Medicine and Surgery HT

Surgical approach to gastrointestinal, hepatic and pancreatic diseases. Diagnostic approach in patients with hepatocellular jaundice (acute viral, toxic, iatrogenic hepatitis) and cholestatic jaundice (gallbladder and bile duct lithiasis, bile duct and pancreatic neoplasms). Chronic elevation of transaminases: diagnostic pathways (steatosis, non-alcoholic steatohepatitis, chronic viral hepatitis, alcoholic liver disease, metabolic diseases). Acute and chronic liver failure, fulminant hepatitis and liver cirrhosis, complications of liver cirrhosis (portal hypertension, oesophageal variceal haemorrhage, ascites, hepatic encephalopathy, hepatocellular carcinoma). Oesophageal pathology as a frequent cause of chest pain: gastro-oesophageal reflux disease, oesophageal motility disorders. Gastrointestinal haemorrhage (haematemesis and melena): diagnostic pathway, clinical pictures, prognostic factors, principles of medical and endoscopic therapy. NSAID-induced gastropathy. Acute abdominal pain: clinical pictures (peptic ulcer, cholecystitis, acute pancreatitis, biliary colic, intestinal obstruction, abdominal vascular pathology, appendicitis) and diagnostic approach. Functional dyspepsia. Acute and chronic gastritis. Peptic disease. The relationship between gastroduodenal pathology and HP infection. Tumours of the oesophagus and stomach. Acute and chronic pancreatitis. Weight loss: pathophysiology, clinical pictures and diagnostic approach (malabsorption, chronic pancreatitis, coeliac disease). Chronic inflammatory bowel diseases (ulcerative colitis and Crohn's disease). Changes in bowel habits: clinical pictures and diagnostic pathways in acute and chronic diarrhoea; irritable bowel syndrome; constipation. Diverticular disease and diverticulitis. Epidemiology and screening strategies for colorectal cancer in the population. Colon-rectal tumours. Indications for the main gastroenterological investigations: EDGS, colonoscopy, liver biopsy, ultrasound.

Gastroenterology Manual - UNIGASTRO. National Coordination of University Professors of Gastroenterology Publisher EGI Guidelines on specific topics will be provided during the lessons and made available on e- learning