Saran - SIMPULAN DAN SARAN - TESIS OLEH : SITI AISYAH NIM :

BAB V SIMPULAN DAN SARAN

5.2. Saran

Dari hasil penelitian yang didapat, maka muncul beberapa saran dari peneliti, yaitu :

1. Perlu dilakukan pemeriksaan histokimia Giemsa ataupun imunohistokimia untuk mendeteksi keberadaan bakteri H. pylori yang merupakan salah satu indikator sebagai faktor prognosis.

2. Diharapkan pada pelaporan histopatologi dapat memberikan kerangka yang konsisten untuk pelaporan histologi rutin pada kasus gastritis dengan menggunakan klasifikasi Sydney system dan staging OLGA system sehingga klinisi dapat menegakkan diagnosis dengan lebih rinci lagi agar dapat memberikan pengobatan dan pencegahan secara dini apabila terdapat tanda-tanda lesi prekanker.

3. Diharapkan pada dokter klinisi agar memberikan informasi klinis yang jelas seperti mengenai lama menderita penyakit gastritis dan obat-obatan yang sudah diberikan untuk pengobatan karena berpengaruh terhadap gambaran histopatologi gastritis kronis.

4. Diharapkan agar dokter klinisi dapat memberikan sampel jaringan biopsi dengan lima pengambilan lokasi biopsi yang sudah ditentukan (kurvatura mayor antrum distal, kurvatura minor antrum distal, kurvatura minor incisura angularis, dinding anterior corpus proksimal, dan dinding posterior corpus proksimal) agar patolog dapat memenuhi kriteria penilaian histomorfologi gastritis kronis berdasarkan OLGA System.

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Inflammasi Kronik Aktifitas PMN Atrofi Kelenjar Metaplasia Intestinal H. pylori Inflammasi Kronik Aktifitas PMN Atrofi Kelenjar Metaplasia Intestinal H. pylori

1 H/19/013 Benny Surbakti 49 ♂ Karo 1 0 0 0 0 1 0 0 0 0 Gastritis chemical

14 H/17/028 Andri Hatriyanto 43 ♂ Minang 1 0 0 0 0 1 0 0 0 0 Gastritis chemical 17 H/17/193 Windy Seprianto

Purba 28 ♂ Batak 1 0 0 0 0 1 0 0 0 0 Gastritis chemical

/ gastropathy 0

18 H/17/226 Suratik 59 ♀ Jawa 1 0 0 0 0 1 0 0 0 0 Gastritis chemical

/ gastropathy 0 19 H/16/001 Ahmad Dahruddin

Siregar 56 ♂ Mandailing 1 0 0 0 0 1 0 0 0 0 Gastritis chemical

48 H/15/237 Purnama Sari

84 H/14/297 Rentina Nainggolan 51 ♀ Batak 1 0 0 0 0 1 0 0 0 0 Gastritis chemical

101 H/12/132 Warsiyem 58 ♀ Jawa 2 0 0 0 0 2 0 0 0 0 Gastritis chemical

/ gastropathy 0

102 H/12/144 Sumarsono 54 ♀ Jawa 3 1 1 0 0 2 0 0 0 0 Gastritis

Limfositik 1

103 H/12/180 Tigor Nababan 62 ♂ Batak 2 0 0 1 0 1 0 0 0 0 Gastritis Atrofi 0

104 H/12/339 D. Sinaga 70 ♂ Batak 2 0 0 0 0 2 0 0 0 0 Gastritis chemical

/ gastropathy 0

105 H/13/340 Jiman Berutu 65 ♂ Batak 2 0 1 0 0 2 0 1 0 0 Gastritis Atrofi 1

106 H/11/005 Junaidi 39 ♂ Aceh 2 0 0 0 0 2 0 0 0 0 Gastritis chemical

/ gastropathy 0

107 H/11/009 Afrizal 48 ♂ Melayu 2 0 1 0 0 1 0 0 0 0 Gastritis chemical

/ gastropathy 1

108 H/11/069 Nuraidah 52 ♀ Jawa 2 0 1 0 0 2 0 0 0 0 Gastritis Atrofi 1

109 H/11/098 Lim Bie Eng 75 ♀ China 1 0 0 1 0 1 0 0 1 0 Gastritis chemical

/ gastropathy 0

110 H/11/145 Samin Siregar 51 ♂ Mandailing 2 0 0 0 0 0 1 0 0 0 Gastritis Kronis

aktif 0

111 H/11/163 M. Haris 31 ♂ Simalungun 1 0 1 0 0 1 0 0 0 0 gastritis Kronis

aktif 1

112 H/11/218 Erwan Arbie 61 ♂ Minang 1 0 1 0 0 0 1 0 1 0 Gastritis Atrofi 1

113 H/11/250 Harjono Saleh 34 ♂ Jawa 1 0 0 1 0 1 0 0 0 0 Gastritis Atrofi 0

114 H/11/251 Sukardi 44 ♂ Jawa 1 0 1 0 0 1 0 0 0 0 Gastritis Atrofi 1

LAMPIRAN 2.

GAMBARAN MIKROSKOPIS SAMPEL FOTO MAKROSKOPIS

FOTO MIKROSKOPIS

Gambar Mikroskopis gaster. A. Antrum. B. Corpus

A B

Gambar mikroskopis gastritis kronis. A. Infitrasi sel radang MN grade 1. D. Infitrasi sel radang MN grade 2. C. Infiltrasi inflammasi PMN. D. Atrofi pada antrum. E. Atrofi pada corpus. F. Metaplasia intestinal.

A B

C D

E F

LAMPIRAN 3. TABEL OUTPUT

LAPORAN STATISTIK

FREQUENCIES VARIABLES=Jenis_Klamin Suku DD Inflmsi_Krn_Ant Aktf_PMN_Ant Atf_Kel_Ant Met_Ints_Ant H_Plyr_Ant Inflmsi_Krn_Crp Aktf_PMN_Crp Atf_Kel_Crp Met_Ints_Crp H_Plyri_Crp Diagnosa Grd_Atr_Ant St_OLGA

/PIECHART FREQ /ORDER=ANALYSIS.

Frequencies

Notes

Output Created 10-AUG-2020 12:11:58

Comments

Input Data D:\Tulisan\Analisis SPSS\Analisis dr.

Irma Sp.PA\Deskriptif.sav

Missing Value Handling Definition of Missing User-defined missing values are treated as missing.

Cases Used Statistics are based on all cases with valid data.

Resources Processor Time 00:00:03,42

Elapsed Time 00:00:03,36

Frequency Percent Valid Percent

Cumulative