Esophagus, Stomach, Intestine

Zollinger-Ellison Syndrome: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus Skin and subcutaneous tissue (L00-L99) Vitiligo (white spot disease) Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Small intestinal stenosis – narrowing of the small intestine. Gastritis (inflammation of the gastric mucosa) Gastric outlet stenosis – narrowing of the gastric outlet. Musculoskeletal system and connective tissue … Zollinger-Ellison Syndrome: Or something else? Differential Diagnosis

Diverticular Disease: Drug Therapy

Therapy goals Improvement of the symptomatology Avoidance of complications Therapy recommendations Food restriction for pain relief. NSAIDs should be avoided because of evidence of increased perforation rate and increased recurrence rate (recurrence of disease). Avoidance of antibiotic therapy can be justified under the following conditions: Patients without a fever ≥ 39 °C; and Without risk … Diverticular Disease: Drug Therapy

Diverticular Disease

Diverticular disease/diverticulitis (synonyms: Protrusions of the intestinal wall; colonic diverticulosis; intestinal diverticulitis; intestinal diverticulosis; diverticulitis; diverticular disease; diverticulosis; colonic diverticulosis; ICD-10-GM K57.-: Diverticulosis of the intestine) is inflammation of the wall of the diverticulum. If the area surrounding the diverticulum is also involved in the inflammation, it is referred to as peridiverticulitis. A diverticulum is … Diverticular Disease

Crohn’s Disease: Diagnostic Tests

Obligatory medical device diagnostics. Abdominal ultrasonography (ultrasound examination of the abdominal organs). As basic gastroenterological diagnostics (question: thickening of the intestinal wall; fistulas, stenosis, or abscesses; grade of recommendation: A) [characteristic of Crohn’s disease: circumscribed, segmental wall thickening possibly with loss of Haustren (loss of mucosal relief); in the fluorid inflammation stage: Hyperemia (increased accumulation … Crohn’s Disease: Diagnostic Tests

Diverticular Disease: Medical History

Medical history (history of illness) represents an important component in the diagnosis of diverticular disease/diverticulitis. Family history Are there any diseases in your family that are common? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). How long have you had pain? Do you have abdominal pain? How does the pain occur? Permanent?* Colicky?* … Diverticular Disease: Medical History

Crohn’s Disease: Micronutrient Therapy

Crohn’s disease may be associated with the risk of deficiency of the following vital nutrients (micronutrients): Vitamin A Vitamins B1, B2, B12, B3, B6, folic acid Vitamin E, vitamin K Mineral magnesium Trace elements zinc and iron Carotenoids alpha-carotene, beta-carotene, zeaxanthin and lutein In the context of micronutrient medicine (vital substances), the following vital substances … Crohn’s Disease: Micronutrient Therapy

Diverticular Disease: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus Food intolerance such as lactose intolerance Porphyria or acute intermittent porphyria (AIP); genetic disease with autosomal dominant inheritance; patients with this disease have a 50 percent reduction in the activity of the enzyme porphobilinogen deaminase (PBG-D), which is sufficient for porphyrin synthesis. Triggers of a porphyria attack, … Diverticular Disease: Or something else? Differential Diagnosis

Crohn’s Disease: Surgical Therapy

Treatment of Crohn’s disease should be primarily medicinal. Surgical interventions are reserved for complications. Guidelines: Complex surgery for Crohn’s disease should be performed by CED-experienced surgeons in centers. (II, ↑ , consensus). In patients with a refractory course, the indication for surgery should be reviewed early. This is especially true for children and adolescents with … Crohn’s Disease: Surgical Therapy

Diverticular Disease: Complications

The following are the most important diseases or complications that may be contributed to by diverticular disease/diverticulitis: Blood, blood-forming organs – Immune system (D50-D90). Iron deficiency anemia (anemia due to iron deficiency). Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Abdominal abscess formation Colonic ileus Diverticular hemorrhage (= rupture of the vasa recta) – … Diverticular Disease: Complications

Crohn’s Disease: Prevention

To prevent Crohn’s disease, attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Food components, especially increased use of refined carbohydrates – white sugar, white flour products. Low consumption of dietary fiber High consumption of chemically processed edible fats Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants … Crohn’s Disease: Prevention

Diverticular Disease: Classification

There is no standard classification for diverticular disease/diverticulitis. In clinical practice, the classification according to Hansen and Stock is suitable Stage Designation Symptomatology Colonoscopy/colonic contrast enema Abdominal CT 0 Diverticulosis – Irritable diverticula Diverticula gas-/KM (contrast medium)-filled I Acute uncomplicated diverticulitis Lower abdominal pain Mucosal redness around diverticular necks/ spicules, bowel wall thickening + possibly … Diverticular Disease: Classification

Crohn’s Disease: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate the onset of Crohn’s disease: Abdominal pain (abdominal pain/abdominal tenderness) in the right lower abdomen and periumbilical (around the umbilicus) (approximately 80%) Diarrhea (about 70%), possibly with mucus admixtures; hemorrhagic diarrhea (bloody diarrhea), possibly with mucus admixtures (45% / 35%). Fatigue Growth retardation: weight stagnation (in children) or … Crohn’s Disease: Symptoms, Complaints, Signs