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Large Intestine- IBD and IBS
Large Intestine- IBD and IBS
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Video Transcription
Video Summary
The lecture reviews inflammatory bowel disease (IBD), microscopic colitis, and irritable bowel syndrome (IBS). Crohn’s disease can affect any part of the digestive tract and causes patchy, full-thickness inflammation, while ulcerative colitis is limited to the colon and causes continuous inflammation. Diagnosis combines symptoms, imaging, endoscopy, and biopsies. Treatment aims to relieve symptoms, heal inflammation, and maintain remission, using medications ranging from steroids to biologics and other advanced therapies; surgery may be needed for complications. Removing the colon can cure ulcerative colitis but not Crohn’s disease.<br /><br />Microscopic colitis causes chronic diarrhea despite a normal-looking colon; biopsies reveal inflammation. It is often treated with budesonide. IBS is a common functional disorder diagnosed by symptom criteria and without alarm signs. Management may include diet changes, symptom-targeted medicines, and psychological therapies such as cognitive behavioral therapy or hypnotherapy.<br /><br />The discussion also notes that PSC is strongly associated with ulcerative colitis and increases colorectal cancer risk, warranting frequent colonoscopy surveillance.
Asset Subtitle
Ayokunle Abegunde
Keywords
inflammatory bowel disease
Crohn’s disease
ulcerative colitis
microscopic colitis
irritable bowel syndrome
primary sclerosing cholangitis
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