The gastroenterology internship aims to provide exposure in diagnosing, treating, and managing a wide range of gastrointestinal disorders. Interns will gain experience in both inpatient and outpatient settings, as well as advanced diagnostic tools such as endoscopy and imaging techniques.
Learning Outcomes:
By the end of the internship, interns will assist:
Diagnosis if common and complex gastrointestinal diseases.
Interpretation of diagnostic tests and imaging studies in gastroenterology.
Endoscopic procedures and understand their indications.
Development of treatment plans for patients with gastrointestinal conditions.
Communication effectively with patients and healthcare teams regarding treatment options and procedures.
Course Syllabus
Obiettivi
L'internship in Gastroenterologia offre agli studenti l'opportunità di acquisire esperienza pratica nella diagnosi, nel trattamento e nella gestione delle malattie gastroenterologiche. Durante il tirocinio, gli studenti lavoreranno a stretto contatto con medici specialisti in gastroenterologia, partecipando a visite ambulatoriali, interventi diagnostici e terapeutici, e acquisendo competenze pratiche nell'uso di tecniche endoscopiche.
Contenuti sintetici
Approccio clinico dei pazienti con malattia epatica avanzata in ambito ospedaliero e ambulatoriale
Approccio clinico dei pazienti con condizioni biliari croniche in ambito ospedaliero e ambulatoriale
Approccio clinico dei pazienti con malattia infiammatoria intestinale in ambito ospedaliero e ambulatoriale
Approccio clinico al ricevente di trapianto di fegato
Epatologia interventistica (paracentesi, toracentesi, posizionamento del TIPPS, RFA, TACE)
Diagnosi di laboratorio delle malattie autoimmuni del fegato
Endoscopia gastrointestinale
Programma esteso
DISTURBI MOTORI DELL'ESOFAGO E MALATTIE GASTROESOFAGEE
Acalasia; altri disturbi ipermotori dell'esofago distale e dello sfintere esofageo inferiore; disturbi ipomotori dell'esofago.
Malattia da reflusso gastroesofageo e le sue complicazioni.
Esofago di Barrett.
Disturbi esofagei causati da infezioni, malattie sistemiche, radiazioni, trauma e farmaci.
Malattia dispeptica.
MALATTIE CORRELATE ACIDO-RELATE
Gastrite e gastropatie.
Ulcera peptica e complicazioni.
Infezione da Helicobacter Pylori.
Sindrome di Zollinger-Ellison.
DOLORE ADDOMINALE, COSTIPAZIONE E DIARREA
Colelitiasi.
Costipazione cronica.
Diarrea acuta e cronica.
Sindrome del colon irritabile.
MALASSORBIMENTO
Maldigestione e malassorbimento.
Celiachia.
EMORRAGIA GASTROINTESTINALE SUPERIORE E INFERIORE
Ematemesi e melena.
Ematochezia e sanguinamento del tratto gastrointestinale inferiore.
Sanguinamento gastrointestinale oscuro.
MALATTIE INFIAMMATORIE INTESTINALI
Colite ulcerosa.
Morbo di Crohn.
Colite indeterminata e colite microscopica.
Malattia diverticolare.
EPATITE ACUTA E CRONICA
Epatite virale, epatite cronica non virale.
Malattia di Wilson e emocromatosi.
Epatopatia alcolica.
Epatopatia colestatica.
Malattia epatica metabolica e steatosi.
Danno epatico indotto da farmaci.
CIRROSI E IPERTENSIONE PORTALE
Cirrosi compensata e decompensata.
Ipertensione portale.
Complicanze della cirrosi: ascite, peritonite batterica spontanea, sindrome epato-renale, varici gastroesofagee, encefalopatia epatica.
Trapianto di fegato.
TUMORI DEL FEGATO
Tumori primari e secondari del fegato.
Iperplasia nodulare focale.
Lesioni benigne del fegato.
Lesioni maligne del fegato: carcinoma epatocellulare, colangiocarcinoma, epatoblastoma, emangioendotelioma.
PANCREATITE ACUTA E CRONICA
Pancreatite biliare acuta e cronica.
