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Samenvatting Vragenlijst Abdomen 2 spijsvertering
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Vragenlijst met antwoorden, van spijsvertering
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VRAGENLIJST SPIJSVERTERING 2 MASTER 1Slokdarm................................................................................................................................................................ 10
WAT IS GERD? DIAGNOSE? BEHANDELING?.................................................................................................. 10
Diagnose.........................................................................................................................................................11
Behandeling....................................................................................................................................................12
GEEF EEN OVERZICHT VAN DE VERSCHILLENDE SLIKSTOORNISSEN EN GEEF TELKENS EEN KORTE
BESCHRIJVING VAN WAT DE STOORNIS INHOUDT OF WAT HET CONCRETE LETSEL IS....................................13
BESPREEK DIAGNOSTIEK EN BEHANDELING VAN ACHALASIE........................................................................14
GEEF EEN OVERZICHT VAN DE 3 PRIMAIRE MOTILITEITSSTOORNISSEN VAN DE SLOKDARM EN BESPREEK
SCHEMATISCH (BIJ VOORKEUR IN TABELVORM) DE BELANGRIJKSTE VERSCHILLEN TUSSEN DE 3...................15
BESPREEK DE EOSINOFIELE OESOPHAGITIS................................................................................................... 16
Diarrhee.................................................................................................................................................................. 17
WELKE 3 TYPES DIARRHEE KUNNEN WE ONDERSCHEIDEN OP BASIS VAN DE PHYSIOPATHOLOGIE? BESCHRIJF
BIJ ELK TYPE KORT DE ONDERLIGGENDE MECHANISMEN..............................................................................17
Osmotische diarree.........................................................................................................................................17
Secretoire diarree............................................................................................................................................17
Inflammatoire diarree.....................................................................................................................................18
Gemengd osmotisch-secretoir........................................................................................................................18
WELKE 2 TYPES ACUTE INFECTIEUZE DIARRHEE KUNNEN WE ONDERSCHEIDEN EN DAT ZIJN DE VERSCHILLEN
TUSSEN BEIDE?............................................................................................................................................ 20
WAT IS DE DIAGNOSTISCHE AANPAK VAN ACUTE DIARRHEE?.......................................................................21
BESPREEK DE PSEUDOMEMBRANEUZE COLITIS............................................................................................22
Diagnose.........................................................................................................................................................22
Behandeling:...................................................................................................................................................22
WELKE SOORTEN CHRONISCHE DIARRHEE KAN MEN ONDERSCHEIDEN?.......................................................23
WAT IS DE DIFFERENTIAALDIAGNOSE VAN CHRONISCHE WATERIGE DIARRHEE?...........................................24
etiologie..........................................................................................................................................................24
diagnose..........................................................................................................................................................25
BESPREEK GALZOUTENDIARRHEE................................................................................................................. 26
etiologie..........................................................................................................................................................26
diagnose..........................................................................................................................................................26
behandeling....................................................................................................................................................26
BESPREEK STEATORRHEE.............................................................................................................................. 27
hoe herken je steatorree?...............................................................................................................................27
etiologie..........................................................................................................................................................27
diagnose..........................................................................................................................................................27
,BESPREEK LACTOSEINTOLERANTIE............................................................................................................... 28
etiologie..........................................................................................................................................................28
symptomen.....................................................................................................................................................28
diagnose..........................................................................................................................................................28
behandeling....................................................................................................................................................28
BESPREEK DE AANPAK VAN CHRONISCHE DIARRHEE....................................................................................29
anamnese........................................................................................................................................................29
klinisch onderzoek...........................................................................................................................................29
bloedname......................................................................................................................................................29
andere onderzoeken.......................................................................................................................................29
WAT KEN HET STOELGANGSONDERZOEK BIJ CHRONISCHE DIARRHEE LEREN?...............................................30
WAT IS COELIACKIE? WAT IS DE PATHOGENESE?.......................................................................................... 31
definitie coeliakie............................................................................................................................................31
pathologie.......................................................................................................................................................31
