1. COLON James Taclin C. Banez, MD, FPCS, FPSGS, DPBS, DPSA

3. Anatomy / Physiology:

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

45. Surgical treatment for Ulcerative Colitis

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