Professional Documents
Culture Documents
DISUSUN OLEH :
K W A N S I LV E A K W A N D O U C 0 1 4 1 7 2 1 1 0
MAGF IRA AL HABSYI C014172045
M AT E U S M I C H A E L T U N A R D I C014172042
PEMBIMBING:
DR. L I D YA A L L O D AT U T U R U P A D A N G
D E PA RT E M E N I L M U K E S E H ATA N T. H . T. K . L
FA K U LTA S K E D O K T E R A N
U N I V E R S I TA S H A S A N U D D I N
2019
ANATOMI ESOFAGUS
Epitel :
Epitel berlapis gepeng tanpa
lapisan tanduk
Mescher, A.L. 2012. Histologi Dasar Junqueira : Teks dan Atlas Edisi 12. Jakarta : Penerbit Buku Kedokteran EGC.
FISIOLOGI MENELAN
DEFINISI
• Benda asing esofagus adalah benda yang tajam maupun
tumpul atau makanan yang tersangkut dan terjepit di
esofagus karena tertelan, baik secara sengaja maupun
tidak sengaja.
EPIDEMIOLOGI
Anak
• Penyebab : Koin 83.8%
• Lokasi : Pars media 84.1%
Dewasa
Yunizaf, M. 2010. Buku Ajar Ilmu Kesehatan Telinga Hidung Tenggorok Kepala & Leher : Benda Asing Esofagus. Jakarta : Balai Penerbit FKUI.
Alberto, C., dkk. 2010. Foreign Bodies in the Oesophagus: The Experience of the Buenos Aires Paediatric ORL Clinic. International Journal of
• Penyebab : Tulang ikan 51.3%
Pediatrics.
Zhong, Q., dkk. 2017. Esophageal foreign body ingestion in adults on weekdays and holidays. Medicine. Vol. 96, No.4
ETIOLOGI
Usia Anak
• Kelainan Kongenital
• Koordinasi menelan yang belum matang
• Retardasi Mental
• Gangguan pertumbuhan
Usia Dewasa
• Sensasi taktil palatum berkurang
• Gangguan mental
• Mabuk
• Disfagia kronis
Yunizaf, M. 2010. Buku Ajar Ilmu Kesehatan Telinga Hidung Tenggorok Kepala & Leher : Benda Asing Esofagus. Jakarta : Balai Penerbit FKUI.
Moore, K.L. 2014. Clinically Oriented Anatomy Edisi 7. Lippincott Williams and Wilkins.
Altamimi, 2015. Esophageal Web in Child. International Journal of Clinical & Medical Imaging.
PATOMEKANISME
Benda / makanan terhenti di esofagus :
- terlalu besar bagi lumen esofagus
- ada bagian yang tajam & menancap
Lokasi :
penyempitan fisiologis esofagus
penyempitan anatomis :
- krikofaring (70 %)
- persilangan aorta / bronkus (15 %)
- melewati diafragma (15 %)
Gilyoma, Japhet M. Endoscopic procedures for removal of foreign bodies of the aerodigestive tract: The Bugando Medical
Centre experience. BMC Ear, Nose and Throat Disorders. 2016;11(2): 2-5 7
Gilyoma, Japhet M. Endoscopic procedures for removal of foreign bodies of the aerodigestive tract: The Bugando Medical
Centre experience. BMC Ear, Nose and Throat Disorders. 2016;11(2): 2-5
Benda asing esofagus
Pressure necrosis
Tajam
Lesi
Perforasi
Granulasi
Gilyoma, Japhet M. Endoscopic procedures for removal of foreign bodies of the aerodigestive tract: The Bugando Medical
Centre experience. BMC Ear, Nose and Throat Disorders. 2016;11(2): 2-5 9
GEJALA KLINIS
• Disfagia
• Oedinofagi
• Hipersalivasi
• Regurgitasi
• Muntah
• Nyeri dada/chest discomfort
DIAGNOSIS
• Faringitis akut
• Esofagitis
• Globus Pharyngeus
Katzenmeyer, Kevin. Caustic Ingestion and Foreign Bodies in the Aerodigestive Tract. Grand Rounds Presentation, UTMB,
Dept. of Otolaryngology. 2015
Stanley B. Benjamin. Esophageal Foreign Bodies and Food Impactions. Gastroenterology & 14
Hepatology Volume 4(8). August 2015
BACK BLOW AND ABDOMINAL THRUST
•1
METODE DENGAN KATETER FOLEY
Katzenmeyer, Kevin. Caustic Ingestion and Foreign Bodies in the Aerodigestive Tract. Grand Rounds Presentation, UTMB,
Dept. of Otolaryngology. 2015
ALAT UNTUK ESOFAGOSKOPI
Katzenmeyer, Kevin. Caustic Ingestion and Foreign Bodies in the Aerodigestive Tract. Grand Rounds Presentation, UTMB,
Dept. of Otolaryngology. 2015
Stanley B. Benjamin. Esophageal Foreign Bodies and Food Impactions. Gastroenterology & 17
Hepatology Volume 4(8). August 2015
ALAT UNTUK ESOFAGOSKOPI …
Katzenmeyer, Kevin. Caustic Ingestion and Foreign Bodies in the Aerodigestive Tract. Grand Rounds Presentation, UTMB,
Dept. of Otolaryngology. 2015
Stanley B. Benjamin. Esophageal Foreign Bodies and Food Impactions. Gastroenterology & 18
Hepatology Volume 4(8). August 2015
ALAT UNTUK ESOFAGOSKOPI …
Katzenmeyer, Kevin. Caustic Ingestion and Foreign Bodies in the Aerodigestive Tract. Grand Rounds Presentation, UTMB,
Dept. of Otolaryngology. 2015
Stanley B. Benjamin. Esophageal Foreign Bodies and Food Impactions. Gastroenterology & 19
Hepatology Volume 4(8). August 2015
PENCEGAHAN
1. Anak dididik untuk hanya memasukkan
makanan ke dalam mulut
2. Jangan meletakkan sesuatu sembarangan
3. Jangan makan makanan keras bila gigi tak
lengkap
4. Jangan menggigit benda-benda yang
bukan makanan seperti peniti, dll.
5. Pemakaian gigi palsu yang baik dan benar