HUBUNGAN PENINGKATAN IMT DENGAN KEJADIAN KOLELITIASIS BMI IMPROVEMENT RELATIONSHIP WITH KOLELITIASIS
Abstract
Kolelitiasis merupakan Endapan satu atau lebih komponen empedu yaitu kolesterol, bilirubin, garam empedu, kalsium, protein, asam lemak, dan fosfolipid. Tiga tahapan, yakni asimtomatik, simtomatik, dan kolelitiasis dengan komplikasi. Gejala klinis spesifik untuk mendiagnosis adalah kolik bilier. Metode pencitraan yang dapat digunakan untuk mendiagnosis kolelitiasis adalah USG, ERCP, CT-scan, MRI, maupun MRCP. Pilihan utama terapi kolelitiasis simtomatik adalah kolesistektomi. Penelitian ini bertujuan Mengetahui hubungan antara peningkatan IMT dengan kejadian kolelitiasis di Bagian Bedah Digestif RSI Siti Rahmah Padang Metode penelitian, analitik observasional. Penelitian dilakukan dengan pendekatan cross sectional. Pasien usia ≥20 tahun disertai data tinggi badan dan berat badan yang tercatat di rekam medik bagian bedah digestif periode januari- juni 2018. Teknik Simple Random Sampling, Besar sampel untuk penelitian ini adalah 40, sampel ditambah 10% menjadi 44 sampel. Hasil penelitian menunjukkan Hubungan yang bermakna antara peningkatan IMT terhadap kejadian kolelitiasis Kolelitiasis, 13 (76,5%) non-kolelitiasis , 4 (23,5%) dengan nilai p yaitu 0,001. Kesimpulan Frekuensi pasien dengan IMT meningkat lebih tinggi pada pasien kolelitiasis dibandingkan dengan pasien non-kolelitiasis. Terdapat hubungan yang bermakna antara peningkatan indeks massa tubuh dengan kejadian kolelitiasis dengan nilai p=0,001 (p<0,05).
Kata kunci : digestif, IMT, kolelitiasis
ABSTRACT
Cholesterasis is the deposition of one or more of the bile components namely cholesterol, bilirubin, bile salts, calcium, proteins, fatty acids, and phospholipids. Three stages, namely asymptomatic, symptomatic, and cholestatic with complications. The specific clinical symptoms to diagnose are the biliary colic. Imaging methods that can be used to diagnose colelitiasis are ULTRASOUND, ERCP, CT-Scan, MRI, or MRCP. The main choice of symptomatic cholecystasis therapy is cholinistectomy. This research aims to determine the relationship between IMT increase and the incidence of cholestasis in the Digestif surgery section of RSI Siti Rahmah Padang Research method, observational analytic. Research is conducted with a cross sectional approach. Patients aged ≥ 20 years accompanied by the height and weight data recorded in the medical record of the surgical section digestif the period from January to June 2018. Simple Random Sampling Technique, large samples for this study are 40, samples plus 10% to 44 samples. The results showed a meaningful relationship between a BMI increase in the incidence of kolelitiasis, 13 (76.5%) Non-kolelitiasis, 4 (23.5%) With the P value of 0.001. The conclusion of the patient's frequency with the BMI increased higher in patients with cholehoiasis compared with non-cholestatic patients. There is a meaningful link between the increase in the body mass index with a cholestatic occurrence with a value of P = 0.001 (P < 0.05).
Keywords: digestif, BMI, kolelitiasis
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DOI: http://dx.doi.org/10.30633/jsm.v2i1.439
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