Ileocolonoscopy in Inflammatory Bowel Diseases

May 13, 2017 by in GENERAL SURGERY Comments Off on Ileocolonoscopy in Inflammatory Bowel Diseases

Indications of ileocolonoscopy for IBD Correct diagnosis of IBD Differential diagnosis of IBD Assessment of disease extent and severity Assessment of disease activity Assessment of response to treatments (therapeutic monitoring)…

read more

Surgery in Inflammatory Bowel Diseases

May 13, 2017 by in GENERAL SURGERY Comments Off on Surgery in Inflammatory Bowel Diseases

Short segments: <10 cm Heineke-Mikulicz (HM) strictureplasty Judd strictureplasty Moskel-Walske-Neumayer strictureplasty Intermediate segments: 10–25 cm Finney strictureplasty Jaboulay strictureplasty Long segments: >25 cm (side-to-side isoperistaltic strictureplasty) Michelassi’s strictureplasty Poggioli strictureplasty…

read more

Radiology

May 13, 2017 by in GENERAL SURGERY Comments Off on Radiology

Fig. 8.1 Barium study for Crohn’s disease. Multisegmental longitudinal ulcers (arrows) are seen in the mesenteric side throughout ileal loops with discontinuous and asymmetric pattern Fig. 8.2 Barium study for…

read more

Small Bowel Endoscopy

May 13, 2017 by in GENERAL SURGERY Comments Off on Small Bowel Endoscopy

Distribution  Discontinuous pattern of inflammation  Skip lesions Ulcerous lesion  Longitudinal ulcer (mesenteric side)  Fissuring ulcer  Round ulcer (longitudinal arrangement)  Aphthous ulcer (longitudinal arrangement) Elevated lesion  Cobblestone appearance  Inflammatory polyp Deformity…

read more

Ileocolonoscopy in Crohn’s Disease

May 13, 2017 by in GENERAL SURGERY Comments Off on Ileocolonoscopy in Crohn’s Disease

General clinical features Symptoms Chronic or nocturnal diarrhea Abdominal pain Weight loss Fever Rectal bleeding Signs Pallor Cachexia Abdominal mass or tenderness Perianal fissure Fistulae Abscess Specific clinical features according…

read more

Differential Diagnosis: Intestinal Tuberculosis

May 13, 2017 by in GENERAL SURGERY Comments Off on Differential Diagnosis: Intestinal Tuberculosis

Fig. 4.1 Circumferential-shaped ulcers in ITB. (a) Deep transverse ulcer travels colonic lumen about half. (b) Wide transverse ulcer encircling colonic lumen. (c) Shallow circumferential ulcer encircling colonic lumen is…

read more

Complications of Inflammatory Bowel Disease

May 13, 2017 by in GENERAL SURGERY Comments Off on Complications of Inflammatory Bowel Disease

Fig. 12.1 Enterocolic fistula (arrows) in Crohn’s disease Fig. 12.2 Enterocutaneous fistula in Crohn’s disease. (a) CT findings, (b) a skin photo Fig. 12.3 Enterovesical fistula in Crohn’s disease (arrow)…

read more
Get Clinical Tree app for offline access