STUDI KASUS PROSEDUR PEMERIKSAAN OEOPHAGUS MAAG DUODENUM PADA KLINIS KECURIGAAN ACHALASIA DI INSTALASI RADIOLOGI RSUD dr.SOESELO KABUPATEN TEGAL
DOI:
https://doi.org/10.51878/knowledge.v5i4.8121Keywords:
Pemeriksaan Oesophagus Maag Duodenum, Media Kontras, AchalasiaAbstract
Esophageal Gastric Duodenal (OMD) examinations were conducted on patients with suspected achalasia at the Radiology Department of RSUD (Regional General Hospital) dr. Soeselo, Tegal Regency. The procedure involved plain AP projections, followed by post-contrast imaging of the esophagus using AP and lateral projections, and AP projections for assessing gastric and duodenal ulcers. This study aims to evaluate the examination procedure and the application of OMD projections in suspected achalasia cases. This research utilized a qualitative descriptive methodology, specifically employing a case study approach. The research was carried out between January and February 2025 in the Radiology Department of RSUD dr. Soeselo, Tegal Regency involving radiologist and three radiographers. Data were collected through observation, interviews, and documentation. Data were subsequently analyzed using data reduction, presentation, and the formulation of conclusions. Patient preparation involved a fasting period of 6 to 8 hours. The contrast medium employed is barium sulfate at a 1:1 ratio for the esophagus, whereas for the stomach and duodenum, it is combined with a negative contrast medium (Sprite) at a 1:4 ratio. The utilized projections comprise plain AP, AP, and lateral views for the esophagus, along with AP views for the stomach and duodenum. Additional oblique views, such as the RAO or LAO, may be utilized to enhance structural visualization according to clinical criteria, while ensuring that the patient’s radiation exposure is not increased with each additional view.
ABSTRAK
Pemeriksaan Oesophagus Maag Duodenum (OMD) pada pasien dengan kecurigaan achalasia di Instalasi Radiologi RSUD dr.Soeselo Kabupaten Tegal dilakukan menggunakan proyeksi AP polos, kemudian pemeriksaan post kontras oesophagus dengan proyeksi AP dan lateral serta untuk pemeriksaan maag duodenum menggunakan proyeksi AP. Penelitian ini bertujuan untuk mengetahui prosedur pemeriksaan serta penggunaan proyeksi pada OMD pada kasus kecurigaan achalasia. Penelitian ini menggunakan metode deskriptif kualitatif dengan pendekatan studi kasus, dilaksanakan pada Januari–Februari 2025 di Instalasi Radiologi RSUD dr.Soeselo Kabupaten Tegal yang melibatkan dokter spesialis radiologi dan tiga radiografer. Data diperoleh melalui observasi, wawancara, dan dokumentasi, kemudian dianalisis dengan reduksi data, penyajian, dan penarikan kesimpulan. Persiapan pasien dilakukan dengan puasa 6–8 jam. Media kontras yang digunakan berupa barium sulfat perbandingan 1:1 untuk oesophagus, sedangkan untuk maag dan duodenum dicampur dengan media kontras negatif (sprite) dengan perbandingan 1:4. Proyeksi yang digunakan meliputi AP polos, AP dan lateral untuk oesophagus, serta proyeksi AP untuk maag dan duodenum. Namun, proyeksi tambahan oblique dapat dipertimbangkan untuk meningkatkan visualisasi struktur berdasarkan klinis agar setiap penambahan proyeksi tidak meningkatkan dosis radiasi yang diterima oleh pasien.
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