Paralytic Ileus in Vegetarian with Pneumonia Infection

Paralytic ileus which is commonly found in clinical practice is referred to clinical syndrome of transportation disturbance of the intestinal lumen content due to various etiology and underlying condition. It has been considered a transient gastrointestinal syndrome with good prognosis. Most cases respond well to conservative management. However, inappropriate diagnostic approach and management will result in severe complication leading to death such as septicemia and perforation. We reported a case of paralytic ileus in young male who is vegetarian with pneumonia infection as the suspected underlying etiology. Radiological examination of the abdomen in three position (upright, supine and lateral) showed dilated gaster and duodenum with minimal air fluid level, no herring bone appearance and absent of free intraperitoneal air. The laboratory result also showed low level of vitamin B12 which might be due to his lactovegetarian diet habit. Management including supportive therapy such as decompression, fasting, adequate parenteral nutrition, fluid balance and treatment of pneumonia as the underlying cause of paralytic ileus had been resulted in good clinical response

Clinical Improvement of Dyspepsia Symptoms Following Eradication Treatment for Helicobacter Pylori

The prevalence of Helicobacter pylori in patients with peptic ulcer in Indonesia is very high. It ranges between 90-100%. In general, patients with gastritis and peptic ulcer usually have dyspepsia symptoms. The pathophysiology of dyspepsia symptoms caused by Helicobacter pylori has not been clearly understood. However, it is assumed that the symptoms are correlated to various factors including inflammation, apoptosis damage, and increased secretion of gastric acid, atrophy and non-atrophy gastritis as well as the development of peptic ulcer. The main objective of treatment for Helicobacter pylori infection is elimination of Helicobacter pylori bacteria. Triple therapy has 80% success rate with no significant adverse events and minimal effect in inducing resistance to antibiotics. The success rate of eradication treatment in patients with peptic ulcer is 90%; while an evaluation on improvement of duodenal ulcus following eradication treatment with one month proton pump inhibitor treatment reveals 90% success rate