water with bottled drinking water
in the working area of Pucangsawit Health Center Surakarta.Methods This study is analytic observational
research, using cross sectional in the working area of Pucangsawit Public Health Center, Surakarta on
October until November 2013. Results Based on the statistical analysis, the value of P = 0.263 (P > 0.05)
which means there is no difference in the incidence of diarrhea in toddlers who consume boiled well water
with bottled drinking water for toddlers in the working area of Pucangsawit Public Health Center Surakarta
with RP (Ratio Prevalence) = 0.667 with 95%CI of 0.325 to 1.368, which means boiled well water can be a
protective factor for diarrhea in children under five years old. Conclusion Eventually, there is no difference
in the incidence of diarrhea in toddlers or children under five years old who consume boiled well water with
bottled drinking water in the working area of Pucangsawit Health Center, Surakarta.
Keywords: cooking well water; bottled drinking water; diarrhea in toddlers

P-GEH-002
Strategy in Management of Short Bowel Syndrome
in a Patient with Severe Wasted: A Case Report

1
1
1
Dalri Andita , Budiyanto , Arief Budiarto , Andy Darma 2
Department of Child Health, Faculty of Medicine, Universitas Lambung Mangkurat/Ulin General Hospital, Banjar-
masin, South Borneo and Gastroenterology Division, Department of Child Health, Faculty of Medicine, Universitas
1
Airlangga/Dr. Soetomo General Hospital, Surabaya, East Java , Indonesia
2
Abstract
Background Short bowel syndrome is a disorder clinically defined by malabsorption, diarrhea, steatorrhea,
fluid and electrolyte disturbance, and malnutrition due to functional or anatomic loss of extensive segments
of the small intestine. If not managed properly, it will lead to severe malnutrition that will complicate the
treatment. Objective To report case management of short bowel syndrome with severe wasted in a 17-year-
old boy.Case A 17-years-old boy was consulted due to excessive weight loss (22 kg in 6 months) after small
intestine resection due to blunt abdominal trauma. From physical examination, there were old man's face,
wasted ribs, scaphoid abdomen, stoma ileostomy, baggy pants, multiple extremities fractures, muscle atrophy,
and ulcus decubitus. The initial laboratory showed anemia (Hb 6.2g/dL), thrombocytopenia (64.000/µL),
hypoalbuminemia (2g/dL), hyponatremia (115mEq/L), hypokalemia (2.2mEq/L), hypochloremia (63mEq/L),
increased LDH (1130U/L), urinalysis showed leucocytosis and hematuria, feces analysis showed carbohydrate
remnant. The anthropometry showed severe wasted (CDC BW/Age<p5, Height/Age<p5, BW/Height 40%).
Once a diagnosis of short bowel syndrome was established, antimotility, intravenous PPI, and oral/enteral
micronutrients were given. Fluid, electrolyte, and nutrition were given as partial parenteral nutrition and
enterally via feeding tube, which increased gradually according to patient’s tolerance. WHO ORS was given
as fluid replacement and to reduce enteral fluid loss. After 1 month, body weight was increased gradually,
clinical condition and laboratory results showed improvement, and patient was planned to undergo fractures
repair and intestinal reanastomosis. Conclusion Severe malnutrition is a complication in short bowel syndrome
that needs comprehensive management.
Keywords: short bowel syndrome; small intestine resection; malabsorption; severe malnutrition

162 KONIKA XVIII Abstract Book