SIW Crohn’s disease

Diseases № 1
Professor Baidurin. S.A.
Done by:
Checked by:
Astana 2018

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.

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.

(85-90%)

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

upper gastrointestinal tract
symptoms of terminal ileitis and
colon damage
ulcerative syndrome
clinic

of chronic gastritis and esophagitis

of blood and mucus
Definition of HIV (differential diagnosis of diarrheal

syndrome)
Immunological status;
Fecal calprotectin can be recommended

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

multiple aphthous ulcers found in colonoscopy c - characteristic linear

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

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)

ileum

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.

[регионарный энтерит] (K50), Язвенный колит неуточненный (K51.9)
Диагностика болезней внутренних органов:

Т. 1. Диагностика болезней органов пищеварения: - М.: Мед. Лит., 2003 – 560 с
https://www.crohnsandcolitis.com/tools-and-support/newly-diagnosed
https://www.halstedsurgery.org/GDL_Disease.aspx?CurrentUDV=31&GDL_Cat_ID=83F0F583-EF5A-4A24-A2AF-0392A3900F1D&GDL_Disease_ID=291F2209-F8A9-4011-8094-11EC9BF3100E