Лекция посвящена вопросам патологоанатомической диагностики болезни Крона и язвенного колита. Разбираются основы патогенеза, клиники, макроскопической и гистологической картины. Отдельно разбирается дифференциальная диагностика болезни Крона с туберкулёзом, саркоидозом, иерсиниозом, псевдотуберкулёзом и болезнью Бехчета, а также шкалы для оценки активности воспалительных заболеваний кишечника.

СМОТРИТЕ ТАКЖЕ:

Тонкая кишка | Элементарная гистология

Толстая кишка | Элементарная гистология

Гастриты и язва желудка

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СОДЕРЖАНИЕ:

00:00 - Введение

02:34 - Обзор гистологии тонкой и толстой кишки

05:37 - Понятие “воспалительные заболевания кишечника”

06:56 - Болезнь Крона

07:10 --- Патогенез

09:24 --- Клиническая картина

11:29 --- Макроскопическая картина

14:54 --- Гистологические признаки

18:54 --- Отличительные признаки болезни Крона

19:30 --- Дифференциальная диагностика болезни Крона

19:44 ----- с кишечным туберкулёзом

20:12 ----- с саркоидозом

20:43 ----- с иерсиниозом и псевдотуберкулёзом

21:38 ----- с болезнью Бехчета

22:09 - Язвенный колит

22:20--- Патогенез

23:58 --- Клиническая картина

25:01 --- Макроскопическая картина

25:47 --- Микроскопические признаки

27:48 --- Необычные варианты и эффекты лечения

28:23 --- Отличительные признаки язвенного колита

28:40 - Дифференциальная диагностика болезни Крона и язвенного колита

30:43 - Подход к оценке биоптатов

31:24 --- Требуемое количество биоптатов

32:01 --- Принципы описания биоптатов толстой кишки

33:04 --- Гистологическая ремиссия

34:05 --- Оценка активности колита

34:54 ----- Шкала Nancy

35:17 ----- Гистопатологический индекс Robarts

35:39 ----- Шкала Naini и Cortina

35:57 ----- Шкала Geboes

36:36 - Просмотр препаратов

01:00:10 - Заключение

СЛАЙДЫ:

Язвенный колит, биопсия https://tinyurl.com/y999lsjy

Язвенный колит, биопсия https://tinyurl.com/y8nalnoj

Язвенный колит с дисплазией high-grade, резекция https://tinyurl.com/y7qhejgt

Болезнь Крона, резекция https://tinyurl.com/y9nzylj5

Болезнь Крона, резекция https://tinyurl.com/y9m98wgw

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Автор проекта - врач-патологоанатом Шуравин Павел Васильевич (Москва).