肠疾病(肠梗阻、阑尾炎).pptVIP

Intestine Diseases Sun Libo China - Japan Union Hospital Review of Anatomy and Physiology I.Small Intestine Macroscopic anatomy Treitz ileocecal valve. 2/5 jejunum, 3/5 ileum Mesentery : fat, blood vessels, lymphatics, and nerves. superior mesentery artery and vein Microscopic anatomy 4 layers : mucosa , submucosa, muscularis, and serosa. Major Contents Inflammatory bowel diseases [ IBD] Intestine Obstruction Vascular lesions of mesentery Short bowel syndrome Polyps Tumor Congenital diseases Vascular lesions of mesentery ( vascular occlusion or ischemia ) Mesentric arterial embolism or thrombosis cardiac diseases Mesenteric venous thrombosis Hepatic cirrhosis and haemal diseases Character --- symptom severe , sign light Diagnosis --- angiography Treatment --- operation Short bowel syndrome Etiology intestine resection not long enough (＜100cm) digestive and absorption disfunction Treatment 1) nutrition support (TPN) 1~2 year half compensation recover 2) intestine transplantation immune rejection problem Polyps and polyposis Difference ＞100 or not Place:any where,but common in colon Presentation 1) change of defecation 2) rectal bleeding 3) ileus (obstruction) Treatment Endoscopic electrocautery snare Open operation Congenital diseases Classification : atresia ,stenosis,and malrotation Etiology: abnormal growth Diagnosis: 1) newborn 2) intestinal obstruction 3) upper gastrointestinal series or barium enema evidence Treatment operation Obstruction of Intestine ( Bowel ileus ) Etiology and classification I . Mechanical Obstruction inside ,outside the lumen, or intestine wall lesions . II. Adynamic (paralytic) ileus operation or acute peritonitis . Ⅲ. blood su