100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Samenvatting "gastro-entero" - Abdomen 1 partim spijsverteringsorganen $11.58   Add to cart

Summary

Samenvatting "gastro-entero" - Abdomen 1 partim spijsverteringsorganen

 10 views  0 purchase
  • Course
  • Institution

Samenvatting van de hoorcolleges over "Gastro-entero" gegeven door prof. De Schepper H. Onderdeel van het vak 'Abdomen 1 partim spijsverteringsorganen' gegeven in de 2e Bachelor Geneeskunde aan de UA. Samenvatting gebaseerd op slides én lesnotities.

Preview 4 out of 120  pages

  • September 4, 2024
  • 120
  • 2023/2024
  • Summary
avatar-seller
Inhoudsopgave
Slokdarmpathologie.......................................................................................................................................6
Anatomie van de slokdarm.........................................................................................................................6
Fysiologie van de slikbeweging............................................................................................................6
Slokdarm motiliteitsstoornissen: orofaryngeale dysfagie........................................................................... 7
Hoge resolutie slokdarmmanometrie & impedantie..............................................................................7
Chicago classificatie.............................................................................................................................8
Achalasie....................................................................................................................................................8
Diagnostiek...........................................................................................................................................9
Behandeling....................................................................................................................................... 10
Distaal slokdarmspasme.......................................................................................................................... 11
Jackhammer slokdarm............................................................................................................................. 12
Aperistalsis: sclerodermie........................................................................................................................ 12
Ruminatie................................................................................................................................................. 12
Eosinofiele oesofagitis............................................................................................................................. 13
Gastro-oesofageale refluxziekte (GERD).................................................................................................13
Pathofysiologie................................................................................................................................... 13
Symptomen........................................................................................................................................ 15
Complicaties.......................................................................................................................................15
Diagnose............................................................................................................................................ 16
Behandeling....................................................................................................................................... 17
Slokdarmdivertikels.................................................................................................................................. 20
Zenker-divertikel.................................................................................................................................20
Types slokdarmdivertikels.................................................................................................................. 21

Regeling en organisatie van de digestieve tractus...................................................................................22
Functies van GI-tractus............................................................................................................................ 22
Controle en regulatie................................................................................................................................22
Hormonale regulatie.................................................................................................................................22
Endocriene mediatoren...................................................................................................................... 22
Paracriene mediatoren....................................................................................................................... 25
Neurocriene mediatoren.....................................................................................................................26
Overzicht digestieve hormonen..........................................................................................................26
Neuromusculair........................................................................................................................................ 26
Extrinsiek zenuwstelsel...................................................................................................................... 27
Enterisch zenuwstelsel.......................................................................................................................28
Glad spierweefsel van de GI-tractus.................................................................................................. 29
Immunologisch......................................................................................................................................... 30
Microbioom...............................................................................................................................................30
Enterotypes........................................................................................................................................ 31
Ontwikkeling en adaptatie van het microbioom..................................................................................31

Darm in beweging (motoriek)......................................................................................................................33
Dunne darm............................................................................................................................................. 33
Regeling............................................................................................................................................. 33
Contractiepatroon...............................................................................................................................33
Ziektebeelden.....................................................................................................................................34
1

, Dikke darm............................................................................................................................................... 34
Regeling............................................................................................................................................. 34
Anatomie............................................................................................................................................ 35
Motoriek..............................................................................................................................................35
Ziektebeelden.....................................................................................................................................36
Anorectum................................................................................................................................................37
Anorectale innervatie..........................................................................................................................37
Continentie......................................................................................................................................... 38
Defecatiecyclus.................................................................................................................................. 38
Technische evaluatie van colorectale motiliteit........................................................................................ 39
Anorectale manometrie...................................................................................................................... 39
MR defefcogram.................................................................................................................................40
Ziektebeeld: functionele constipatie................................................................................................... 40
Ziektebeeld: rectocoele (darmverzakking)......................................................................................... 42

Het functioneren van de maag....................................................................................................................43
Fysiologie................................................................................................................................................. 43
Anatomische regio’s........................................................................................................................... 43
Gastrische motiliteit............................................................................................................................ 43
Slow wave activiteit van maag en duodenum.................................................................................... 44
Regulatie van maagmotoriek..............................................................................................................45
Maagzuursecretie...............................................................................................................................45
Fases van maagzuursecretie............................................................................................................. 46
Gastritis.................................................................................................................................................... 47
Acute gastritis.....................................................................................................................................47
Chronische gastritis............................................................................................................................48
Speciale vormen.................................................................................................................................49
Peptische ulcus........................................................................................................................................ 49
Pathofysiologie: klassieke theorie...................................................................................................... 49
Pathofysiologie: Helicobacter pylori theorie....................................................................................... 51
Symptomen........................................................................................................................................ 52
Complicaties.......................................................................................................................................52
Diagnose............................................................................................................................................ 52
Behandeling....................................................................................................................................... 53
Helicobacter pylori....................................................................................................................................53
Ziektebeelden.....................................................................................................................................54
Diagnose............................................................................................................................................ 54
Behandeling....................................................................................................................................... 55
Hoge gastro-intestinale bloeding (GIB).................................................................................................... 55
Hemodynamica.................................................................................................................................. 55
Non-PTH UGIB...................................................................................................................................56
Behandeling....................................................................................................................................... 56
Dyspepsie................................................................................................................................................ 56
Pathofysiologie................................................................................................................................... 57
Diagnose............................................................................................................................................ 57
Functionele dyspepsie........................................................................................................................58
Behandeling....................................................................................................................................... 59
Gastroparese........................................................................................................................................... 59
2

