Презентация на тему SIW Crohn’s disease

a specific clinical picture, characterized by focal, asymmetric, transmural

granulomatous inflammation, which affects primarily the gastrointestinal tract; but can also be manifested by systemic and extraintestinal complications.

America, between 5 and 20 percent of people who

have an IBD have a first – degree relative with one. the risk is higher in Crohn’s than ulcerative colitis,
and higher when both parents are affected.

often affected (85-90%)

quadrant
2)vomiting
3)diarrhea with an admixture of blood
4)flatulency
5)fever
6)thickened painful terminal segment

of the ileum
7)leukocytosis

Localization in

small intestine

colon

a)General symptoms:
1)Malabsorption
syndrome

2)Intoxication syndrome
b)Local symptoms

1)stomach ache
2)diarrhea
3)pallor, dry skin
4)decreased muscle tone of the anterior abdominal wall
5)palpation of the colon is painful

in the upper gastrointestinal tract
symptoms of terminal ileitis and

colon damage

ulcerative syndrome

clinic of chronic gastritis and esophagitis

Coprogramme; admixture of blood and mucus
Definition of HIV (differential

diagnosis of diarrheal syndrome)
Immunological status;
Fecal calprotectin can be recommended

gastrointestinal tract and lower parts (ileocolonoscopy) is carried out

to confirm the diagnosis of IBD, to obtain tissue samples for morphological analysis for the purpose of differential diagnosis between UC and CD.
The presence of transverse ulcers, aphthae, limited areas of hyperemia and edema in the form of a "geographical map", fistulas with localization in any part of the gastrointestinal tract is characteristic of CD.
Ileocolonoscopy is the first line diagnostic method for the detection of terminal ileitis

b - multiple aphthous ulcers found in colonoscopy c

- characteristic linear ulcers r - "cobblestone pavement" with a relatively small surface of ulceration

significant microscopic differences of Crohn's disease from ulcerative colitis

is the spread of inflammatory infiltrate to all layers of the intestinal wall (transmural nature of inflammation)

of terminal ileum

prevention of IBD have not been developed.
The patient should

follow the diet throughout life. Also, such patients are advised to stop smoking and treat infectious diseases of the intestine.
With the preventive purpose, the same medicines are used, which are used to treat exacerbations of the disease, but in smaller doses (mesalazine at 2 grams per day, etc.).
 Regular consultations of the gastroenterologist. Should be visited every 3 to 6 months.
Timely treatment of relapse of the disease.