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- W2208984876 abstract "Background : In daily practice, it is difficult todifferentiate between cholelithiasis and choledocholithiasispatients by clinical symptoms. Even though obstructivejaundice usually happen in choledocholithiasis, but it canalso being absence. This problem can lead to underdiagnosisand cause the stone to be remain in the bile duct even afteroperation. The biochemical testing such as bilirubin,alkaline phosphatase and gamma glutamyl transferase canindicate biliary obstruction.Aim : The aim is to evaluate the difference in biochemicalmarker which are bilirubin, alkaline phosphatase and gammaglutamyl transferase at different gallstone locations incholelithiasis and choledocholithiasis patients.Method : 88 patients from surgery department are selected forthis research. The subjects are divided into two groups whichare patients with choledocholithiasis (n=11) andcholelithiasis (n=77). For total bilirubin, 75 cholelithiasisand 11 choledocholithiasis are selected. While 28cholelithiasis and 7 choledocholithiasis patients fordifference in alkaline phosphatase and 18 cholelithiasis and7 choledocholithiasis patients for difference in GammaGlutamyl Transferase. The liver marker level were takenmaximum one week before the operation.Results : Significant different was found in Bilirubin andALP P < 0.05 . Overall, the median shows that the level ofBilirubin and ALP is higher in choledocholithiasis if comparedwith cholelithiasis patients. While no significant differentin Gamma Glutamyl Transferase was found P > 0.05. Eventhoughoverall median results shows that the level of GGT incholedocholithiasis is higher than in cholelithiasis but somelow ranks and some high ranks will occur in each group, thatis the ranks will be distributed across the two group whichare cholelithiasis and choledocholithiasis more or lessevenly.Conclusion : In a conclusion, only bilirubin and alkalinephosphatase level have a significant difference in differentgallstone location." @default.
- W2208984876 created "2016-06-24" @default.
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- W2208984876 date "2014-01-01" @default.
- W2208984876 modified "2023-09-24" @default.
- W2208984876 title "THE DIFFERENCE OF ALKALINE PHOSPHATASE, BILIRUBIN,AND GAMMA GLUTAMYL TRANSFERASE LEVEL INDIFFERENT GALLSTONE LOCATION OF GALLSTONE PATIENT IN RSUP DR SARDJITO." @default.
- W2208984876 hasPublicationYear "2014" @default.
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