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Inflammatory Bowel Disease (view source)
Revision as of 15:28, 12 August 2009
, 15:28, 12 August 2009no edit summary
====Biochemistry====
====Biochemistry====
*
*Panhypoproteinaemia
*Hypocholesterolaemia
*Mild increased in liver enzymes, secondary to intestinal inflammation
====Other Tests====
====Other Tests====
*Faecal analysis should be carried out to rule out parasitic causes such as hookworms, whipworms and ''Giardia''
*Serum folate level decreases with proximal small intestitnal inflammation
*Serum cobalamin level decreases with distal small intestinal inflammation
===Diagnostic Imaging===
===Diagnostic Imaging===
*Plain radiography is used for evaluate for anatomic abnormalities.
*Contrast study is only of value if there is a severe mucosal disease.
*Ultrasonography may reveal thickening of intestinal wall and mesenteric lymphadenopathy.
===Histopathology===
===Histopathology===
A biopsy of the intestine is required for a definitive diagnosis of IBD. A non-invasive biopsy may be taken via endoscopy by this limits where the samples can be taken from as the jejunum and ileum in not easily accessible. Exploratory laparotomy and full thickness may sometimes be preferred.
A biopsy of the intestine is required for a definitive diagnosis of IBD. A non-invasive biopsy may be taken via endoscopy by this limits where the samples can be taken from as the jejunum and ileum in not easily accessible. Exploratory laparotomy and full thickness may sometimes be preferred.
==Treatment==
==Treatment==
*Dietary modification
**