Crohn's Disease Surgery | Unsuspected Ileitis скачать в хорошем качестве

Crohn's Disease Surgery | Unsuspected Ileitis

In this comprehensive General Surgery lecture on Crohn's disease, the presenter offers a detailed overview of the condition, its pathophysiology, diagnosis, management options, and surgical interventions. By providing an in-depth analysis of Crohn's disease, the lecture aims to equip healthcare professionals with the knowledge and skills necessary to effectively manage this complex and chronic inflammatory bowel disease. ▬ 📌 Introduction to Crohn's Disease Crohn's disease is a type of inflammatory bowel disease that causes chronic inflammation in the gastrointestinal tract. It can affect any part of the tract and results in symptoms like abdominal pain, diarrhea, weight loss, fatigue, and malnutrition. ▬ 📌 Indications for Surgery Surgery may become necessary for Crohn's disease when medical management fails, or complications arise like Bowel obstruction, Abscess or fistula formation, Perforation or toxic megacolon, Severe anal disease or incontinence, High risk of cancer, Failure to thrive (particularly in children), Intolerance or side effects from medications. ▬ 📌 Endoscopic Dilatation Endoscopic dilatation is a conservative treatment option that involves expanding narrowed areas (strictures) in the gastrointestinal tract: 🟡 Used for short, fibrotic strictures. 🟡 Can provide symptom relief. 🟡 Reduces the need for surgery. 🟡 Performed with an endoscope and balloon dilator. 🟡 Risks include perforation and bleeding. ▬ 📌 Laparoscopic Surgery The presenter elaborates on various laparoscopic techniques used in the management of Crohn's disease: 👉 Laparoscopic Bowel Resection This procedure involves the removal of the diseased segment of the bowel, followed by the reconnection of the healthy bowel ends (anastomosis). 👉 Laparoscopic Strictureplasty This technique entails widening a narrowed area (stricture) in the bowel without removing it, thus preserving bowel length. 👉 Laparoscopic Fistula Repair This procedure involves closing abnormal connections between the bowel and other organs, often using sutures or staples. 👉 Laparoscopic Abscess Drainage In this procedure, the surgeon accesses and drains infected fluid collections (abscesses) using specialized instruments. ▬ 📌 Unsuspected Ileitis Unsuspected ileitis refers to inflammation in the ileum that is discovered during surgery: 🟢 Can alter the surgical approach. 🟢 The surgeon must be prepared to modify the procedure. 🟢 May require additional bowel resection or strictureplasty. Complications Some potential complications of Crohn's disease surgery include: 🔵 Postoperative infections 🔵 Recurrence of the disease 🔵 Bowel obstructions 🔵 Short bowel syndrome 🔵 Anastomotic leaks 🔵 Adhesion formation ▬ 📌 Surgical Techniques Various surgical techniques can be employed for treating Crohn's disease: 👉 Bowel Resection removal of the diseased segment of the bowel. 👉 Strictureplasty widening of narrowed areas without removing the bowel. 👉 Fistula Repair closing abnormal connections between the bowel and other organs. Abscess drainage: removing infected fluid collections. ▬ 📌 Colonic Crohn's Disease Colonic Crohn's disease specifically involves the colon and may require different surgical approaches: 👉 Segmental Colectomy In a segmental colectomy, the surgeon removes the diseased portion (or segment) of the colon and then reconnects the healthy ends. This procedure aims to alleviate symptoms and prevent complications such as strictures (narrowing of the intestine), abscesses, fistulas, and perforations. 👉 Total Colectomy A total colectomy is a surgical procedure in which the entire colon (large intestine) is removed. During a total colectomy, the surgeon removes the entire colon, and then the small intestine is connected either to the rectum (ileorectal anastomosis) or to an ileostomy, which is an opening made in the abdominal wall to divert waste into a bag called an ostomy pouch. 👉 Proctocolectomy Proctocolectomy is a surgical procedure in which both the colon (large intestine) and the rectum are removed. There are two main types of proctocolectomy: 📍Proctocolectomy with ileostomy: In this procedure, after the colon and rectum are removed, the end of the small intestine, called the ileum, is brought through an opening (stoma) created in the abdominal wall. This opening is called an ileostomy, and waste from the digestive system is collected in an external ostomy pouch. 📍Proctocolectomy with ileal pouch-anal anastomosis (IPAA): Also known as a "restorative proctocolectomy" or "J-pouch" surgery, this procedure involves removing the colon and rectum and creating a pouch from the end of the small intestine, which is then connected to the anus. This allows the patient to have bowel movements through the anus, preserving a more natural route for waste elimination. ▬ 🎬 5500+ sqadia.com Medical Videos ▬▬▬▬▬▬▬▬▬▬ 👩🏻‍⚕️ Accessible Medical Student Education 24/7/365 💡 Simplifying Medical Learning 💪 Study Hard, Dream Big, Achieve More