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Small Intestine James Taclin C. Banez,  MD, FPCS, FPSGS, DPBS,DPSA
Small Intestine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Function ,[object Object],[object Object],[object Object],[object Object]
Small Bowel Surgical Lesions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SMALL BOWEL OBSTRUCTION
Small Bowel Obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Midgut Volvulous
Pathophysiology: ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Manifestation: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Manifestation: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goals in its diagnosis: ,[object Object],[object Object],[object Object],[object Object]
Diagnosis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SMALL BOWEL OBSTRUCTION (Air Fluid Level)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis: ,[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]
Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ileus / Pseudo-Obstruction ,[object Object],[object Object],[object Object]
Ileus / Pseudo-Obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ILEUS
Symptoms: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis: ,[object Object],[object Object],[object Object],[object Object]
Therapy: ,[object Object],[object Object],[object Object],[object Object]
CHRONIC IDIOPATHIC INFLAMMATORY DISEASE OF THE BOWEL
CROHN’S DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathology: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHRON’S DISEASE
Pathology: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADVANCED CHRON’S DSE
CHRON’S DSE. ANAL FISTULA
Clinical Manifestation: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis: ,[object Object],[object Object],[object Object],[object Object]
Treatment: ,[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]
Tuberculous Enteritis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tuberculous Enteritis
Tuberculous Enteritis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Typhoid enteritis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIVERTICULAR DISEASE OF THE SMALL BOWEL
Meckels Diverticulum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meckels Diverticulum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Meckels Diverticulum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meckels Diverticulum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meckels Diverticulum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Meckels Diverticulum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acquired Small Bowel Diverticula ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acquired Small Bowel Diverticula ,[object Object],[object Object],[object Object],[object Object]
Acquired Small Bowel Diverticula ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acquired Small Bowel Diverticula ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acquired Small Bowel Diverticula ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MESENTERIC ISCHEMIA
Mesenteric Ischemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Ischemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Ischemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Ischemia ,[object Object],[object Object]
Mesenteric Ischemia ,[object Object],[object Object]
Mesenteric Ischemia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Ischemia ,[object Object],[object Object],[object Object],[object Object]
Mesenteric Ischemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NEOPLASM OF THE SMALL BOWEL
Neoplasm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neoplasm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neoplasm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neoplasm ,[object Object],[object Object],[object Object],[object Object],[object Object]
Neoplasm ,[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]
Benign tumors: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benign tumors: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Benign tumors: ,[object Object],[object Object],[object Object],[object Object]
Benign tumors: ,[object Object],[object Object],[object Object],[object Object]
Benign tumors: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Tumor type Cell of origin Frequency Predominant Site adenocarcinoma Epithelial cell 35 – 50% Duodenum carcinoid Enterochromaffin cell 20 – 40% Ileum lymphoma lymphocyte 10 – 15% Ileum GIST  (gastrointestinal stromal tumors) ? Interstitial cell of Cajal 10 – 15% -
Malignant neoplasm: ,[object Object],[object Object],[object Object],[object Object]
Malignant neoplasm: ,[object Object],[object Object],[object Object],[object Object]
Malignant neoplasm: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Malignant neoplasm: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Malignant neoplasm: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment: ,[object Object],[object Object],[object Object],[object Object]
SHORT BOWEL SYNDROME
Short Bowel Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Short Bowel Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Short Bowel Syndrome ,[object Object],[object Object],[object Object],[object Object]
Short Bowel Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Short Bowel Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GOD BLESS ,[object Object]
THANK  YOU
Diagnosis: ,[object Object],[object Object]
Short Bowel Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Short Bowel Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis (CHRON’S DSE) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Ischemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Malignant neoplasm: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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