Professional Documents
Culture Documents
( Treitz
)
: 2/3
: 1/3
A (
)
(
Peyer)
(
,
)
(
200-500 m2)
Paneth ( ;)
(,
, ,
, )
M (
)
( )
( ,
, )
( )
V
(, ,
, )
:
: , VIP
( )
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, ( 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%
,
( )
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%)
23
/ 0
:
, ,
(, , )
5 : 70%
3
60
, , ,
( , , rebound)
(, )
,
( )
( )
/ (
)
:
plastron
C/T scan :
12
Crohn
:
(
,
, )
,
:
(,
)
> 2cm
:25%
(3%)
50%
:
(,
)
,
: