Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital

Background: Colitis is a gastrointestinal disease that poses a major problem in Indonesia. Zinc (Zn) is an important trace element which plays role as antimicrobial in intestinal mucosa, increases gastrointestinal barrier, and immune function. Colitis can cause histologic changes in gastrointestinal...

Full description

Bibliographic Details
Main Authors: Nuri Dyah Indrasari, Firensca Pattiasina, Achmad Fauzi, Yusra Yusra, July Kumalawati, Suzanna Immanuel
Format: Article
Language:English
Published: Interna Publishing 2022-05-01
Series:The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Subjects:
Online Access:https://www.ina-jghe.com/index.php/jghe/article/view/826
_version_ 1797810495795757056
author Nuri Dyah Indrasari
Firensca Pattiasina
Achmad Fauzi
Yusra Yusra
July Kumalawati
Suzanna Immanuel
author_facet Nuri Dyah Indrasari
Firensca Pattiasina
Achmad Fauzi
Yusra Yusra
July Kumalawati
Suzanna Immanuel
author_sort Nuri Dyah Indrasari
collection DOAJ
description Background: Colitis is a gastrointestinal disease that poses a major problem in Indonesia. Zinc (Zn) is an important trace element which plays role as antimicrobial in intestinal mucosa, increases gastrointestinal barrier, and immune function. Colitis can cause histologic changes in gastrointestinal tract epithelial which will disrupt the absorption and excretion of Zn causing zinc deficiency. This study aims to evaluate the difference of Zn level in colitis and healthy subjects, as well as the fecal analysis profile of colitis patients in Cipto Mangunkusumo General Hospital. Method: The design of this study was cross-sectional and was performed in colitis and healthy subjects. Colitis patients were recruited consecutively in patients in Gastroenterology Clinic and Gastrointestinal Endoscopy Centre in Cipto Mangunkusumo General Hospital. Zinc examination from blood sample was performed using spectrophotometry. Fecal analysis was performed manually. The level of zinc from colitis subjects was compared to healthy subjects. Fecal analysis examination consists of macroscopic, microscopic, and chemical examinations of the feces. Results: There were 40 colitis subjects and 16 healthy subjects in August 2019 - May 2020. There were significant differences in Zn levels between colitis and healthy subjects, which were 10.9 ± 1.9 mol/L and 12.3 ± 1 mol/L, respectively (p = 0.011). There were 45% (18/45) colitis subjects who were also suffering from Zn deficiency. The stool analysis in colitis subjects showed soft stool consistency in 90% subjects, slimy stools in 17.5%, increased in erythrocyte count in 60%, increased in leukocyte count in 5%, positive stool starch in 20%, positive stool fat in 7.5%, acid pH in 97.5%, positive stool occult blood in 37.5%, and fungi in stool in 7.5%.
first_indexed 2024-03-13T07:09:51Z
format Article
id doaj.art-882209aed36a4ad79bf39c1bde24607a
institution Directory Open Access Journal
issn 1411-4801
2302-8181
language English
last_indexed 2024-03-13T07:09:51Z
publishDate 2022-05-01
publisher Interna Publishing
record_format Article
series The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
spelling doaj.art-882209aed36a4ad79bf39c1bde24607a2023-06-06T04:45:36ZengInterna PublishingThe Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy1411-48012302-81812022-05-01231293710.24871/231202229-37777Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General HospitalNuri Dyah Indrasari0Firensca Pattiasina1Achmad Fauzi2Yusra Yusra3July Kumalawati4Suzanna Immanuel5Department of Clinical Pathology, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo General National Hospital, JakartaDepartment of Clinical Pathology, Faculty of Medicine, University of Indonesia/Dr. Cipto Mangunkusumo General National Hospital, JakartaDepartment of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital, JakartaDepartment of Clinical Pathology, Dr. Cipto Mangunkusumo National General Hospital, JakartaDepartment of Clinical Pathology, Dr. Cipto Mangunkusumo National General Hospital, JakartaDepartment of Clinical Pathology, Dr. Cipto Mangunkusumo National General Hospital, JakartaBackground: Colitis is a gastrointestinal disease that poses a major problem in Indonesia. Zinc (Zn) is an important trace element which plays role as antimicrobial in intestinal mucosa, increases gastrointestinal barrier, and immune function. Colitis can cause histologic changes in gastrointestinal tract epithelial which will disrupt the absorption and excretion of Zn causing zinc deficiency. This study aims to evaluate the difference of Zn level in colitis and healthy subjects, as well as the fecal analysis profile of colitis patients in Cipto Mangunkusumo General Hospital. Method: The design of this study was cross-sectional and was performed in colitis and healthy subjects. Colitis patients were recruited consecutively in patients in Gastroenterology Clinic and Gastrointestinal Endoscopy Centre in Cipto Mangunkusumo General Hospital. Zinc examination from blood sample was performed using spectrophotometry. Fecal analysis was performed manually. The level of zinc from colitis subjects was compared to healthy subjects. Fecal analysis examination consists of macroscopic, microscopic, and chemical examinations of the feces. Results: There were 40 colitis subjects and 16 healthy subjects in August 2019 - May 2020. There were significant differences in Zn levels between colitis and healthy subjects, which were 10.9 ± 1.9 mol/L and 12.3 ± 1 mol/L, respectively (p = 0.011). There were 45% (18/45) colitis subjects who were also suffering from Zn deficiency. The stool analysis in colitis subjects showed soft stool consistency in 90% subjects, slimy stools in 17.5%, increased in erythrocyte count in 60%, increased in leukocyte count in 5%, positive stool starch in 20%, positive stool fat in 7.5%, acid pH in 97.5%, positive stool occult blood in 37.5%, and fungi in stool in 7.5%.https://www.ina-jghe.com/index.php/jghe/article/view/826colitiszinc deficiencyfaecal analysis
spellingShingle Nuri Dyah Indrasari
Firensca Pattiasina
Achmad Fauzi
Yusra Yusra
July Kumalawati
Suzanna Immanuel
Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital
The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
colitis
zinc deficiency
faecal analysis
title Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital
title_full Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital
title_fullStr Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital
title_full_unstemmed Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital
title_short Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital
title_sort blood zinc profile and fecal analysis of colitis patients in cipto mangunkusumo general hospital
topic colitis
zinc deficiency
faecal analysis
url https://www.ina-jghe.com/index.php/jghe/article/view/826
work_keys_str_mv AT nuridyahindrasari bloodzincprofileandfecalanalysisofcolitispatientsinciptomangunkusumogeneralhospital
AT firenscapattiasina bloodzincprofileandfecalanalysisofcolitispatientsinciptomangunkusumogeneralhospital
AT achmadfauzi bloodzincprofileandfecalanalysisofcolitispatientsinciptomangunkusumogeneralhospital
AT yusrayusra bloodzincprofileandfecalanalysisofcolitispatientsinciptomangunkusumogeneralhospital
AT julykumalawati bloodzincprofileandfecalanalysisofcolitispatientsinciptomangunkusumogeneralhospital
AT suzannaimmanuel bloodzincprofileandfecalanalysisofcolitispatientsinciptomangunkusumogeneralhospital