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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Inflammatory Bowel Disease II: Crohn's Disease01:30

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

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Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
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Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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Recent Advances in Diverticular Disease.

Anne F Peery1,2

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Diverticular disease affects many, but few develop diverticulitis. Surgery may help recurrent symptoms, not prevent complications, offering practical advice for patients.

Keywords:
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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Diverticular disease is prevalent in the USA, leading to significant healthcare use.
  • While diverticula are common, only a small percentage develop diverticulitis.

Purpose of the Study:

  • To review recent advances in diverticulosis and diverticular disease.
  • To provide practical recommendations for managing patients with diverticulosis and diverticular disease.

Main Methods:

  • Literature review of recent publications on diverticulosis and diverticular disease.
  • Analysis of current practices and evidence regarding complications, recurrence, and surgical interventions.

Main Results:

  • The risk of developing diverticulitis is low (1-4%) even with common diverticula.
  • Recurrence of acute diverticulitis occurs in 20% within 5 years; complications are rare with recurrence.
  • Chronic gastrointestinal symptoms are common post-diverticulitis.

Conclusions:

  • Prophylactic surgery is considered for symptom recurrence and quality of life, not complication prevention.
  • The review offers practical guidance for managing diverticulosis and diverticular disease.