MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
Ulcerative Colitis - Crohn's Disease
1. Universidad de Guadalajara
Centro Universitario de Ciencias de la Salud
INFLAMMATORY BOWEL DISEASE:
• Ulcerative Colitis
• Crohn s Disease
Teachers:
Dr. Héctor Manuel Virgen Ayala
Dr. Benjamín Robles Mariscal
Exponent:
Eguía Ornelas Carlos Eugenio Octubre 2011
10. Disease Presentation
Low Moderate Severe
Depositions <4/day 4-6 day >6 day
Blood in stool Few Moderate Intense
Fever No Mean <37.5°C Mean > 37.5°
Tachycardia No <90 >90
ESR <30 mm >30 mm
Endoscopic aspect Erythema, decrease Intense erythema, Spontaneus
of vascular model, thick granularity, hemorrhage,
fine granularity. absence of vascular ulcerations.
marks, contact
hemorrhage, no
ulcerations.
Fauci A. S. et al. (2009). Harrison. Principios de
Medicina Interna. México, D.F. Mc Graw Hill. Pag. 1889
12. Surgical Treatment
URGENT SURGERY Fulminant colitis
Toxic Megacolon
Total colectomy with terminal ileostomy
SELECTIVE SURGERY:
Abdominal colectomy with ileorrectal anastomosis
Total Proctocolectomy with terminal ileostomy
Restorative proctocolectomy with anal anastomosis and ileal
bag
14. Crohn’s Disease
Affects any part of digestive tube.
Segmentary distribution
Colon and Small Intestine 40%
Small Intestine 30%
Colon 25%
Anorrectal 8%
Ileocolic and Small Intestine CD
Anal and Perianal CD Acute Inflammatory
Crohn s Jejunoileitis Chronic Fibrous
Crohn’s Colitis
17. Ileocolic and Small Intestine CD
Diarrea
Right upper and lower quadrant pain
Palpable mass
Fever and leukocytosis
Internal abscesses
Complications Fistulas
Obstruction
24. Surgical Treatment
- Segmentary colectomy with primary
anastomosis.
- Total colectomy with ileorrectal anastomosis
- Proctocolectomy with ileostomy
29. Bibliography
• Doherty M. Gerard (2011). Diagnóstico y Tratamiento
Quirúrgicos. México D.F.: Lange.
• Fauci A. S. et al. (2009). Harrison. Principios de
Medicina Interna. México, D.F.: Mc Graw Hill.
• Brunicardi. F. Charles. et al. (2006). Schwartz.
Principios de Cirugía. México, D.F.: Mc Graw Hill.
• http://www.youtube.com/watch?v=Nkbhc7KyS68