ADENOD HYPERTROPHY

This is a case of young lady with anosmia.
Endoscopy nasopharynx showed adenoid hypertrophy as seen in this picture.
At the nasal cavity polypoid masses were seen  bilaterally but the polyp was more prominent at the right nasal cavity,protruding from the upper part of the choncha media.
Location : Endoscopy Clinic,Pelni Hospital,Jakarta
Date : 14 th November,2013

ACHALASIA

ACHALASIA (rat-tail appearance esophagogram with dilated proximal esophagus) and oral-esophageal candidiasis.(endoscopic view) in a male of 67 years old.Dysphagia lasted 3 weeks before hospitalisation.No history of diabetes mellitus.Conservative treatment.

NASAL ENDOSCOPY

This picture is presenting my personal assistant to attract attention of nasal endoscopy procedures.The procedure is sometimes needed to evaluate the internal condition of your nasal cavities.It is usually done when you have persistent clinical symptoms of nasal discharges or polypoid mass,especially with bloody mucous discharges or even epistaxis/bleeding nose.Sometimes you have (unilateral) tinnitus due to Eustahian tube's dysfunction or (unilateral) conductive hearing loss.
Nasopharyngeal endoscopy is usually done at the doctor's office and/or in the Endoscopy Unit of the hospital.Contact your ENT doctor when you think you need his/her consultation.

IN MEMORIAM :Dr.SUGIARTO WIBOWO

Dr.Sugiarto Wibowo baru-baru ini telah berpulang.
Pada saat endoskopi dengan fiberscope mulai berkembang sekitar tahun 1970,beliau adalah satu dokter yang menekuni pemeriksaan endoskop bagi pasien (terutama) di RS Husada,Jalan Mangga Besar,Jakarta Utara.
Bersama dengan sejumlah dokter lain yang tertarik menekuni endoskopi, didirikan PEGI (Perhimpunan Endoskopi Gastrointestinal Indonesia) disusul dengan PGI (Perkumpulan Gastroenterologi Indonesia).
Foto menunjukkan Dr.Sugiarto Wibowo(alm.,paling kiri) dan penulis(dikiri beliau) beserta sejumlah dokter dari Filipina,Taiwan,USA,Amerika Latin  yang sedang menjalani magang (fellowship) di Tokyo Women's Medical College tahun 1974.
Selamat jalan Dr.Wibowo.

POLIP BISA DITEMUKAN PADA ANOSMIA (KEHILANGAN DAYA PENCIUMAN)

Anosmia adalah keadaan dimana kita kehilangan daya penciuman,salah satu dari panca indra kita.
Sel -sel reseptor untuk penciuman berada dalam atap hidung kita.
Kehilangan penciuman bisa bersifat ringan dan sementara,namun ada juga bersifat berat dan lama/menetap.
Foto ini  dibuat melalui prosedur endoskopi ,menggunakan (fiber)" endoscope"( endoskop serat lentur) pada seorang wanita yang telah kira-kira setahun menderita gangguan penciuman.
Kelebihan endoskop serat lentur yaitu karena sifat lenturnya, alat ini bisa mengikuti perubahan/lekuk rongga alami pada struktur anatomi pasien sehingga   tidak/kurang mengganggu rasa nyaman pasien.
Gambar menunjukkan polip pada hidung yang tidak nampak pada pemeriksaan rhinoskopi biasa,namun terlihat jelas pada pemeriksaan dengan endoskop serat lentur.
Foto : dr.L.S.Handikin SpTHT
Lokasi : Klinik Endoskopi R.S.Pelni,Jakarta

Bahagia karena memberi- Intisari Online

Bahagia karena memberi- Intisari Online

DYSPHONIA : CONSULT YOUR DOCTOR WHEN IT LAST MORE THAN 2 WEEKS.

There are some etiologies of dysphonia;inflammatory condition during viral infection/influenza,true vocal fold(s) paresis(neurologic problems),polyps or laryngeal cancer etc.
Consult your doctor when your hoarse voices last for more than 2 weeks.
The case shows hoarseness lasted for more than 10 years in a young lady,showing the stenotic glottic/subglotic inlet,sometime mistakenly diagnosed as asthmatic bronchitis.

SAFETY ENDOSCOPY IS THE MOST IMPORTANT THING

Preparation to do endoscopy is most important.
Check n re-check the right equipment,the right scope,the right accessories,the right patient(including the right supporting datas/medical records),the right procedures.
Safety is the most importance.
Beware of the possible uneven problem or reaction before,during and after endoscopy procedure.(fromThe Endoscopy Unit,Pelni Hospital.Jakarta).

A DIFFICULT CASE OF NASOPHARYNGEAL CANCER

A young male was suspected of primary liver cancer or hepatoma.The patient condition was getting poorer while the liver function deteriorating with icterus and anemia.

The PET/CT scan showed positive FDG uptake in the nasopharyngeal wall area.

Biopsy of the tumour showed positive for nasopharyngeal squamous cell carcinoma.
This case show the role of PET/CT scan to determine the location of primary tumor which is surprisingly found in the nasopharynx.