Mr Maurice Brygel
e-mail:
mbrygel@netspace.net.au
Masada Private Hospital
26 Balaclava Road
East St Kilda
VIC 3183
Ph: 03 90381300
or 1300 HERNIA
fax: 03 9527 1519
For outside Australia
ph: +61 3 90381300
fax: +61 3 9527 1519
Sir John Monash Private Hospital
212 Clayton Road
Clayton VIC 3168
Cabrini Private Hospital
181- 183 Wattletree Road
Malvern VIC 3144
Disclaimer
Welcome to this website devoted to the diagnosis and treatment of haemorrhoids and rectal bleeding. No symptom or complaint can be looked at in isolation.
The whole patient needs to be evaluated before any conclusions can be drawn or treatments instituted. This site is expanded to provide information in many related areas of patient concern.
Whilst all attempts have been made to ensure accuracy, the Clinic does not accept any liability for the use or application of this knowledge.
We are unable to provide any detailed feedback to your e-mails apart from general advice. Should you feel the need to contact us, an appointment can be made by e-mail or by telephone or fax.
To diagnose medical or surgical problems in this area, a formal consultation is required which includes a full history, thorough examination and any investigation that may be required.
Crohn's Disease
Crohn's disease may involve the entire gastrointestinal tract from mouth to perianal area and there can be areas of involved bowel separated by normal bowel, known as skip lesions.
The full thickness of the bowel wall can be involved, and this can result in scarring and narrowing of the bowel and tracts communicating between the bowel and other areas (fistulae and perforations).
The majority of patients with Crohn’s have small bowel involvement, usually in the end part of the small bowel known as the terminal ileum.
One third of patients have inflammation limited to this area, 50 percent of patients have involvement of both the ileum and colon, and 20 percent have disease limited to the colon.
A small percentage of patients have predominant involvement of the mouth, oesophagus, stomach or upper small bowel (duodenum). Crohn’s disease affects the area around the anus in one third of patients.