Altri tipi (alcolica, genetica, ecc.).
Complicazioni.
Prerequisiti
Conoscenza dei concetti di base delle principali malattie gastrointestinali, come la malattia infiammatoria intestinale, le malattie epatiche, la pancreatite, ulcere peptica e i tumori gastrointestinali.
Modalità didattica
Attività pratiche di osservazione guidata con briefing e debriefing da parte dei medici.
Periodo di erogazione dell'insegnamento
Il corso sarà disponibile tutto l'anno
Modalità di verifica del profitto e valutazione
test orale al termine dell'internato
Orario di ricevimento
Per apountamento via email ()
Sustainable Development Goals
Aims
The internship in Gastroenterology provides students with the opportunity to gain practical experience in the diagnosis, treatment, and management of gastrointestinal diseases. During the internship, students will work closely with specialist gastroenterologists, participating in outpatient visits, diagnostic and therapeutic interventions, and gaining hands-on experience with endoscopic techniques.
Contents
1. Clinical approach of patients presenting with advanced liver disease in the inpatient and outpatient setting
2. Clinical approach of patients presenting with chronic biliary conditions in the inpatient and outpatient setting
3. Clinical approach of patients with inflammatory bowel disease in the inpatient and outpatient setting
4. Clinical approach to the liver transplant recipient
5. Interventional hepatology (paracentesis, thoracentesis, TIPPS placement, RFA, TACE)
6. Laboratory diagnosis of autoimmune liver diseases
7. Gastrointestinal endoscopy
Detailed program
MOTOR DISORDER OF THE ESOPHAGUS AND GASTROESOPHAGEAL DISEASE - Achalasia; other hypermotility disorders of the distal esophagus and lower esophagus sphincter; esophageal hypomotility disorders. - Gastroesophageal reflux disease and its complications - Barret’s esophagus - Esophageal disorders caused by infection, sysyemic diseases, radiation, trauma and medications - Dyspeptic disease ACID-RELATED DISEASES - Gastritis and gastropathies - Peptic ulcer and complication - Helicobacter Pylori infection - Zollinger- Ellison’s syndrome ABDOMINAL PAIN, CONSTIPATION AND DIARREA - Cholelitiasis - Chronic constipation - Acute and chronic diarrhea – Irritable bowel syndrome MALABSORPTION - Maldigestion and malabsorption - Celiac disease UPPER AND LOWER GASTROINTESTINAL BLEEDING - Haematemesis and melena - Haematochezia and lower GI bleeding - Obscure gastrointestinal bleeding INFLAMMATORY BOWEL DISEASES - Ulcerative colitis - Crohn’s disease - Indeterminate colitis and microscopic colitis - Diverticular disease ACUTE AND CHRONIC HEPATITIS – viral hepatitis, chronic non-viral hepatitis. Wilson’s disease and hemochromatosis - Alcoholic liver disease – Cholestatic liver disease - Metabolic liver disease and steatosis - Drug-induced liver injury CIRRHOSIS AND PORTAL HYPERTENSION - Cirrhosis compensated and decompensated - Portal hypertension - Complication of cirrhosis: ascites, spontaneous bacterial peritonitis, hepato-renale syndrome, gastroesophageal varices, hepatic encephalopathy - Liver transplantation TUMOR OF THE LIVER - Primary and secondary tumours of the liver - Focal nodular hyperplasia - Benign liver lesions - Malignant liver lesions: hepatocellular carcinoma, cholangiocarcninoma, epatoblastoma, emangioendotelioma ACUTE AND CHRONIC PANCREATITIS - Acute and chronic biliary pancreatitis - Others (alcholic, genetic etc.) – Complications.
Prerequisites
Knowledge of basic concepts of the common gastrointestinal diseases such as inflammatory bowel disease, liver diseases, pancreatitis, peptic ulcers, gastrointestinal cancers.
Teaching form
Practical guided observation activities with briefing and debriefing by medical doctors
Semester
The course will be accessible throughout the entire year
Assessment method
Oral test at the end of the internship
Office hours
Appointment by email ()
Sustainable Development Goals
Key information
Staff
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Marco Carbone