Esophagogastrostomi dengan Stapler Linear Murny Rauf pada Achalasia Tipe III – Laporan Kasus
Laporan Kasus
DOI:
https://doi.org/10.55175/cdk.v53i02.1722Kata Kunci:
Achalasia, laporan kasus, kesulitan makan, esofagogastrostomi Murny RaufAbstrak
Pendahuluan: Salah satu keluhan utama pasien achalasia adalah kesulitan makan. Achalasia masih dianggap sebagai gangguan langka dengan etiologi yang belum diketahui. Tujuan utama pengobatan adalah untuk meningkatkan kualitas hidup pasien dan mengatasi disfagia guna memperbaiki asupan makanan. Kami mempresentasikan kasus achalasia yang ditatalaksana dengan prosedur esophagogastrostomy Murny Rauf di rumah sakit dengan fasilitas terbatas. Kasus: Wanita berusia 47 tahun dengan diagnosis achalasia tipe III (skor Eckardt: 12) dan malnutrisi berat. Prosedur esophagogastrostomy Murny Rauf dilakukan dengan target meningkatkan kemampuan asupan makanan. Beberapa minggu setelah operasi, kemampuan asupan makanan meningkat yang ditandai dengan peningkatan berat badan. Pembahasan:
Diagnosis achalasia didasarkan pada gejala klinis dan dikonfirmasi melalui prosedur diagnostik. Dalam kasus ini, obat-obatan non-bedah tidak dipertimbangkan karena ketidakpastian manfaatnya dan kesulitan dalam melakukan kunjungan rutin akibat jarak yang jauh antara tempat tinggal pasien dengan rumah sakit, yang dapat menimbulkan biaya transportasi tambahan. Simpulan: Prosedur esophagogastrostomy Murny Rauf memberikan keuntungan bagi pasien achalasia. Prosedur ini memberikan wawasan baru yang efisien untuk kasus achalasia di daerah terpencil.
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Referensi
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