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5-6 m

( Treitz
)
: 2/3
: 1/3


A (
)
(

Peyer)
(
,
)





(
200-500 m2)



Paneth ( ;)
(,
, ,
, )
M (
)
 
( )

 ( ,
, )
 ( )


V 

(, ,
, )
:
: , VIP

 

( )




, , ,
, ( Ca++ )

( )




(<3m )


(
, B12)


<1m

(, , )


   (
)
     (
)
  ! (
)





(
)
(
)


( )


( )


(, )

60%
10%
20%
10%

)
()
( )


( )


( )
" 
(,
12 ,
)





/




( )
# 



( )


:

(
)




( )


(
)




Crohn



2 9 / 100.000
: 20-90 / 100.000
2 4 10




, , ,



HLA-B27 ( )

:
10-20
: 36%
. Crohn

/

(, o paratuberculosis,
avium, Yersinia enterocolitica;)

(
)

: 75-90%
: 15-30%
: 40-60%
: 25-30%
: 0,5-7%

skip lesions: 15%




: 100%

,
( )
50-70%
25%

>>
 $ $%&$#
 # 


% #  & 


skip areas

    & #



 
,

, ( )
#


60% <40
10% <10
/

/

/
/ /


( )
90%
, , ,


, /


. Crohn
: 15%
o

30%

15%
:



/ /

10%




15-25%
50-75%

( )

     &%  



   % ! $ % 
  ' 

&  ($ (   !


' 
  
 $  ! % ! )
*+,-.)

( )

, ,
:


skip lesions

, ,

, , ,

111In




. Crohn



Mantoux

,
/ / Yersinia

/ /

NSAIDs



(1-2%)

90% ( )
10%
Hartmann
+
)
, ,




( )


, , ,



(<500 ml )
(>500 ml )
)


(20%)


, ,
, C/T scan

:
:

35%
. Crohn

(%/   0




. Crohn

  % %

20-30
. Crohn
HLA-B27
. Crohn
. Crohn


%#  & 

,


( / )

# &(
( #  & /%%$ %%0
    %

10%

15-35%

( )

5-10%

30%

10%

0,25-0,75mg


5- (5-ASA)






(
, , , ,
, , )


/

+


(>4-6 )



60%

infliximab (anti-TNF )
()


6-7%

75% . Crohn
:

( )
: ~ 3



(3.1 /)

3#

resolve complication preserve bowel


(stricturoplasty)



Hartmann


-
#  # 30% ( )
1# #    25% ()
1# #    ( ,
, , )
  &  3
3 #    6

2    (
, )




, ,




(50%)
CPK ( )
,



/
( , )


:
C/T : 25-50%
:

(triplex):
( )



12






(
)
, , ,



(apudomata)

MEN1 2
( :10-15%)
2 3
/ 0

 %  

:
, ,

(, , )
5 : 70%




3
60

, , ,







( , , rebound)
(, )
,
( )
( )




/ (
)
:
plastron
C/T scan :

12





Crohn

:
(
,
, )
,
:
(,
)



> 2cm
:25%

(3%)

3&#   # : >2cm,


,

50%





:

(,
)
,
:

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