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DISORDERS OF THE GASTROINTESTINAL SYSTEM – PART 1

DISORDERS OF THE GASTROINTESTINAL SYSTEM – PART 1. Tomasz Rechciński, MD, PhD. Upper part of gastrointestinal tract. Esophagus reflux, esophagitis, tumors Stomach gastritis, gastic ulcer, cancer Duodenum duodenitis, duodenal ulcer. Patient with gastrointestinal disease.

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DISORDERS OF THE GASTROINTESTINAL SYSTEM – PART 1

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  1. DISORDERS OF THE GASTROINTESTINAL SYSTEM – PART 1 Tomasz Rechciński, MD, PhD

  2. Upper part of gastrointestinal tract • Esophagus reflux, esophagitis, tumors • Stomach gastritis, gastic ulcer, cancer • Duodenum duodenitis, duodenal ulcer

  3. Patientwithgastrointestinaldisease • History: pain or indigestion, location of pain, factors aggraviating or relieving discomfort, does eating produce pain?, what factors relieve discomfort?, anorexia, weight loss, diarrhea, blood in stool…

  4. Patientwithgastrointestinaldisease • Physical examination: tenderness in right upper quadrant, tenderness in lower quadrants • Other techniques: endoscopy, radiology

  5. GERD Gastrointestinalcontents – ready to reflux + Anti-refluxmechanisms – compromised Clinicalfeatures: heartburn Diagnosis: endoscopy, pH-metry, radiology Treatment: H2receptor antagonists, PPI, life style changes

  6. Esophagitis and esophagic ulcer

  7. Malignant tumor of the esophagus

  8. Gastric ulcer

  9. Imbalancebetweenhostilefactors and protectivefactors

  10. Main hostile factors ASA + NSAID Helicobacter pylori

  11. Endoscopic diagnosis

  12. Radiologic diagnosis Normal mucosa Gastric ulcer

  13. Subacute and acute gastric ulcer

  14. Gastric carcinoma

  15. Surgical treatment of gastic ulcer

  16. Pharmacological treatment • Antacids • H2receptor inhibitors • PPI • Eradication therapy

  17. Ranitidine Omeprasole

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