Flashcards in Small bowel disorders Deck (11):
What are the surgical indications for Crohn's disease?
Failure of medical treatment
Failure to grow in children despite medical treatment
Name 3 complications of Crohn's disease
Fibrous bands that form between tissues and organs, often as a result of surgery.
Besides surgery, name 2 other causes of adhesions
Intra-abdominal infection (e.g. salpingitis, appendicitis)
What is the correlation between surgical history and adhesions?
Greater magnitude of surgery may cause more adhesions, but not always.
Adhesions can appear many years after a surgical procedure.
Compare the incidence of small bowel cancers to colorectal cancers
Small bowel cancers: 1,500 a year in UK
Colorectal cancers: 41,300 a year in UK
Where are the majority of small bowel cancers located?
Name 3 risk factors for small bowel cancer
Age - average age of diagnosis is 66yr
Familial adenomatous polyposis (FAP)
Lynch syndrome (HNPPC)
Peutz Jeghers syndrome
Crohn's disease - 2% develop small bowel cancer
Diet rich in red meat or smoked foods, or high fat diet
What are the 2 commonest types of small bowel cancer?
Adenocarcinomas (40%) - duodenum
Carcinoid tumours (40%) - appendix or ileum
Lymphomas (10%) - jejunum
How does small bowel cancer present?