HUBUNGAN PENINGKATAN IMT DENGAN KEJADIAN KOLELITIASIS BMI IMPROVEMENT RELATIONSHIP WITH KOLELITIASIS

Nurhikmah Rizki, Desi Abdullah

Abstract


ABSTRAK

 

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


Full Text:

PDF

References


Dani, Susilo L . Karakteristik Pasien Cholelithiasis di Rumah Sakit Immanuel Bandung Periode 1 Januari 2012 – 31 Desember 2012. Fakultas Kedokteran Universitas Kristen

Maranatha . 2012. RSI Siti Rahmah Padang. Laporan Rekam Medik Pasien Instalasi Bedah tahun 2014-2017. Padang: RSI Siti Rahmah Padang;2018.

Festi D, Dormi A, Capodicasa S, Staniscia T, Attili AF, Loria P, et al. Incidence of gallstone disease in Italy : results from a multicenter , population- based Italian study ( the MICOL project ) Incidence of gallstone disease in Italy : Results from a multicenter, population-based Italian study (the MICOL project ). 2008;(June 2014).

Ginting S A. Description Characteristic Risk Factor of The Kolelitiasis Disease in The Columbia Asia Medan Hospital. Journal Darma Agung. 2011;38-45.

Gyedu A, Adae-aboagye K, Badu-peprah A, Anokye K, Hospital T, Anokye K, et al. Prevalence of cholelithiasis among persons undergoing abdominal ultrasound at the Komfo Anokye Teaching Hospital , Kumasi , Ghana . 2015;15(1):247–50.

Hebebrand J, Holm J, Woodward E, Baker JL, Blaak E, Schutz DD, et al. A Proposal of the European Association for the Study of Obesity to Improve the ICD-11 Diagnostic Criteria for Obesity Based on the Three Dimensions Etiology , Degree of Adiposity and Health Risk. 2017;284–307.

Hung S, Liao K, Lai S, Li C, Chen W. Risk Factors Associated with Symptomatic Cholelithiasis in Taiwan : a Population-based Study. BMC Gastroenterol [Internet]. 2011;11(1):111. Available from: http://www.biomedcentral.com/1471- 230X/11/111.

Jethro E S. Hubungan Status Gizi dan Jenis Kelamin dengan Kejadian Kolelitiasis Pada Pasien Rawat Inap di Bagian Bedah RSUP. Dr. Muhammad Hoesin Palembang. Fakultas Kedokteran Universitas Sriwijaya.2016.

Kharga B, Sharma BK, Singh VK, Nishant K. Obesity Not Necessary , Risk of Symptomati Cholelithiasis Increases as a Function of BMI. 2016;(December 2015):28–32.

Kim SB, Kim KH, Kim TN, Heo J, Jung MK Cho CM, et al. Sex Differences in Prevalence and Risk Factors of Asymptomatic Cholelithiasis in Korean Health Screening Examinee.2017:1–7.

Liu T, Wang W, Ji Y, Wang Y, Liu X, Cao L, et al. Association Between Different Combination of Measures for Obesity and New-onset Gallstone Disease. 2018;63:1–11.

Ostrowska L, Czapska D, Jk K. Body weight gainmas the major risk factor of cholelithiasis in womenmand an important risk factor in man. 2005;50:54 6. Shabanzadeh DM, Sørensen LT, Jørgensen T. Determinants for gallstone formation – a new data cohort study and a systematic review with meta- analysis *. 2016;5521(November).

Sioka E, Zacharoulis D, Zachari E, Papamargaritis D, Pinaka O, Katsogridaki G, et al. Complicated Gallstones after Laparoscopic Sleeve Gastrectomy. 2014.

Stender S, Nordestgaard BG, Tybjaerg-Hansen A. Elevated Body Mass Index as a Causal Risk Factor for Symptomatic Gallstone Disease Amendelian Randomization Study. American Association for the Study of Liver Disease. 2013; 58(6):2133-2141.

Stinton LM, Shaffer EA. Epidemiology of Gallbladder Disease : Cholelithiasis and Cancer. 2012;6(2):172–87.

Taher MA. Descriptive study of cholelithiasis with chemical constituents’ analysis of gallstones from patients living in Baghdad, Iraq. nternational J Medi cine Med Sci ences [Internet]. 2013;5(1):19–2 3. Available from: http://www.academicjournals.org/journal/IJMMS /article-full-textpdf/AAA17FF 292

Tazuma S, Kanno K, Kubota K, Tsuyuguchi T, Kamisawa T, Isayama H. Report on the 2013 national cholelithiasis survey in Japan. 2015;(August 2013):392–5.

Tjokroprawiro. A. Garis Besar Pola Makan dan Pola Hidup Sebagai Pendukung Terapi DiabetesMellitus. Surabaya: Fakultas Kedokteran Tuuk ALZ, Noersasongko AD. Profil kasus batu empedu di RSUP Prof . Dr . R . D . Kandou Manado Jimmy Panelewen. 2016;4:2–7.

Ulil A A. Karakteristik Pasien Kolelitiasis Di RSUP DR Wahidin Sudirohusodo Makassar Periode Januari-Desember 2012 Fakultas Kedokteran Universitas Hassanudin: Makassar. 2013.

Zhu L, Aili A, Zhang C, Saiding A, Abudureyimu K. Prevalence of and risk factors for gallstones in Uighur and Han Chinese. 2014;20(40):14942–9.




DOI: http://dx.doi.org/10.30633/jsm.v2i1.439

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.




Jurnal Kesehatan Saintika Meditory
Published by Stikes Syedza Saintika Padang 

Pusat Penelitian dan Pengabdian Masyarakat, STIKes SYEDZA Saintika Padang

Jl. Prof. Dr. Hamka No. 228 Air Tawar Timur Padang - Sumatera Barat

Phone: 082384992512
Email: lppmsyedza@gmail.com


  

View My Stats