Registration for a live webinar on 'Neuroleptic malignant syndrome' is now open.
See webinar detailsWe noted you are experiencing viewing problems
-
Check with your IT department that JWPlatform, JWPlayer and Amazon AWS & CloudFront are not being blocked by your network. The relevant domains are *.jwplatform.com, *.jwpsrv.com, *.jwpcdn.com, jwpltx.com, jwpsrv.a.ssl.fastly.net, *.amazonaws.com and *.cloudfront.net. The relevant ports are 80 and 443.
-
Check the following talk links to see which ones work correctly:
Auto Mode
HTTP Progressive Download Send us your results from the above test links at access@hstalks.com and we will contact you with further advice on troubleshooting your viewing problems. -
No luck yet? More tips for troubleshooting viewing issues
-
Contact HST Support access@hstalks.com
-
Please review our troubleshooting guide for tips and advice on resolving your viewing problems.
-
For additional help, please don't hesitate to contact HST support access@hstalks.com
We hope you have enjoyed this limited-length demo
This is a limited length demo talk; you may
login or
review methods of
obtaining more access.
Printable Handouts
Navigable Slide Index
- Introduction
- Overview
- Definition of ulcer
- Malabsorption
- Angular cheilitis
- Atrophic glossitis
- Aphthous ulceration (1)
- Aphthous ulcerati on (2)
- Coeliac disease (1)
- Coeliac disease (2)
- Dermatitis herpetiformis
- Inflammatory bowel disease (IBD)
- Crohn’s disease (1)
- Crohn’s disease (2)
- Oral Crohn’s disease vs. orofacial granulomatosis
- Clinical features of oral Crohn’s disease
- Melkersson-Rosenthal syndrome
- Ulcerative colitis (1)
- Ulcerative colitis (2)
- Pyostomatitis vegetans
- Oral aphthous ulcerations
- Crohn's disease vs. ulcerative colitis
- IBD: investigations
- IBD: colonoscopy
- IBD: management
- IBD: erythema nodosum
- IBD: uveitis
- IBD: pyoderma gangrenosum
- Management of oral symptoms
- Oral metastases
- Summary
- References
- Photo references
- Acknowledgements
Topics Covered
- Malabsorption
- Coeliac disease
- Inflammatory bowel disease
- Metastatic disease
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
Cowie, R. (2017, May 29). Soreness and ulcers 4: due to gastrointestinal disease [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved October 14, 2024, from https://doi.org/10.69645/QZRD7572.Export Citation (RIS)
Publication History
Financial Disclosures
- Dr. Rachel Cowie has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Transcript
Please wait while the transcript is being prepared...
0:00
Hi, there. My name is Dr. Rachel Cowie.
I'm a doctor based in Bristol,
United Kingdom,
and I work between the Oral Medicine Department of the Bristol Dental Hospital
and the Acute Medical Unit
of the Bristol Royal Infirmary,
where I work
in a largely teaching capacity.
I'm going to spend the next 45 minutes or so
talking about soreness
and oral ulceration secondary
due to gastrointestinal disease.
0:24
Now, there are
a plenty of gastrointestinal conditions
can affect the mouth
and present with oral problems,
esophageal webs, esophageal stricturing,
gastroesophageal reflux disease,
or more unusual conditions
such as Gardner's syndrome
or Peutz-Jegher syndrome.
However,
this talk is designed to focus on conditions
that specifically cause ulceration and soreness
and this largely involves the following the areas:
Malabsorption, celiac disease,
inflammatory bowel disease,
and metastatic disease.
I will go through each of these in turn.
0:56
So just before doing that,
it's worth reminding ourselves
as to the definition of an ulcer
which is "a break in the skin
or mucous membrane with loss of surface tissue,
disintegration,
and necrosis of epithelial tissue".
Now, this is a common definition.
Oral ulcers are usually fairly easy to see
and assess objectively
unlike soreness which is relatively
much more subjective.
The impact of oral mucosal disease
on a person's quality of life will vary greatly
according to several factors.
Obviously the presence
and severity of the mucosal disease
will be a determining factor.
However, it's important not to forget
psychosocial factors.
For example, in orofacial granulomatosis
or Crohn's disease,
when there is a marked granulomatous cheilitis
for example.
In a teenager this may cause
significant social embarrassment
and be associated with low self-confidence,
social exclusion, bullying,
and perhaps poor performance at school.
Certainly,
conditions like orofacial granulomatosis
can have quite a devastating impact
on the overall well-being
of a young child or adult.