, Diagnose............................................................................................................................................ 60
Behandeling....................................................................................................................................... 60

Digestie & absorptie.................................................................................................................................... 61
Functies van het digestief systeem.......................................................................................................... 61
Dunne darm epitheel.......................................................................................................................... 61
Secretie en absorptie............................................................................................................................... 62
Mucosaal transport.............................................................................................................................62
Transcellulair transport....................................................................................................................... 62
Natriumreabsorptie.............................................................................................................................63
Chloor secretie................................................................................................................................... 63
HCO3- secretie...................................................................................................................................63
Digestie.................................................................................................................................................... 63
Vertering thv maag............................................................................................................................. 64
Vertering thv darm.............................................................................................................................. 64
Vetvertering........................................................................................................................................ 65
Koolhydraatvertering.......................................................................................................................... 65
Eiwitvertering......................................................................................................................................66
Mineralen............................................................................................................................................67
Vitaminen........................................................................................................................................... 67

Malabsorptie................................................................................................................................................. 69
Malabsorptie.............................................................................................................................................69
Disaccharide malabsorptie (koolhydraten)......................................................................................... 69
Malabsorptie van vetten..................................................................................................................... 71
Malabsorptie van eiwitten...................................................................................................................71
Coeliakie.................................................................................................................................................. 71
Pathogenese...................................................................................................................................... 72
Symptomen........................................................................................................................................ 72
Complicaties.......................................................................................................................................73
Diagnose............................................................................................................................................ 73
Behandeling....................................................................................................................................... 74
Short Bowel Syndrome............................................................................................................................ 74
Symptomen en behandeling...............................................................................................................75

Diarree...........................................................................................................................................................76
Diarree..................................................................................................................................................... 76
Pathofysiologie.........................................................................................................................................76
Subtypes............................................................................................................................................ 77
Acute diarree............................................................................................................................................80
Acute infectieuze diarree....................................................................................................................80
Antibiotica-geïnduceerde acute diarree..............................................................................................80
Chronische diarree...................................................................................................................................81
Chronische vetdiarree........................................................................................................................ 81
Chronische waterige diarree.............................................................................................................. 82

Infectieuze diarree........................................................................................................................................84
Algemene principes..................................................................................................................................84
3

, Verdediging tegen darminfecties........................................................................................................ 84
Patronen van infectieuze diarree........................................................................................................84
Behandeling van bacteriële darminfecties..........................................................................................85
Voedselinfectie: toxine-gemedieerd................................................................................................... 85
Klinische syndromen bij infectieuze diarree....................................................................................... 85
Bacteriële oorzaken van diarree.............................................................................................................. 86
Salmonella..........................................................................................................................................86
Campylobacter (jejuni)....................................................................................................................... 86
Yersinia...............................................................................................................................................87
Escherichia coli.................................................................................................................................. 87
Staphylococcus aureus...................................................................................................................... 88
Shigella (bacillaire dysenterie)........................................................................................................... 88
Listeria monocytogenes..................................................................................................................... 88
Mycobacterium tuberculosis...............................................................................................................88
Antibiotica geïnduceerde diarree........................................................................................................89
Virale oorzaken van diarree..................................................................................................................... 89
Parasitaire oorzaken van diarree............................................................................................................. 89
Protozoa............................................................................................................................................. 90
Helminthen (wormen)......................................................................................................................... 90
SOA..........................................................................................................................................................91
Chlamydia trachomatis.......................................................................................................................92
Lymfogranuloma venereum................................................................................................................92
Neisseria gonorrhoeae....................................................................................................................... 92
Herpes simplex...................................................................................................................................92
Syfilis.................................................................................................................................................. 93
Condylomata accuminata...................................................................................................................93

Ileus en obstructie....................................................................................................................................... 94
Paralytische ileus..................................................................................................................................... 94
Mechanische ileus/obstructie................................................................................................................... 95
Hernia.................................................................................................................................................96
Behandeling....................................................................................................................................... 96
Ogilvie syndroom..................................................................................................................................... 98
Colonobstructie........................................................................................................................................ 98

Fysiologie en pathofysiologie van de pancreas....................................................................................... 99
Anatomie en structuur.............................................................................................................................. 99
Innervatie............................................................................................................................................99
Opbouw van de pancreas................................................................................................................ 100
Fysiologie............................................................................................................................................... 100
Pancreassecretie..............................................................................................................................100
Pancreasenzymen............................................................................................................................103
Samenvattende figuur...................................................................................................................... 104
Pathofysiologie: acute pancreatitis.........................................................................................................104
Pathofysiologie................................................................................................................................. 104
Systemische manifestaties...............................................................................................................105
Verdedigingsmechanismen.............................................................................................................. 105
Pathofysiologie: Chronische pancreatitis............................................................................................... 106
4

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller katovandenbroucke. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.58. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78998 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$11.58
  • (0)
  Add to cart