1,721,043 research outputs found
Pedoman diagnosis dan terapi dibidang ilmu penyakit dalam/ Edt.: Marcellus Simadibrata (et al)
No full textxiii, 268 hal: ill.; 23 c
Pedoman diagnosis dan terapi dibidang ilmu penyakit dalam/ Edt.: Marcellus Simadibrata (et al)
No full textxiii, 268 hal: ill.; 23 c
Pedoman diagnosis dan terapi dibidang ilmu penyakit dalam/ Edt.: Marcellus Simadibrata (et al)
No full textxiii, 268 hal: ill.; 23 c
Pedoman diagnosis dan terapi dibidang ilmu penyakit dalam/ Edt.: Marcellus Simadibrata (et al)
No full textxiii, 268 hal: ill.; 23 c
Pedoman diagnosis dan terapi dibidang ilmu penyakit dalam/ Edt.: Marcellus Simadibrata (et al)
No full textxiii, 268 hal: ill.; 23 c
A TO Z PENYAKIT GERD PERTOLONGAN PERTAMA MENGENAL DAN MENUTASKAN GERD
No full textvii,96 hlm : 15 x 22 c
Urease, Gastric Bacteria and Gastritis
Full text linkUrease is an enzyme produced by diverse bacterial species including normal flora, non pathogens, and pathogens such as Proteus mirabilis, Staphylococcus saprophyticus, Klebsiella pneumonia, Citrobacter freundii, Enterobacter cloacae Helicobacter spp and Helicobacter pylori. Urease is central in Helicobacter pylori metabolism and virulence, important for colonization in the gastric mucosa. Urease catalyzes the hydrolysis of urea to ammonia and carbamate. This ammonia product can be examined by Urease biopsy test and Urea breath test such as 14C-Urea Breath Test or 13C-Urea Breath Test.Previously, the Urea breath test was intended to detect an increase in ammonia which is a urease product in the gastric mucosa produced by pathogenic gastric bacteria, such as Helicobacter pylori, etc.Acute and chronic gastritis caused by infection with these pathogenic bacteria infection turned out to be positive on Urea breath test. Indirectly, the results of the urea breath test are also related to the presence of inflammation in acute and chronic gastritis, regardless of whether the cause is Helicobacter pylori or other urease-producing pathogenic bacteria.The use of the urea breath test indirectly in diagnosing acute and chronic gastritis should be studied further. The use of the urea breath test is indeed very important to assist health services in countries and regions with limited endoscopic facilities, especially developing countries.We know that the prevalence of Helicobacter pylori infection in causing acute and chronic gastritis by examination of Urea breath test in Indonesia is not too high, ranging from 2-11.2%. So that is why more studies on non-Helicobacter pylori producing urease pathogens are needed, which can appear as a false positive urea breath test
The Role of Vitamin D in Inflammatory Bowel Disease Pathogenesis and Management
Full text linkVitamin D is widely recognized in maintaining bone metabolism and health. However, recent studies indicated that vitamin D also play important role in regulating immune system. Patients with inflammatory bowel disease (IBD) is commonly found to be vitamin D deficiency; whether it served as risk factor of IBD or as the consequence of disease activity are still debatable. Growing evidences showed that supplementation of vitamin D for IBD patients to achieve normal or optimal serum level may suppress the inflammatory process, reduce disease severity, maintaining remission status, and improving quality of life.</jats:p
Diagnosis and Treatment of Refractory Gastroesophageal Reflux Disease (GERD)
No full textGastroesophageal reflux disease (GERD) was a damage in mucosal layer caused by gastric acid reflux. GERD was found about 10-20% in Western Countries and less in Asia, about 2,6-6,7%. Among different type of GERD, refractory GERD was a problem found in daily clinical practice. This terminology was used in patients with regurgitation and heartburn symptoms which is not responsive to 8 weeks proton pump inhibitor (PPI) therapy. There were several mechanisms underlying the etiology and pathophysiology of refractory GERD. In general, refractory GERD diagnosis was based on clinical findings, objective endoscopic examination, ambulatory reflux monitoring, and response to antiacid-secretion therapy. Reevaluation of patients compliance should be the first step in refractory GERD management. A further treatment strategies could be started, consist of medical and surgical therapies. A basic clinical knowledge of refractory GERD would help clinician in deciding the best approach for diagnosis and therapy. </jats:p
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