DIGESTIVE PATHOLOGIES
cod. 1002376

Academic year 2020/21
3° year of course - Second semester
Professor responsible for the course unit
DE ANGELIS Gian Luigi
integrated course unit
8 credits
hub: PARMA
course unit
in ITALIAN

Learning objectives

The student should achieve a complete knowledge of the main gastrointestinal disorders, from the physiopathology of the disease to the clinical presentation, diagnostic workup and bases of medical and surgical therapy. It is also required knowledge of the main endoscopic techniques and notions related to other techniques necessary for the study of the digestive tract (ultrasound, X-rays, CT, MRI). Basic knowledge of pathological anatomy of gastrointestinal diseases.

Prerequisites

The student must have passed the exams of Human Anatomy and Physiology

Course unit content

1) ESOPHAGUS: Gastroesophageal reflux disease and predisposing conditions; Barrett's esophagus; Benign and malignant esophageal tumors. Achalasia.
2) STOMACH: gastritis, peptic ulcer disease and complications, premalignant conditions, benign and malignant tumors; GIST.
3) PANCREAS: Acute and chronic pancreatitis, pancreatic tumors (exocrine pancreas, cystic, endocrine pancreas)
4) BILIARY TRACT: lithiasis of the gallbladder and biliary tract, acute cholecystitis, acute cholangitis, immune-mediated disorders (primary sclerosing cholangitis, primary biliary cirrhosis), benign and malignant tumors.
5) LIVER: Fatty liver disease, cirrhosis, portal hypertension and its complications, ascites, Benign and malignant tumors (primary and secondary).
6) Celiac disease, malabsorption, acute and chronic diarrhea; functional gastroenterological disorders.
7) Inflammatory Bowel Disease: Crohn's disease, ulcerative colitis, indeterminate colitis. Physiopathology, clinical presentation, therapy, complications.
8) Acute abdomen, abdominal traumas. Mechanic and paralytic ileus; peritonitis; intestinal ischemia.
9) COLON AND RECTUM: diverticular disease and complications; premalignant conditions (polyps and polyposes), malignant tumors (colorectal cancer screening, clinical setting, therapy).
10) ANUS AND PERINEUM: hemorroidal disease, anal fissures, anal fistulas and abscesses; tumors.
11) ENDOSCOPIC EMERGENCIES: gastrointestinal bleeding (upper and lower), endoscopic hemostasis techniques; caustic and foreign bodies ingestion: clinical setting and endoscopic treatment.
12) Eosinophilic gastrointestinal disorders: pathogenesis, clinic and therapy.
13) ENDOCRINE DISEASES: thyroidal disease, thyroid and drugs; thyroid and gastrointestinal diseases; diseases of hypothalamus and hypophysis; adrenal gland diseases; diseases of the gonads; endocrine oncogenesis and neuroendocrine tumors.

Full programme

1) ESOPHAGUS: Gastroesophageal reflux disease and predisposing conditions; Barrett's esophagus; Benign and malignant esophageal tumors. Achalasia.
2) STOMACH: gastritis, peptic ulcer disease and complications, premalignant conditions, benign and malignant tumors; GIST.
3) PANCREAS: Acute and chronic pancreatitis, pancreatic tumors (exocrine pancreas, cystic, endocrine pancreas)
4) BILIARY TRACT: lithiasis of the gallbladder and biliary tract, acute cholecystitis, acute cholangitis, immune-mediated disorders (primary sclerosing cholangitis, primary biliary cirrhosis), benign and malignant tumors.
5) LIVER: Fatty liver disease, cirrhosis, portal hypertension and its complications, ascites, Benign and malignant tumors (primary and secondary).
6) Celiac disease, malabsorption, acute and chronic diarrhea; functional gastroenterological disorders.
7) Inflammatory Bowel Disease: Crohn's disease, ulcerative colitis, indeterminate colitis. Physiopathology, clinical presentation, therapy, complications.
8) Acute abdomen, abdominal traumas. Mechanic and paralytic ileus; peritonitis; intestinal ischemia.
9) COLON AND RECTUM: diverticular disease and complications; premalignant conditions (polyps and polyposes), malignant tumors (colorectal cancer screening, clinical setting, therapy).
10) ANUS AND PERINEUM: hemorroidal disease, anal fissures, anal fistulas and abscesses; tumors.
11) ENDOSCOPIC EMERGENCIES: gastrointestinal bleeding (upper and lower), endoscopic hemostasis techniques; caustic and foreign bodies ingestion: clinical setting and endoscopic treatment.
12) Eosinophilic gastrointestinal disorders: pathogenesis, clinic and therapy.
13) ENDOCRINE DISEASES: thyroidal disease, thyroid and drugs; thyroid and gastrointestinal diseases; diseases of hypothalamus and hypophysis; adrenal gland diseases; diseases of the gonads; endocrine oncogenesis and neuroendocrine tumors.

Bibliography

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Teaching methods

Participation in daily clinical activities at the Endoscopy Unit. Discussion of clinical cases. Lectures.

Assessment methods and criteria

Oral exam

Other information

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