A5075462900- Organ Transplantation Techniques and Outcomes
- Liver Disease and Transplantation
- Renal Transplantation Outcomes and Treatments
- Healthcare Quality and Satisfaction
- Urological Disorders and Treatments
- Clinical Nutrition and Gastroenterology
- Organ Donation and Transplantation
- Congenital Anomalies and Fetal Surgery
- Metabolism and Genetic Disorders
- Assisted Reproductive Technology and Twin Pregnancy
- Education and Character Development
- Surgical site infection prevention
- Neonatal Health and Biochemistry
- Transplantation: Methods and Outcomes
- Hematopoietic Stem Cell Transplantation
- Craniofacial Disorders and Treatments
- Congenital gastrointestinal and neural anomalies
- Cytomegalovirus and herpesvirus research
- Pediatric Hepatobiliary Diseases and Treatments
- Gallbladder and Bile Duct Disorders
- Mesenchymal stem cell research
- T-cell and B-cell Immunology
- Vascular Malformations and Hemangiomas
- Child Development and Education
- Neurological and metabolic disorders
Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo
2018-2024
University of Indonesia
2020-2024
National Center For Child Health and Development
2016-2018
Abstract LT for PFIC type 1 is often complicated by postoperative diarrhea and recurrent graft steatosis. A 26‐month‐old female child with cholestatic jaundice, pruritus, diarrhea, growth retardation revealed total bilirubin 9.1 mg/dL, gamma‐glutamyl transpeptidase 64 IU /L, TBA 295.8 μmol/L. Genetic analysis confirmed ATP 8B1 defects. (segment 2, 3 graft) from the heterozygous father was performed. Biliary diversion performed a 35‐cm jejunum conduit between hepatic duct mid‐transverse...
Ornithine transcarbamylase deficiency (OTCD) is a urea cycle disorder of X-linked inheritance, affecting the detoxification excess nitrogen and leading to hyperammonemia (hyper-NH3 ). Living donor liver transplantation (LDLT) has been applied for treatment OTCD. This case series retrospectively reviewed two OTCD patients who experienced hyper-NH3 following LDLT. The first was 5-year-old girl had onset at 2 years age. (OTC) enzyme activity 62% 15% recipient. patient suffered from recurrence...
Indonesia has a population of ~270 million, representing the world's fourth most populated country; 30.5% country's are <18 y.1 Pediatric liver transplantation (LT) was initiated in 2006. Supported by Japanese collaboration, program excelled last 4 y. The Indonesian LT provides hope for those need LT. Deceased donor is currently not performed country. PEDIATRIC LIVER TRANSPLANT PROGRAMS Five hospitals have pediatric and 2 presently active. Dr Cipto Mangunkusumo Hospital (CMH) one active...
Giant cystic lymphangioma was a congenital lymphatic system malformation. Although it is benign, can cause some complications requiring prompt treatment. The selection of therapy challenging because none them perfect. In this report, we presented case multiple giant lymphangiomas in an infant treated with stepwise surgeries combined intralesional bleomycin injection.A two-day-old multiple, soft, skin-colored tumors on the right side neck, thoracoabdominal region, axilla, and upper extremity...
LT from ABO-I donors requires preconditioning regimens to prevent postoperative catastrophic AMR. NAC for HBL is known cause myelosuppression leading a reduction in the number and function of lymphocytes. We investigated this chemotherapy-induced patients listed with reference kinetics B, T cells, anti-ABO blood type isoagglutinin titers. Between 2005 2015, 319 who underwent LDLT at our institute, 12 were indicated unresectable HBL. Three are included study. Immunosuppression consisted...
Background Gastroschisis is the most common abdominal congenital defect worldwide. While mortality rate 5–10% in developed countries, escalates developing countries due to less access surgical care, and studies on condition are scarce. morbidity rates Indonesia unknown or unclear; little also known about influencing factors that reveal epidemiological characteristics. Objective To identify associated with gastroschisis Indonesia. Methods A retrospective cohort study was conducted at Dr....
