classic celiac disease
overt grasotrintestional symptoms (chronic diarrhea, abdominal pain, bloating, malnutrition
diagnosed in early childrood
non-classic/atypical celiac disease
extraintestinal symptoms (fe decifiency anemia, OP, fatigue
diagnosed later in life
silent celiac disease
no apparent symptoms, villous atrophy, positive celiac-specific antibodies
refractory celiac disease
rare and severe
symptoms persist despite strict gluten-free diet
type 1: responses to steroids
type 2: resist treatmet, risk of lymphoma
ulcerative proctitis
only the recum
milder symptoms
type of UC
proctosigmoiditis
rectum and sigmoid colon
pronunced symptoms
type of UC
left-sided colitis
rectum, sigmoid, descending colon
left abdominal pain, diarrhea, significant bleeding
type of UC
pancolitis
entire colon
severe symptoms
colon cancer risk
type of UC
ileocolitis
most common CD
affects ileum and colon
diarrhea, cramping and weight loss
ileitis
affects ielum
diarrhea, cramping and weight loss and nutrient
gastroduodenal Crohn’s
affects stomach and duodenum
nausea, vomiting, upper abdominal pain
jejunoileitis
affects jejunum
malnutrition, severe abdominal pain after eating
types of CD
Crohn’s colitis
affects colon
bloddy diarrhea and rectal bleeding
partial vs. complete intestinal obstruction
some contents can pass, intermittent symptoms
complete block, severe symptoms
simple vs. strangulated obstruction
BF intact, no ischemia
impaired BF, ischemia, necrosis, surgical emergency
small bowel obstruction
associated with adhesions, hernias or volvulus
symptoms of early-onset emesis, and electrolyte imbalance
large bowel obstruction
associated with tumours or volvulus, symptoms of late-onset vomiting, progessive abdominal distention
adenocarcinoma
most common Colorectal cancer
orginates in glandular cells
progresses from polyps,
mucinous adenocarcinoma
mucus-producing cancer cells
high METS, poor prognosis
signet ring cell carcinoma
rare, highly agressive
cells with prominent intracellular mucin
presents at advanced stage
small cell carcinoma
rarer, highly aggressive
neuroendocrine cancer
Fistula
abnormal connections between segments of intestine or intestine and other organs
abscess
pocket of Pus