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Inflammatory Bowel Disease

Inflammatory Bowel Disease. Professor Ravi Kant MS, FRCS (Edin), FRCS (Glasg), FAMS, DNB, FACS, FICS Professor of Surgery. Inflammatory bowel disease. Ulcerative colitis. Double-contrast barium enema study shows pseudopolyposis of the descending colon. Crohn’s disease (regional ileitis).

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Inflammatory Bowel Disease

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  1. Inflammatory Bowel Disease Professor Ravi Kant MS, FRCS (Edin), FRCS (Glasg), FAMS, DNB, FACS, FICS Professor of Surgery

  2. Inflammatory bowel disease

  3. Ulcerative colitis. Double-contrast barium enema study shows pseudopolyposis of the descending colon Crohn’s disease (regional ileitis)

  4. Contrast • String sign of Kantor • Sterlien’s sign • Fleischner’s sign

  5. Endoscopic image of ulcerative colitis affecting the left side of the colon. The image shows confluent superficial ulceration and loss of mucosal architecture Crohn's disease (regional ileitis)

  6. Vienna Classification of Crohn’s • Age at diagnosis1     A1, <40 years A2, > or = 40 years  • Location2                 L1, terminal ileum3L2, colon4L3, ileocolon5L4, upper GI6 • Behaviour    B1, non-constricting nonpenetrating7 B2, stricturing8 B3, penetrating9

  7. Cancer risk in UC • 3.5% • 20y=12%

  8. Thank you

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