pathogenese....................................................................................................................................................31
symptomen.....................................................................................................................................................32
complicaties....................................................................................................................................................32
HOE WORDT DE DIAGNOSE VAN COELIACKIE GESTELD?................................................................................33
HOE WORDT COELIACKIE BEHANDELD?........................................................................................................ 34
GEEF EEN OVERZICHT VAN DE BELANGRIJKSTE OORZAKEN VAN INFECTIEUZE DIARHEE, MET DE
BELANGRIJKSTE KENMERKEN EN BEHANDELING...........................................................................................35
IBD.......................................................................................................................................................................... 36
BESPREEK DE PATHOGENESE VAN INFLAMMATOIRE DARMZIEKTEN.............................................................36
Definitie...........................................................................................................................................................36
Pathogenese....................................................................................................................................................36
WELKE ZIJN DE VERWIKKELINGEN, DIE KUNNEN OPTREDEN BIJ DE ZIEKTE VAN CROHN EN BIJ COLITIS
ULCEROSA?.................................................................................................................................................. 38
BESPREEK DE MOGELIJKE COMPLICATIES BIJ DE ZIEKTE VAN CROHN............................................................40
BESPREEK DE MOGELIJKE COMPLICATIES BIJ COLITIS ULCEROSA...................................................................42
GEEF EEN SCHEMATISCH OVERZICHT VAN DE BELANGRIJKSTE VERSCHILLEN TUSSEN CROHN EN COLITIS
ULCEROSA................................................................................................................................................... 43
BESPREEK DE DIFFERENTIEEL DIAGNOSE VAN DE ZIEKTE VAN CROHN. HOE KOM JE TOT DE JUISTE DIAGNOSE?
.................................................................................................................................................................... 44
diagnose..........................................................................................................................................................44
DD....................................................................................................................................................................45
WAT IS MICROSCOPISCHE COLITIS?.............................................................................................................. 46
HOE WORDT DE ZIEKTE VAN CROHN EN COLITIS ULCEROSA BEHANDELD? (2 APARTE VRAGEN)....................47
DIO (Digestieve oncologie......................................................................................................................................49
BESPREEK DE BENIGNE EN MALIGNE SLOKDARMTUMOREN.........................................................................49
benigne slokdartumoren.................................................................................................................................49
, maligne slokdarmtumoren..............................................................................................................................49
BESPREEK DE BENIGNE EN MALIGNE MAAGTUMOREN.................................................................................51
Maligne...........................................................................................................................................................51
HET VOORKOMEN VAN SLOKDARMKANKER WERELDWIJD EN IN BELGIË......................................................53
BESPREEK DE RISICOFACTOREN VAN SLOKDARMKANKER.............................................................................54
BESPREEK HET PLAVEISELCELCARCINOOM VAN DE SLOKDARM....................................................................55
BESPREEK HET ADENOCARCINOOM VAN DE SLOKDARM..............................................................................56
BESPREEK DE RISICOFACTOREN VAN MAAGKANKER.....................................................................................58
BESPREEK DE TUMOREN VAN DE DUNNE DARM...........................................................................................59
GEEF EEN SCHEMATISCH OVERZICHT VAN DE VERSCHILLENDE TYPES COLONPOLIEPEN EN HUN
BELANGRIJKSTE KENMERKEN....................................................................................................................... 60
BESPREEK DE ADENOMATEUZE COLONPOLIEPEN.........................................................................................61
BESPREEK DE BEHANDELING VAN HET COLONCARCINOOM..........................................................................62
BESPREEK DE BEHANDELING VAN HET RECTUMCARCINOOM........................................................................63
HOE WORDT ER GESCREEND VOOR COLORECTAAL CARCINOOM?.................................................................66
Pancreas................................................................................................................................................................. 67
BESPREEK DE PATHOGENESE VAN ACUTE PANCREATITIS..............................................................................67
BESPREEK DE PATHOGENESE VAN CHRONISCHE PANCREATITIS EN WAT ZIJN DE VERSCHILPUNTEN MET
ACUTE PANCREATITIS................................................................................................................................... 68
pathogenese chronische pancreatitis.............................................................................................................68
verschilpunten acute en chronische pancreatitis............................................................................................69
BESPREEK DE BENIGNE TUMOREN VAN HET EXOCRIENE PANCREAS.............................................................71
Sereus cysteadenoma.....................................................................................................................................71
muceus cysteadenoma....................................................................................................................................71
intraductale papillaire mucineuze neoplasieën (IPMN)..................................................................................71
Soliede pseudo papillaire neoplasieën............................................................................................................71
BESPREEK DE RISICOFACTOREN VAN PANCREASKANKER..............................................................................73
BESPREEK DE MEEST VOORKOMENDE MALIGNE SOLIDE TUMOR VAN HET PANCREAS..................................74
anatomopathologie........................................................................................................................................74
