College AGZVGG maag/darmaandoeningen online 25-09-17
Gastritis
- Aandoening van de maag
- Ontsteking van het maagslijmvlies
- Symptomen:
o Hematemesis of braken van bloed
- Oorzaken
o Infectie
o Gebruik van ontstekingsremmers (Aspirine en ibuprofen)
o Alcohol (stimuleert zuurvorming van de maag)
- Diagnose: gastroscopie
Ulcus pepticum
- Peptische zweren
- Maag, slokdarm of darmkanaal
- Ulcus ventriculi <> maagzweer
- Ulcus duodeni <> zweer in twaalfvingerige darm
- Oorzaak: bacterie-infectie kan maagzweer veroorzaken
- Overmatige vorming van maagzuur door overproductie van pepsine
- Symptomen
o Zuurbranden
o Pijn in de maagstreek
o Misselijkheid
o Braken
o Vermoeidheid
o Bloeding
o Hematemesis
o Malena, bloed in ontlasting
- Complicaties
o Perforatie van de maagwand of darmwand
o Zweer breekt door de maagwand en of darmwand
o Ontsteking van het buikvlies
o Buikvliesontsteking
- Behandeling
o Maagzuurremmers
o Antibiotica
- Diagnose
o Röntgenonderzoek en gastroscopie
Ziekte van Crohn
- Chronische ontsteking van het darmkanaal
- Dikke darm: colon ascendens
- Dunne darm: ileum
- Auto-immuun aandoening
- Roken en stress verergeren de aandoening.
- Ontsteking veroorzaakt een verdikking van de darmwand <> stenose
- Stenose = vernauwing van de darm
- Symptomen
o Pijn in de onderbuik
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