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MD Specialclass
1 de 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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Colon Ii

  • 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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