Hubungan Antara Kejadian Anemia dengan Temuan Endoskopi Saluran Pencernaan Atas pada Pasien Tanpa Manifestasi Hematemesis dan Melena: Association Between Anemia and Clinical Presentation Upper Gastrointestinal Endoscopic Findings in Patients Without Hematemesis or Melena

Marcella Adisuhanto; Irene  Vanessa; Mario Steffanus; Riki Tenggara

doi:10.30872/jsk.v6i3.913

Authors

Marcella Adisuhanto Department of Internal Medicine, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia Author
Irene Vanessa Rumah Sakit Atma Jaya Jakarta, Indonesia Author
Mario Steffanus Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Katolik Indonesia Atma Jaya Author
Riki Tenggara Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Katolik Indonesia Atma Jaya1Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Katolik Indonesia Atma Jaya Author

DOI:

https://doi.org/10.30872/jsk.v6i3.913

Keywords:

anemia, endoskopi saluran cerna atas, tanpa hematemesis dan melena

Abstract

Latar Belakang: Endoskopi saluran cerna atas berperan penting dalam mengevaluasi anemia pada pasien tanpa hematemesis atau melena. Berbagai kelainan mukosa dapat menyebabkan perdarahan kronis yang tidak tampak. Penelitian ini bertujuan menilai hubungan antara anemia dan jenis lesi endoskopi pada pasien tanpa manifestasi perdarahan. Metode: Penelitian retrospektif ini menggunakan data rekam medis, hasil endoskopi, serta parameter hematologi (Hb, MCV, MCH) pasien berusia >18 tahun yang menjalani endoskopi di RS Atma Jaya (2018–2024). Pasien hamil dan penderita komorbid kronis dieksklusi. Lesi diklasifikasikan menjadi erosif dan non-erosif. Karena distribusi Hb tidak normal, analisis hubungan dilakukan menggunakan uji chi-square. Hasil: Sebanyak 223 pasien memenuhi kriteria. Mayoritas memiliki kadar Hb normal (74,89%), sedangkan anemia ditemukan pada 25,11%. Lesi erosif merupakan temuan utama (73,99%), sementara 26,01% menunjukkan mukosa non-erosif. Tidak ditemukan hubungan bermakna antara anemia dan jenis lesi endoskopi (p = 0,077) maupun antara derajat anemia dan kategori lesi (p = 0,097). Kesimpulan: Tidak ditemukan hubungan yang signifikan antara kejadian maupun derajat anemia dengan jenis lesi endoskopi saluran cerna atas pada pasien tanpa manifestasi perdarahan.

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