Page 222 - Abstract Book KONIKA 18

Gastroenterohepatology

P-GEH-024
Outcome of Kasai Portoenterostomy in Biliary Atresia:
A Single Centre Experience
Ni Nyoman Metriani Nesa , Merry Natalia , I Putu Gede Karyana , Kadek Deddy Ariyanta , I Gusti Ngurah
1
3
1
1,2
Sanjaya Putra 1
1
Department of Child Health, Faculty of Medicine, Universitas Udayana, Denpasar, Bali , Pediatric Subspeciality
2
Gastrohepatology Programme, School of Medicine, Universitas Airlangga, Surabaya, East Java , and Pediatric Surgery
Division, Faculty of Medicine Faculty of Medicine, Universitas Udayana, Denpasar, Bali , Indonesia
3
Abstract
Background Biliary atresia (BA) is a condition characterized by obliteration of the extrahepatic or biliary
system that results in bile flow obstruction. The incidence is rare from 1 in 5,000 until 1 in 17,000 live
births. Kasai procedure (hepato-porto-enterostomy) is the first-line option to treat BA. Objective To describe
outcome of children with biliary atresia who underwent Kasai Procedure. Methods A descriptive study was
performed in Sanglah Hospital Denpasar Bali during 2015-2020. Subjects were children with biliary atresia
who underwent Kasai procedure. Data was gathered by medical records and phone. Data was analyzed with
descriptive analysis. Results There were 31 children who underwent Kasai procedure during 2015-2020,
three children had incomplete data. Twenty eight children were included in the study. Median age at kasai
procedure was 12 (range 8-20) weeks. Five children (17.89%) did not survive, four of them died under
1 years old. The mean age of children who survived was 33.35 months (95% CI 26.9 to 39.8). The oldest
child who survived was 5 years old. Twenty six percents of survived children were well nourished, 60.9%
of them had mild malnutrition. Conclusion More than 80 percents children survived after Kasai procedure.
Among children who survived, more than half of them had malnutrition.
Keywords: biliary atresia; Kasai procedure; cholestasis

P-GEH-025 (Prime e-Poster)
Comparison of the Accuracy of Helicobacter pylori Stool AntigenTest with
Campylobacter Like Organism Test in Diagnostic Gastritis
of Helicobacter pylori in Children

Tengku Benyamin, Supriatmo, Aridamuriany D. Lubis
Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara/H. Adam Malik General Hospital,
Medan, North Sumatera, Indonesia

Abstract
Background Helicobacter pylori is an important organism that plays a role in chronic gastritis, peptic ulcer
disease, laryngeal cancer, gastric cancer, and mucosal lymphoid tissue lymphoma (MALT). H. pylori stool
antigenHPSA is a non-invasive test that has high sensitivity and is easy to perform in the diagnosis of H.
pylori gastritis in children. Objective To determine the accuracy of the HpSA test with the campylobacter
like organism (CLO) test as a gold (stan)dard in this study in diagnosing gastritis of H. pylori in children.
Methods This study is a diagnostic test with a cross sectional design in children with gastritis aged 2-18
years according to the inclusion and exclusion criteria. The HPSA examination was performed on patient
stool samples using a rapid immunochromatographic monoclonal antibody test for the qualitative detection
of H. pylori bacteria in human feces. Results This study involved 57 children who met the inclusion criteria
with 37 children infected with H. pylori. The diagnostic value of the HPSA test showed sensitivity and
specificity of 83.8% and 95%. Positive predictive values and negative predictive values are 96.9% and 76%
with positive likelihood ratios and negative likelihood ratios of 16.76% and 0.17%, and an accuracy value
of 87.7%. Conclusion The prevalence of H. pylori infection was 37% in this study population with no
characteristic differences. The HpSA test compared with the CLO test has good accuracy and is an alternative
non-invasive test in the diagnostic gastritis of H. pylori infection in children.
Keywords: HpSA test; Helicobacter pylori infection; gastritis

174 KONIKA XVIII Abstract Book