Factors Associated With Colonoscopy Duration at Rsup Prof. Dr. I.G.N.G. Ngoerah in 2025

Fri, 27 Mar 2026 00:00:00 +0000

Colonoscopy is a key diagnostic and therapeutic procedure for colorectal diseases. With increasing procedural volume, colonoscopy duration has become an important operational parameter in endoscopy unit management. Although clinical indications and service models are assumed to influence procedure time, real-world evidence regarding determinants of colonoscopy duration remains limited, particularly in low- and middle-resource settings. This study aimed to evaluate whether One Day Care (ODC) status, examination purpose (surveillance vs. diagnostic), and malignancy status are associated with colonoscopy duration. A retrospective cross-sectional study was conducted using secondary data from a single-operator endoscopy unit at RSUP Prof. Dr. I.G.N.G. Ngoerah between January and November 2025. All eligible cases were included using total sampling (n = 133). Colonoscopy duration (minutes) was analyzed using the Mann–Whitney test and multiple linear regression (p < 0.05; 95% CI). The median colonoscopy duration was 35 minutes (mean 41.8 ± 32.3 minutes). In univariate analysis, ODC procedures were significantly shorter than non-ODC procedures (30 vs. 40 minutes; p = 0.033). No significant differences were observed based on malignancy status (p = 0.247) or examination purpose (p = 0.101). In the multivariable analysis, no independent predictors of colonoscopy duration were identified. Basic clinical categorization and service model were not independently associated with colonoscopy duration in this real-world cohort. These findings suggest that unmeasured workflow dynamics or system-level factors may influence procedural time beyond simple clinical stratification.

When Obesity Masks Shock: A Case of Compensated Dengue Shock Syndrome in an Early Adolescent

Fri, 27 Mar 2026 00:00:00 +0000

Dengue fever remains a major public health problem in tropical and subtropical regions. The global incidence of dengue has markedly increased over the past two decades. Severe dengue is life-threatening complication of dengue infection and if it accompanied with shock condition known as Dengue Shock Syndrome (DSS). Mechanism of organ system in children and adipose tissue related to pro-inflammatory cytokines which has impact of pathological cytokines-storm in DSS that make worsening condition of obese children with dengue infection. Increased baseline blood volume and altered inflammatory responses may mask early signs of hypovolemia, leading to delayed recognition of shock. To report a case of compensated DSS in early adolescent with obesity. We report the case of a 13-year-old obese pediatric patient with a body mass index of 38.9 kg/m2 who developed a compensated condition of dengue shock syndrome. Physical investigations showed indications of shock condition can be seen from the blood pressure at 110/90 mmHg and oliguria in 18 hours after admission, that successfully compensated after rehydration. Living in endemic area, fever, acute abdominal pain, petechiae, leukopenia, increase of hematocrit, thrombocytopenia and shock condition supported indications of severe dengue. Initially the patient was treated in the ward, but due to fast worsening condition, the patient was moved to the Pediatric Intensive Care Unit. After got treatment of severe dengue, the shock resolved and patient’s condition improved. Obesity mask early clinical manifestations of dengue shock syndrome, leading to delayed recognition of severe dengue. Strict monitoring is important to prevent worsening condition. Fast and precise management can reduce morbidity and mortality of severe dengue in children with obesity.

Asian Journal of Healthy and Science

Factors Associated With Colonoscopy Duration at Rsup Prof. Dr. I.G.N.G. Ngoerah in 2025

When Obesity Masks Shock: A Case of Compensated Dengue Shock Syndrome in an Early Adolescent