Introduction: Cases of parapagus conjoined twins are rare. The incidence is 28% the total twins. lack studies regarding handling complex cases and factors that form basis for whether twin patients can undergo separation surgery reason carrying out a study to look scientific evidence treatment dicephalus Case: A patient presented anomalies baby 1 with grade I intraventricular hemorrhage (IVH), transposition great arteries (TGA), atrial septal defect (ASD) ventricular (VSD), 2 had VSD ASD....
Vaginal agenesis with anorectal malformations is a complex pediatric condition that adversely affects various physiological processes in the body. It may cause disturbances defecation and urination, abnormalities urinary gastrointestinal tract, dysfunction of genital reproductive organs, sexual function disorders. The complexity surgical management vaginal includes selection functional reconstruction technique for anal formation, timing reconstruction, complications associated organ system....
Conjoined twin is a rare congenital anomaly characterized by fusion of certain anatomical structures. Coronavirus-19 (COVID-19) new emerging infectious respiratory disease affecting worldwide and potentially leads to acute distress (ARDS) in children. COVID-19 has reconstructed the healthcare system, including surgical care decision-making.Herein we describe separation 2.5 months old omphalopagus conjoined twins, with one them (Baby A) presenting COVID-19-associated distress, as well...
Background: Decompensated cirrhosis (DC) in children is the main indication of liver transplantation (LT). The lack access to and impending clinical complications while awaiting affect morbidity mortality pretransplant patients. Granulocyte colony-stimulating factor (G-CSF) therapy has shown promising results adult decompensated as a potential bridging treatment. Our study aimed identify effect G-CSF on pediatric end-stage disease (PELD) score, function, CD34+ cell mobilization, nutritional...
Living donor liver transplantation (LDLT) remains the only curative treatment for children with end-stage disease; however, complications of procedure are associated indications early relaparotomy. Several risk factors relaparotomy after include pediatric disease (PELD) score, warm ischemia time (WIT), and cold (CIT). Our study investigated incidence in postoperative LDLT recipients compared outcomes patients who did not require
Introduction. Chronic rejection, a complication after pediatric living donor liver transplantation (LDLT), is challenging to treat as management generally requires retransplantation. However, retransplantation avoided because of rejection risks, longer operating time, higher mortality, and lower survival rates. Immunosuppressant therapy has potential an option for nonsurgical treatment. Everolimus, mammalian target rapamycin inhibitors (mTOR inhibitors), well-known immunosuppressant in...
BACKGROUND: Male child circumcision is commonly practiced among male children in Indonesia, and broad-spectrum antibiotics, either oral or topical, are often used to prevent surgical site infections. However, various guidelines suggest not using antibiotics as a prophylactic circumcision. This study aimed determine the incidence of infection after without following guidelines, at Universitas Indonesia Hospital.METHODS: included all with RSUI between 2018 2019. The circumcisions were followed...
A 13-year-old boy had a history of recurrent hematemesis and melena since the age 2 years. Owing to bleeding, he undergone several endoscopic ligation procedures received regular blood transfusions over last 7 Doppler ultrasonography showed extrahepatic portal vein thrombosis, while hepatic was not visualized. Abdominal computed tomography confirmed cavernous transformation in liver hilum. Liver biopsy revealed fibrosis. diagnosis obstruction (EHPVO) with hypertension established. Living...
Abstract Decompensated cirrhosis in children is a leading indication of liver transplantation (LT). Granulocyte-colony stimulating factor (G-CSF) therapy has shown promising results adult decompensated cirrhosis. Our study aimed to investigate the effect G-CSF on function, Pediatric End-stage disease (PELD) score, CD34+ cells mobilization, nutritional status, short-term side effects, and survival indicated for (LT).We performed an open-label, randomized controlled trial with between 3 months...