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Ulverative Colitis

Ulverative Colitis. Epidemiology . 10-12 per 100000 15-25, 55-65 USA, UK, Canada, Scandinavia 1% of Swedish population. Cause. Immune and Autoimmune Genetic Smoking, Appendectomy Lactose, NSAIDS. Signs and symptoms. Abdominal Pain Perianal disease

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Ulverative Colitis

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  1. Ulverative Colitis

  2. Epidemiology • 10-12 per 100000 • 15-25, 55-65 • USA, UK, Canada, Scandinavia • 1% of Swedish population

  3. Cause • Immune and Autoimmune • Genetic • Smoking, Appendectomy • Lactose, NSAIDS

  4. Signs and symptoms • Abdominal Pain • Perianal disease • Mucus and/or blood with each bowelmovement • Weightloss

  5. Relapses and remissions

  6. remission • A normal life.

  7. relapse • Mild. <4 • Moderate. 4 • Servere. >5

  8. algorythm for Uc • <8, 16%, 30 days • >8, 72%, 30 days

  9. Treatment • Drugs • Alternative medicine • Surgery

  10. Surgical management • Proctocolectomy • Colectomy

  11. Proctocolectomy • Traditional Ileostomy(Brooke) • Continent Ileostomy (Kock)

  12. Colectomy • Ileal pouch-anal anastomosis (IPAA) • Ileorectal anatsomosis (IRA)

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