- •РУДН
- •Воспалительная болезнь кишечника (ВБК) – это группа идиопатических хронических воспалительных состояний кишечника.
- •environment
- •Diarrhea Constipation
- •Crohn's disease differs from UC in the areas of the bowel it involves
- •Aphthousus
- •Granulomatous lesion is diagnostic of Crohn's disease
- •- fever
- •The clinical manifestation of the fistula: - enteroenteric fistulas may be asymptomatic or
- •The clinical manifestation of the fistula:
- •Ileocolitis
- •Colitis and perianal disease
- •IBD is associated with variety of
- •Dermatologic
- •Rheumatologic
- •Ocular
- •Urologic
- •Complication
- •Hemorrhage
- •In Crohn’s disease, increased risk of cancer of the affected areas
- •Bowel
- •Laboratory studies :
- •Symptoms
- •Category
- •Whipple’s disease
- •-Rod-shaped morphology
- •Celiac Sprue
- •The celiac lesion in the proximal small intestine was first described by Paulley
- •Many studies have also shown high prevalence
- •Celiac disease as an immune disorder that is triggered by an environmental agent
- •Genetic factors play an important role- there is significantly increased risk of celiac
- •Few if any GI symptoms
- ••Dermatitis Herpetiformis
- •Symmetric vesicles, crusts and erosions distributed over the extensor areas of the elbows,
- ••Acquired icthyosis
- ••Clinical findings
- •Normal
- •Normal
- •Some of the serologic tests used to diagnose celiac:
- •In general, the following advice can be given to all patients:
- •• Bouillon Cubes
РУДН
2018
Воспалительная болезнь кишечника (ВБК) – это группа идиопатических хронических воспалительных состояний кишечника.
environment
diet
possibly genetics
bacteria
a virus
or a protein in food
Diarrhea Constipation
Bowel movement abnormalities Abdominal cramping and pain Nausea and vomiting
World Gastroenterology Organization (WGO)
|
Ulcerative colitis |
Crohn’s disease |
Incidence |
11/100 000 |
7/100 000 |
Age of onset |
15-30 & 60-80 |
15-30 & 60-80 |
Male:female ratio |
1:1 |
1,1-1,8:1 |
Smoking |
May prevent |
May cause disease |
|
disease |
|
Oral contraceptive |
No increased risk |
Relative risk 1,9 |
Appendectomy |
Not protective |
Protective |
Monozygotic twins |
8% concordance |
67% concordance |
Crohn's disease differs from UC in the areas of the bowel it involves - it most commonly affects the last part of the small intestine and parts of the large intestine.
Crohn's disease isn't limited to these areas and can attack any part of the digestive tract
Aphthousus
ulcers
Segmental distribution of ulcers
Cobblestone |
Strictures due |
appearance |
to fibrosis |