Page 212 - Abstract Book KONIKA 18

Gastroenterohepatology

P-GEH-005
A Child with Helicobacter Pylori Infection, Difficulties to Diagnosed in Limited
Health Facilities

Firmandiyara Angkasa, Stasya Zephora, Stevia Ariella, Bayu Kurniawan
Umbu Rara Meha General Hospital, East Sumba, East Nusa Tenggara, Indonesia

Abstract
Background Helicobacter pylori infection is common infection in children, related with poor socioeconomic
conditions. The majority of cases is asymptomatic. It is important to understand the appropriate approach
to diagnosing H. pylori infection. Objective To describe an approach to diagnosis of H. pylori infection in
limited health facilities. Case A 12-year-old boy comes to the emergency room with a history of vomiting
blood clots and black stools. History of fever, drug consumption, pica, weight loss, and repeated transfusions
in the family was denied. The patient was referred from Waibakul Hospital, had repeated PRC transfusions
since one month ago with an initial complaint of paleness. Routine blood results showed Hb levels reached
3.0 g/dL, peripheral blood smears were found with the impression of severe microcytic hypochromic anemia
which was suspected due to iron deficiency anemia, chronic disease, or worm infection. Two weeks later,
patient returned to ER with Hb levels 1.6 g/dL, HPLC Hb examination was normal limits. One week after
treatment, patient came back with same complaints, Hb levels showed 3.3 g/dL. The patient then referred to
Umbu Rara Meha Hospital. An esophagogastroduodenoscopy examination was performed, found hyperemia
in carpus, prepyloric, and pyloric gastric (vascular dilatation). The patient then treated with the management
of erosive gastritis caused by H. pylori infection. Conclusion Erosive gastritis is an inflammatory condition of
the gastric mucosa, most often caused by Helicobacter pylori infection. Clinical manifestations may begin with
atypical symptoms. Appropriate examination needs to carried out even in areas with limited health facilities.
Keywords: gastritis erosive; helicobacter pylori infection; pediatric

P-GEH-006
Characteristics of Pediatric Colonoscopy
in General Hospital Moewardi Surakarta

Etika Andi Rakhman, Evi Rokhayati, Rekno Widati, Bambang Soebagyo
Department of Child Health, Faculty of Medicine, Universitas Sebelas Maret/Dr.Moewardi General Hospital,
Surakarta, Central Java, Indonesia

Abstract
Background Colonoscopy is routinely performed in infants and children for the evaluation and treatment
of diarrhea, abdominal pain, unexplained anemia, or lower gastrointestinal bleeding (LGIB). It has utility
as a diagnostic and therapeutic tool for pediatric patients. As the diagnosis of bowel diseases, including
inflammatory bowel disease (IBD) and polyposis syndrome, it has become increasingly necessary to perform
total colonoscopy in pediatric patients. Objective Tto record the prevalence of symptoms in patients before
the colonoscopy procedure. Methods This descriptive observational study was conducted in Dr. Moewardi
Hospital, from August 2016 to December 2019. Total 26 patients below 18 years old were registered for
colonoscopy. Ten of them were excluded because did not have pathology anatomy (PA) results. 16 patients
were enrolled in this study and female was predominance (56,25%). Results This study revealed the abdominal
pain (75%) was the most frequently noted symptom, next symptoms were LGIB (56,25%), nausea (50%),
diarrhea (50%), anemia (37,5%) and fever (18,75%). The PA results obtained colitis (50%), hemorrhoids
(31,25%), polyp (6,25%) and normal colonoscopy (31,25%). Conclusion Pediatric colonoscopy is most
effective in diagnosing pediatric abdominal pain and LGIB. The most frequently noted symptoms in pediatric
colonoscopy was abdominal pain.
Keywords: lower gastrointestinal bleeding; colonoscopy; colitis; children

164 KONIKA XVIII Abstract Book