Page 219 - Abstract Book KONIKA 18

Gastroenterohepatology

P-GEH-018
Paralytic Ileus in Children due to Hypomagnesemia: A Case Report

Reynaldo Rahima Putra , Raisa Cecilia Sarita , Markus Mualim Danusantoso ,
2
1
1
3
Ariani Dewi Widodo , Ratno Juniarto Sidauruk 4
General Practitioner , Pediatrician , Pediatric Gastroenterologist , and Pediatric Radiologist , Department of Child
3
2
4
1
Health, Bunda Mother and Child Hospital, Jakarta, Indonesia
Abstract
Background Magnesium is an important electrolyte for cellular function, nerve conduction, and intestinal
motility. Hypomagnesemia is fairly common (20%-65%) in critically ill patients and has been associated
with increased mortality rates. Objective To demonstrate the role of magnesium examination in a patient
with paralytic ileus. Case A 2-year-old girl was admitted to emergency department with high fever since
1 day before admission accompanied with generalized seizure, diarrhea, vomiting and feeding difficulties.
Patient had suspicious of sepsis for high level of procalcitonin (16.94 ng/mL), c-reactive protein (31.3 mg/L),
and low level of magnesium (1.04 mg/dL). Feeding difficulties and vomiting persisted despite improvement
in diarrhea and seizure. Abdominal X-ray and abdominal ultrasound led to paralytic ileus. ECG findings
consistent with hypomagnesemia. After prompt treatment of hypomagnesemia through slow infusions of
magnesium sulphate (0.45 mEq/day) for 3 days, the patient showed improvement, gradually tolerated full
oral feeding, and discharged well. Conclusion An examination of electrolytes panel may play a fundamental
role in improving motility disorders such as paralytic ileus.
Keywords: paralytic ileus; hypomagnesemia; magnesium; electrolyte imbalance

P-GEH-019
Clinical Profiles, Indications, and Findings
of Pediatrics Esophagogastroduodenoscopy
at Mohammad Hoesin General Hospital Palembang

Rian Agustien Narulitta, Hasri Salwan, Achirul Bakri, Sri Kesuma Astuti
Department of Child Health, Faculty of Medicine Universitas Sriwijaya/Dr. Mohammad Hoesin General Hospital,
Palembang, South Sumatera, Indonesia
Abstract
Background Esophagogastroduodenoscopy (EGD) has become a key element in diagnosing and treating
many upper gastrointestinal diseases affecting children. Clinical profiles and indications for EGD may
be different depends on social-cultural and epidemiological issues. Abnormality in EGD findings will
impact management and outcome. Objective To determine the clinical profiles, indications and findings
in patients who underwent EGD procedures at Mohammad Hoesin General Hospital. Methods Clinical
profiles, indications and findings of EGD, performed between January 2018 and June 2021, were reviewed
from the medical record. Data were presented descriptively. Results Total of 147 patients underwent EGD
procedure, 77 (52.4%) males and 70 (47.6%) females. These patients, children younger than 6 years were
37 (25.2%), children between 6 and 12 years of age 67 (45.6%), and children aged 13 and older 43 (29.3%).
Indications were abdominal pain 66 (44.9%), hematemesis 31 (21.1%), vomiting 22 (15%), corpus alienum
13 (8.8%), melena 11 (7.5%), and dysphagia 4 (2.7%). EGD findings were abnormal in 122 (83%) patients.
The abnormality consists of gastritis 79 (53.7%), esophagitis 9 (6.1%), duodenitis 4 (2.7%), gastric ulcer 9
(6.1%), duodenal ulcer 4 (2.7%), esophageal varices 8 (5.4%), corpus alienum 13 (4.1%), and petechiae of
gastric mucosa 3 (2%). Conclusion The EGD procedure is mostly performed on patients aged 6-12 years,
with the most common indication being abdominal pain. Gastritis is a common etiology found in children.
Keywords: upper gastrointestinal tract; esophagogastroduodenoscopy; indication; clinical features;
children

KONIKA XVIII Abstract Book 171