symptomatologie............................................................................................................................................74
klinisch onderzoek...........................................................................................................................................74
diagnose..........................................................................................................................................................74
behandeling....................................................................................................................................................75
WAT ZIJN FUNCTIONELE NEURO-ENDOCRIENE TUMOREN EN BESPREEK ZE?.................................................76
algemene kenmerken endocriene pancreatumoren.......................................................................................76
verschillende types..........................................................................................................................................76
WAT ZIJN NIET-FUNCTIONELE NEURO-ENDOCRIENE TUMOREN VAN DE PANCREAS?....................................78
BESPREEK DE VERSCHILLENDE VORMEN EN OORZAKEN VAN PANCREATITIS.................................................79
, acute pancreatitis...........................................................................................................................................79
etiologie..........................................................................................................................................................79
chronische pancreatitis...................................................................................................................................79
BESCHRIJF DE SYMPTOMATOLOGIE EN DIAGNOSTISCHE AANPAK VAN EEN ACUTE PANCREATITIS................81
symptomen.....................................................................................................................................................81
klinisch onderzoek...........................................................................................................................................81
diagnose..........................................................................................................................................................81
HOE WORDT DE ERNST VAN EEN ACUTE PANCREATITIS INGESCHAT EN WAT ZIJN DE MOGELIJKE
VERWIKKELINGEN?...................................................................................................................................... 84
ernst inschatten...............................................................................................................................................84
verwikkelingen................................................................................................................................................84
HOE WORDT EEN ACUTE PANCREATITIS BEHANDELD?..................................................................................86
het onderdrukken van de pancreassecretie....................................................................................................86
het bestrijden van de pijn................................................................................................................................86
het opvangen en voorkomen van verwikkelingen..........................................................................................86
het voorkomen van nieuwe opstoten van pancreatitis..................................................................................86
BESPREEK DE BELANGRIJKSTE ASPECTEN VAN CHRONSICHE PANCREATITIS..................................................87
types en oorzaken zie vraag 44......................................................................................................................87
symptomatologie & klinisch onderzoek..........................................................................................................87
Verwikkelingen................................................................................................................................................87
diagnose..........................................................................................................................................................87
prognose.........................................................................................................................................................88
behandeling....................................................................................................................................................88
BESPREEK DE PANCREATICODUODENECTOMIE MET RECONSTRUCTIES. WAT ZIJN DE MOGELIJKE
COMPLICATIES?........................................................................................................................................... 89
Pancreaticoduodenectomie = whipple............................................................................................................89
reconstructiemogelijkheden na pancreaticuoduodenectomie.......................................................................89
Veneuze reconstructie:....................................................................................................................................89
complicaties....................................................................................................................................................89
WAT IS DE BEHANDELING VAN EEN PANCREASPSEUDOCYSTE?.....................................................................91
pancreaspseudocyste......................................................................................................................................91
Indicatie voor behandeling.............................................................................................................................91
WAT KAN DE CHIRURGIE BETEKENEN IN DE AANPAK VAN EEN CHRONISCHE PANCREATITIS (INDICATIES +
TECHNIEKEN)?............................................................................................................................................. 92
indicaties voor heelkunde bij chronische pancreatitis....................................................................................92
technieken.......................................................................................................................................................92
indicaties voor heelkunde bij chronische pancreatitis....................................................................................93
technieken.......................................................................................................................................................93
GI Bloeding............................................................................................................................................................. 94
HOE WORDT DE ERNST VAN EEN GASTROINTESTINALE BLOEDING INGESCHAT?...........................................94
BESPREEK DE ALGEMENE AANPAK VAN EEN HOGE GASTROINTESTINALE BLOEDING.....................................95
algemene behandeling....................................................................................................................................95
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