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MD Specialclass
1 of 91
COLON James Taclin C. Banez, MD, FPCS, FPSGS, DPBS, DPSA
Anatomy / Physiology: ,[object Object],[object Object],[object Object],[object Object]
Anatomy / Physiology:
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Infectious:
Infectious: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infectious: ,[object Object],[object Object],[object Object],[object Object]
Volvulus: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Volvulus: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Volvulus: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Volvulus: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULOSIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemorrhage from the Colon: ,[object Object],[object Object]
ANGIODYSPLASIA ,[object Object],[object Object],[object Object],[object Object]
ANGIODYSPLASIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ischemic Colitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ischemic Colitis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ischemic Colitis: ,[object Object],[object Object],[object Object]
Ischemic Colitis: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ischemic Colitis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ischemic Colitis: ,[object Object],[object Object],[object Object],[object Object]
Fecal impaction: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Inflammatory Bowel Diseases: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inflammatory Bowel Disease: Signs and Symptoms Crohn’s Disease Ulcerative Colitis Symptoms diarrhea +++ +++ rectal bleeding + +++ tenesmus 0 +++ abdominal pain +++ + fever ++ + vomiting +++ 0 weight loss +++ + Signs perianal disease +++ 0 abdominal mass +++ 0 malnutriton +++ +
Inflammatory Bowel Diseases: Ulcerative Colitis Crohn’s Colitis Usual Location rectum, left colon anywhere Rectal Bleeding common, continuous uncommon, intermittent Rectal involvement almost always approximate 50% Fistulas rare common Ulcers shaggy, irregular, continuous distribution linear w/ transverse fissures (cobblestone) Bowel stricture rare (suspect carcinoma) common Carcinoma increase incidence increased incidence Toxic dilatation of colon Occurs in both
Medical Therapy for Ulcerative Colitis & Crohn’s Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for Surgical Interventions for Ulcerative Colitis: ,[object Object],[object Object],[object Object]
Surgical treatment for Ulcerative Colitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical treatment for Ulcerative Colitis
Indications for Surgical Treatment of Crohn’s Dsease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COLO – RECTAL POLYPS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COLO – RECTAL POLYPS ,[object Object],[object Object],Types Incidence (%) Malignant Potential (%) Tubular 75 5 Villous 10 40 Tubulovillous 15 22
COLO – RECTAL POLYPS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COLO – RECTAL POLYPS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COLO – RECTAL POLYPS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COLO – RECTAL POLYPS ,[object Object],[object Object],[object Object],[object Object]
Carcinoma of Colon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carcinoma of Colon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carcinoma of Colon ,[object Object],[object Object],[object Object],[object Object],[object Object]
Carcinoma of Colon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carcinoma of Colon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carcinoma of Colon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TNM Staging of Colonic CA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TNM Staging of Colonic CA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TNM Staging of Colonic CA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors for Colorectal CA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Premalignant Diseases of Colon & Rectum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carcinoma of Colon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Screening Modalities For Colonic Tumors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapy for Colonic Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapy for Colonic Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapy for Colonic Carcinoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapy for Colonic Carcinoma ,[object Object],[object Object],[object Object],[object Object]
THANK YOU
Anorectal Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anorectal Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anorectal Abscess ,[object Object],[object Object],[object Object],[object Object]
Anorectal Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fistula-in-ano ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fistula-in-ano ,[object Object],[object Object],[object Object]
Hemorrhoid ,[object Object],[object Object],[object Object],[object Object]
Hemorrhoid ,[object Object],[object Object]
Hemorrhoid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemorrhoid ,[object Object]
Hemorrhoid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anal Fissure ,[object Object],[object Object],[object Object]
Anal Fissure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anal Fissure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU

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EXCRETA, SEWAGE, REFUSE DISPOSAL
 
Fever & id diet final
Fever & id diet finalFever & id diet final
Fever & id diet final
 
Eating disorders
Eating disordersEating disorders
Eating disorders
 
Hepatocellular carcinoma
Hepatocellular carcinomaHepatocellular carcinoma
Hepatocellular carcinoma
 
Eating disorders
Eating disordersEating disorders
Eating disorders
 
Normal sleep and sleep disorders
Normal sleep and sleep disordersNormal sleep and sleep disorders
Normal sleep and sleep disorders
 
Tic disorder
Tic disorderTic disorder
Tic disorder
 
Thyroid
ThyroidThyroid
Thyroid
 
Dermatology dr.n.ramos
Dermatology dr.n.ramosDermatology dr.n.ramos
Dermatology dr.n.ramos
 
Tic disorder
Tic disorderTic disorder
Tic disorder
 
Toxic and drug induced hepatitis
Toxic and drug induced hepatitisToxic and drug induced hepatitis
Toxic and drug induced hepatitis
 
Pancreatic disease
Pancreatic diseasePancreatic disease
Pancreatic disease
 
Liver disease
Liver diseaseLiver disease
Liver disease
 
Complications of cirrhosis
Complications of cirrhosisComplications of cirrhosis
Complications of cirrhosis
 

C O L O N I I

  • 1. COLON James Taclin C. Banez, MD, FPCS, FPSGS, DPBS, DPSA
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  • 40. Inflammatory Bowel Disease: Signs and Symptoms Crohn’s Disease Ulcerative Colitis Symptoms diarrhea +++ +++ rectal bleeding + +++ tenesmus 0 +++ abdominal pain +++ + fever ++ + vomiting +++ 0 weight loss +++ + Signs perianal disease +++ 0 abdominal mass +++ 0 malnutriton +++ +
  • 41. Inflammatory Bowel Diseases: Ulcerative Colitis Crohn’s Colitis Usual Location rectum, left colon anywhere Rectal Bleeding common, continuous uncommon, intermittent Rectal involvement almost always approximate 50% Fistulas rare common Ulcers shaggy, irregular, continuous distribution linear w/ transverse fissures (cobblestone) Bowel stricture rare (suspect carcinoma) common Carcinoma increase incidence increased incidence Toxic dilatation of colon Occurs in both
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  • 45. Surgical treatment for Ulcerative Colitis
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