Inflammatory bowel Disease Ulcerative Colitis Crohn's Disease 浙江大学医学院附属邵逸夫医院 曹倩
Inflammatory Bowel Disease: Ulcerative Colitis & Crohn’s Disease 浙江大学医学院附属邵逸夫医院 曹 倩
学习目标 掌握IBD的发病机制 掌握IBD临床表现和治疗 掌握溃疡性结肠炎和克罗恩病的鉴别
学习目标 •掌握IBD的发病机制 • 掌握IBD临床表现和治疗 • 掌握溃疡性结肠炎和克罗恩 病的鉴别
炎症性肠病 Inflammatory bowel Disease (IBD) chronic, relapsing, immunologically-mediated inflammatory condition of the gi tract Presentation varies widely Characterized by exacerbations remissions Affects males and females equally
炎症性肠病 Inflammatory Bowel Disease (IBD) • chronic, relapsing, immunologically-mediated inflammatory condition of the GI tract • Presentation varies widely • Characterized by exacerbations & remissions • Affects males and females equally
Spectrum of Disease Ulcerative colitis Crohn's disease Limited to colon+rectum “ Mouth to anus” Continuous Transmural mucosal Skip lesions In determinate Colitis/granulomas 5-10 IBD1 BD4 Severe Mild Disease Disease
Ulcerative Colitis Crohn’s Disease Limited to colon+rectum Continuous mucosal “Mouth to anus” Transmural Skip lesions granulomas Indeterminate Colitis 5-10% Spectrum of Disease IBD1 IBD2 IBD3 IBD4 Severe Disease Mild Disease
Inflammatory Bowel Disease (IBD) ssure thickened wa haustra distortion cobblestone 图正常结肠〔左列) Crohn病〔中列),溃疡性结肠炎〔右列〕大体形态〔上行〕肠粘膜病理解剖(中行 镜下所见〔下行)的比较图
Inflammatory Bowel Disease (IBD)