Rancangan Materi Subspesialis Digestif Anak

Dimulai dengan sistematika GI-Tract, embriogenesis, anatomi, fisiologi & patofisiologi,

pathogenesis, fungsi GI-Tract secara umum (Proses mengunyah, menelan, pencernaan, bab
(usus)
- Berdasarkan problem based oriented
- Pembahasan dimulai dengan - Kelainan/ disease berdasarkan CINTA

1. ESOFAGUS
Congenital :
Esophageal Atresia
Congenital stenosis of esofagus
Laryngo-tracheo-oesophageal clefts
Achalasia esophagus
Hiatal hernia

Inflamasi :
Esofagitis Barret
GERD

Neoplasma
Esophageal leiomyomas
Esophageal leiomyosarcomas
Esophageal adenocarcinomas

Trauma :
Caustic Injury
Ruptur perforation
Trauma penetrans

Others :
Corpal ingestion
Striktur esophagus
Esophageal strictures
Esophageal varises
Dispepsia Esofagus
Disorder of esophageal function
Spontaneous perforation of esophagus (Borhaave’s syndrome)

Surgery of esophagus :
Esophageal replacement
 Minimal invasive surgery for esophagus
Esophagoscopy
Esophagostomy
Thoracotomy + TEF ligation
Esophageal anastomosis
Cardiomyotomy
Anti-reflux procedure

2. GASTER :
Congenital :
Hypertrophic pyloric stenosis
Pyloric atresia
Pyloric duplication
Congenital microgastria

Inflamasi :
Acute and chronic peptic ulcer
Stress ulcer
Gastric perforation in the newborn

Neoplasma :
Zollinger-Ellison syndrome

Trauma :
Injuries of the stomach

Others :
Gastric volvulus

Surgery of Gaster :
Gastroesophageal replecment
Ramstedt pyloromyotomy
Laparoscopic pyloromyotomy
Roux-En-Y Gastric Bypass
Laparoscopic adjustable gastric banding
Laparoscopic sleeve gastrectomy
Nissen Fundoplication

3. SMALL INTESTINE
Congenital :
Duodenal atresia
Duodenal stenosis
Jejunoileal atresia
Jejunoileal stenosis
 Duplication cyst of GI tract
Meckel divertikulum
Malrotation and midgut volvulus
Duodenal obstruction due to Congenital band
Intestinal duplication
Meconeum ileus

Inflamasi :
Inflammatory bowel disease
Askariasis
Intussusceptions
Necrotizing enterocolitis
Mesenterial adenitis

Neoplasma :
GIST
Carcinoid tumor
lymphoma

Trauma :
Trauma of small intestine

Others :
Foreign bodies in small intestine
Milk curd syndrome
Short bowel syndrome
Internal hernia
Meconeum plug syndrome

Surgery of Small Intestine :

Duodenoduodenostomy
Duodenoduodenoplasty
Jejunoplasty
Ladd’s procedure
Stoma formation
Intestinal anastomosis

4. LARGE INTESTINE
Congenital :
Colonic atresia and stenosis
Hirschsprung’s disease
Polyp of large intestine
Intestinal dysganglionosis
Intestinal neuronal dysplasia
 Total colonic aganglionosis
Peutz-jeghers syndrome

Inflamasi :
Crohn’s disease
Inflammatory pseudotumor
Appendicitis
Colonic stricture
Mesenterial adenitis

Neoplasma :
GIST
Carcinoid tumor
Colorectal adenocarcinoma

Trauma :
Trauma of large intestine

Others :
Large bowel volvulus
Constipation

Surgery of Large Intestine :

Stoma formation
Pullthrough
Intestinal anastomosis

5. ANUS
Congenital :
Anorectal malformation

Inflamasi :
Anal fissure
Perianal abscess
Fistula in-ano

Neoplasma :
Colorectal adenocarcinoma

Trauma :
Injury of anus

Others :
Rectal prolapsed
 Hemorrhoids

Surgery of Anus :
Posterosagittal anorectoplasy

6. DIAFRAGMA
Congenital :
Congenital diaphragmatic hernia
Eventratio diaphragm

Inflamasi :

Neoplasma :

Trauma :
Injuries of diaphragm

Others :

Surgery of Diafragma :
Repair of congenital diaphragmatic
Placation of diaphragm

7. PERITONEUM
Congenital :
Omphalocele
Pentalogy of Cantrell
Cloacal exstrophy
Umbilical cord hernia
Gastroschisis
Ectopia cordis thoracis
Inguinal hernia
Hydroceles

Inflamasi :
Primary peritonitis

Neoplasma :

Trauma :

Others :
Ascites
Abdominal compartement syndrome
Surgery of Peritoneum :
Primary closure of abdominal wall
Inguinal hernia repair

8. HEPATOBILIER
Congenital :
Biliary atresia
Choledocal Cyst
Inspissated bile syndrome

Inflamasi :
Pyogenic liver abscess
Cat scratch disease
Amoebic Cyst
Cholangitis
Hepatitis

Neoplasma :
Hepatoblastoma
Hepatocellular carcinoma
Cholangiocarcinoma
Liver hemangioma
Mesenchymal hamartoma
Hepatocellular adenoma
Focal nodular hyperplasia

Trauma :
Hepatobiliary trauma

Others :
Cholelithiasis
Mirrizi Syndrome

Surgery of Hepatobilier :
Portoenterostomy Kasai Procedure
Roux-en-y hepaticojejunostomy

9. PANCREAS
Congenital :
Annulare pancreas
Panreas cyst

Inflamasi :
 Pancreatitis

Neoplasma :
Pancreatic tumor
Cyst neoplasm of the pancreas

Trauma :
Pseudocyst pancreas
Pancreatic trauma

Others :

Surgery of Pancreas :
Pancreatectomy

10. SPLEEN
Congenital :
Accesory spleen
Wandering spleen
Asplenia and polysplenia

Inflamasi :
Hypersplenism
Splenic Abscess

Neoplasma :
Splenic cyst

Trauma :
Splenic trauma

Others :

Surgery of Spleen :
Splenectomy

11. Umbilicus
Congenital :
Omphalomesenteric remnants
Urachal remnants
Umbilical dysmorphology
Umbilical hernia
Umbilical polyp
Inflamasi :
Umbilical infections

Neoplasma :

Trauma :

Others :
Umbilical granuloma
Umbilical lint

Surgery of Umbilicus :
Umbilicoplasty
Repair hernia of umbilicus