By. Prof Kucher M. from Faculty Surgery Department #1

1. LECTURE 8 Inflammatory Bowel Disease (IBD): Ulcerative Colitis (UC) & Crohn Disease (CD) National O. Bogomolets Medical University Faculty Surgery Department N1 Kyiv 2008 Prof. Kucher M.

2. Inflammatory bowel disease (IBD) is a group of inflammatory conditions of the large intestine and, in some cases, the small intestine. The main forms of IBD are ulcerative colitis (UC) and Crohn's disease (CD). UC CD

6. UC is a mucosal inflammation: crypt abscesses erosion ulcer

7. A key feature of UC is: -- continuous involvement of rectum &colon -- does not involve ileum Inflammatory pseudopolyps Flat displasia

14. Local (colonic) complications

15. Extraintestinal features

20. UC: barium enema, endoscopy, biopsy

24. Operative management Terminal ileostomy J-pouch-rectal anastomosis J- or S-pouch-anal anastomosis

32. CD: affected areas

33. Pathology

34. Pathology

37. CD diagnosis

38. CD diagnosis

40. Local complications