PROSEDUR PEMERIKSAAN OESOPHAGUS MAAG DUODENUM (OMD) PADA KASUS GASTRITIS DI INSTALASI RADIOLOGI RSI SULTAN AGUNG SEMARANG
DOI:
https://doi.org/10.35328/kesmas.v15i1.3297Keywords:
Oesophagus Maag Duodenum, Gastritis, Iodine.Abstract
Differences exist between OMD examination technique for gastritis cases performed at RSI (Islamic Hospital) Sultan Agung Semarang and the procedures described in the literature, particularly regarding the use of a 1:1 water-soluble iodine contrast medium and the application of the erect patient position. This study aims to identify the OMD examination procedure in gastritis cases, the rationale for using water-soluble iodine contrast media, and the reasons for employing the erect patient position. This study employed a qualitative method with a case study approach. The research was conducted at the Radiology Department of RSI Sultan Agung Semarang from September 2025 to March 2026. Data were collected through observation, interviews, and documentation involving three radiographers and one radiologist. Direct observations were conducted during the OMD examination process. The data were presented narratively, verified against established theoretical references, and subsequently analyzed to draw conclusions. The results showed that the examination procedure included an explanation of the procedure, signing of informed consent, patient preparation consisting of fasting for at least four hours, changing into hospital clothing, and removing metallic objects to prevent artifacts. The examination was performed using a digital radiography system with fluoroscopy, a 1:1 diluted water-soluble iodine contrast medium, and AP plain, AP post-contrast, LPO, RPO, and lateral post-contrast projections in the erect position. The use of water-soluble iodine was considered safer and reduced nausea, while the erect position minimized the risk of coughing or aspiration during the examination.
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