Pemeriksaan Ultrasonografi Vesica Fellea dengan persiapan pantang lemak dibandingkan dengan puasa

INDRATI, Lila, Dr. Henry Kusumo Husodoputro, Sp.Rad(K)

2007 | Tesis | PPDS I Radiologi

Latar belakang: Prosedur pemeriksaan ultrasonografi vesica fellea yang digunakan selama ini adalah puasa minimal 6 jam sebelum dilakukan pemeriksaan. Padahal puasa dapat merepotkan bahkan berbahaya, misalnya pada penderita diabetes, anak-anak dan mereka yang memerlukan waktu lama untuk sampai ke tempat pemeriksaan. Persiapan dengan pantang lemak lebih nyaman bagi pasien. Tujuan: Untuk mengetahui apakah ada perbedaan bermakna antara pemeriksaan ultrasonografi vesica fellea dengan persiapan pantang lemak dan puasa. Bahan dan cara: Pada penelitian Randomized Controlled Trial paralel design dengan single blinding, 86 subyek dibagi menjadi dua kelompok, 45 subyek dengan persiapan puasa dan 41 subyek pantang lemak minimal 6 jam sebelum dilakukan pemeriksaan ultrasonografi vesica fellea. Kriteria inklusi adalah: puasa lemak minimal 6 jam sebelum dilakukan pemeriksaan, BMI < 25, usia diatas 18 tahun dan keadaan umum baik. Kriteria eksklusi adalah: menolak mengikuti penelitian, telah dilakukan cholecystectomy, terdiagnosis anomali vesica fellea dan ketebalan dinding vesica fellea > 3 mm. Uji hipotesis dilakukan dengan independent sample t-test. Hasil : t untuk perbandingan lebar/panjang vesica fellea dengan asumsi kedua varian sama adalah -0,289 dengan probabilitas 0,773. Oleh karena probabilitas > 0,05 maka Ho diterima, atau rata-rata populasi puasa dan pantang lemak adalah sama. Pembahasan: Kondisi yang optimum untuk pemeriksaan ultrasonografi vesica fellea membutuhkan vesica fellea yang terisi penuh cairan dan udara seminimal mungkin pada tractus gastrointestinal. Dengan persiapan pantang lemak ternyata vesica fellea masih bisa tervisualisasi sebaik pemeriksaan dengan persiapan puasa. Kesimpulan: Tidak ada perbedaan bermakna antara pemeriksaan ultrasonografi vesica fellea dengan persiapan pantang lemak dan puasa.

Background: Procedure of gallbladder ultrasonography examination to be used during this time is fasting in six hours minimally before the examination. In some specific condition, fasting will make difficulties for, even it will be dangerous, particularly for diabetics, children, and those of in which require long time to arrive at examination room. Preparation of avoiding fatty meal more convenient than fasting. Objectives: To find out significant differences between the examination of gallbladder ultrasonography using preparation of avoiding fatty meal and fasting preparation Subject and Method: In a randomized controlled trial parallel design study with single blinding, 86 subjects were divided into two groups, 45 subjects fasting and 41 subjects avoiding fatty meal with six hours minimally before ultrasonography examination of gallbladder. Inclusive criteria is avoiding fatty meal in six hours minimally before examination, BMI < 25, age is 18 years and older, and general condition is a good. Meanwhile, exclusive criteria is that subjects refused in order to be researched, have been chlolecystectomy, diagnosed by gallbladder anomaly and thickness of the gallbladder wall >3 mm. Hypothesis test is performed by independent sample t-test. Result: t for ratio of gallbladder length and widen is 0,289 with probability 0,773. With probability > 0,05, H0 is accepted. It means the average of fasting and avoiding fatty meal population is similar. Disccussion: Optimum conditions for the gallbladder ultrasonography examination require a fluid-filled gall bladder and as little gas in the gastrointestinal tract. Obviously, with preparation of avoiding fatty meal, gallbladder remain can be visualized as well as fasting. This research is expected can be utilized as the standard procedure of the ultrasonography examination of gallbladder, so that the preparation of gallbladder ultrasonography will be more practice and convenient for patients. Conclusion: No significant difference between avoiding fatty meal and fasting preparation.

Kata Kunci : Ultrasonografi,Vesica Fellea,Puasa dan Pantang Lemak, Vesica fellea, ultrasonography, visualization, fasting, avoiding fatty meal