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Ziekte van Crohn en Colitis ulcerose $3.21
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Ziekte van Crohn en Colitis ulcerose

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Het verschil tussen de ziekte van Crohn en Colitis ulcerosa studeren? Studeer dan deze handige tabel.

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  • January 14, 2020
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Ziekte van Crohn Colitis ulcerosa
Lokalisatie: over heel darmkanaal Lokalisatie: colon
Letsels kunnen op grote afstand van elkaar Letsels zijn gelijkmatig verdeeld
liggen
Aspect letsels: Aspect letsels:
- Zweer door groeit door darmwand - Ontsteking beperkt tot mucosa
- Zweer in darm (oppervlakkig)
- Vernauwing lumen darm door - Mucosa is broos
littekenvorming - Mogelijke abcessen met pus
- Transmurale ontsteking - Zweren in dikke darm en endeldarm
- Diepe zweren - Aaneengesloten
- Granulomen
- Fissuren, abcessen en fistels
- Onderbroken
Symptomen: Symptomen:
- 3 à 6 x losse stoelgang/dag - Zeer wisselende stoelgang
- Rectaal bloedverlies meestal niet - Zuiver bloed of gemengd met slijm rectaal
aanwezig bloedverlies
- Frequente buikpijn, meestal gelokaliseerd - Meestal gelokaliseerde buikpijn
- Anorexie, vermagering en koorts - Anorexie, vermagering en koorts
Verwikkelingen: Verwikkelingen:
- Inwendige fistels: - Toxisch megacolon: als zweren in darm zo
● Darmfistels (bv. tussen ileum en colon) hevig zijn dat ontlasting niet meer wordt
● Intestinovesicale fistel (= verbinding voortgeduwd, door gasvorming en
tussen darm en blaas) ontlasting zwelt darm op → sterke
- Uitwendige fistels: uitzetting colon
● Perianaal - Bloeding
- Obstructie - Carninoomvorming

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