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DIGT0130-1

Multidisciplinary approach to the digestive system

[ version française ]

Duration :12h Th, 16h Pr, 4h QA Sess., 24h APP
Credits/ECTS :
3rd "candidature" in medicine7
Holder(s) :Jacques Boniver, Pierre Bonnet, Jean‑Pierre Bourguignon, Vincent Bours, Alain Carlier, Jean‑Olivier Defraigne, Patrick De Mol, Thierry Grisar, Ernst Heinen, Maurice Lamy, Raymond Limet, Michel Meurisse, Jean‑Pierre Schaaps, André Scheen, Jean Schoenen, Vincent Seutin
Course contents : Based on 8 PSL sessions, the module deals with digestive anatomical, histological, embryological, biochemical and physiological aspects. The main digestive functions are presented: deglutition, mobility, defecation and sphincter systems, anatomical binding, stomach, small intestine and colon physiology and biochemistry, vascularization and innervation, endocrine, autocrine and paracrine functions, accessory glands. Students will always have to make the connection between biochemical and physiological functions and anatomical, histological and embryological data.
Course objective : Systematic Anatomy:
- The anatomy of the digestive system’s different parts: cervical, supra- and sub-mesocolic thoracic, pelvic and perineal parts.

- The anatomy of abdominal, pelvic and perineal walls.

Topographic Anatomy:
Medical practice requires a good anatomic knowledge of the different digestive elements and mutual relationships. Locating, palpating, recognizing elements on X-rays, etc. belong to everyday practice. Students will need to master the following aspects:
- topographic anatomy of the oral cavity and the oropharynx and connections with the aerial elements seen in Term 4 (anatomical airway);

- topographic anatomy of the digestive tract (from the oral cavity down to the anus) and analysis of locations, cutaneous projections and respective connections;

- topographic anatomy of peritoneal cavities;

- topographic anatomy of the pancreatico-duodenal region (connections with biliary and vascular elements and the spleen);

- topographic anatomy of the liver and the biliary system;

- topographic anatomy of abdominal vessels;

- cutaneous projection areas of intra-abdominal organs;

- abdominal organs on anatomical sections;

- abdominal elements and constituents (excretory ducts…) on X-rays;

- lymphatic drainage.

Histology:
- By the end of Terms 4, 5 and 6, students will know all organs’ microscopic aspects and the relationships with organic functions. Thanks to practical exercises, they will master the criteria for making differential diagnoses and interpreting microscopic organic sections.

Embryology: Coding genetic material is definitively determined from fertilization.
Students will need to understand the different stages of tissue organization and differentiation in embryos and foetuses.
Knowing about such successive mechanisms will allow them to understand how malformations appear, which will be detected at birth or at a later stage in pregnancy.
Prerequisites : General Biochemistry, General Physiology, General Histology, General Embryology, Introduction to Human Anatomy
Workshops : Anatomy
Demonstrations with anatomical parts and corpses, then dissections done by groups of students. The dissection hall is located on the ground floor in the Institute of Anatomy, rue de Pitteurs 20 in Liège. Equipment: dissection kit, apron.
Histology
5 microscopy sessions. The hall is located in the Institute of Anatomy – 2nd floor – grande salle de TP (great practical hall). Students also have the opportunity of using the VOLUNTARY REVISION system, which allows them to get commented slides, sections and reference books all year round – including during exam periods.
Organization : Introduction course: anatomy, biochemistry-physiology, histology, embryology
Synthesis course: idem
Revision with quizzes
PSL seminars: 6 problems
Written notes : Anatomy:
- ANATOMIE MEDICALE by K.L. Moore, A.F. Dalley, De Boeck Université (in French)
- SOBOTTA (2 volumes)
- GRAY’S ANATOMY
- ATLAS DE POCHE, Fritsch/Kühnel, Flammarion (publ.)

Biochemistry/Physiology:
- Physiologie humaine, H. Guénard, 3rd edition - Editions Pradel.
- Physiologie médicale, W. Ganong. Translation of the 19th American edition by M. Jobin, Editions De Boeck Université.
- Biochimie humaine, Introduction à la Médecine Interne. G. Hennen, Editions De Boeck Université.
- ATLAS DE POCHE de Physiopathologie, S. Stilbernagl and F. Lang, Editions Médecine Sciences, Flammarion.

Embryology:
- Human Embryology: W.J. LARSEN - De BOECK Université, 1996 (available at the CHU library)
- Development Biology: R. BEDDINGTON et al. DUNOD 1999
- Medical Embryology: J. LANGMAN – Ed. Masson – Paris
- Websites of Interest:
- http://www.cbc.umn.edu/~mwd/courses.html
- http://www.kuhp.kyoto-u.ac.jp/multimed/VE/VE.html#intro
- http://embryo.soad.umich.edu/
- http://membres.lycos.fr/jbdemars/embryo/index.html
- http://www.apprentoile.u-bordeaux2.fr/Webryo/Default.htm

Histology:
- see list handed out in Term 3
- Numerous copies of the main reference book (HISTOLOGIE HUMAINE by Stevens and Lowe, De Boeck – 2002 [id. 1997]) will be available in the CHU library and the Human Histology Department secretariat.
Human Histology lecture notes are available at the AREM (Medicine Students Association).
Assessment : 1st and 2nd exam periods:
- written exam with 1 open question, 5 short open questions, 50 multiple-choice questions with general implicit solutions and certainty indexes
- integrative oral exam (skills test). All students are tested by a jury with 5 lecturers. Each jury has a question database (PSL type). Students draw lots for a question, then have 45 minutes for preparation and are tested for 20 minutes.
- Multidisciplinary practical exam for Anatomy, Histology and Anatomopathology (same week, group alternation).
Contacts : Anatomy:
- Alain Botte, Prosector, 20 rue de Pitteurs – 4020 Liège Phone: 04/366 51 53 – Email: Alain.Botte@ulg.ac.be
- Dr. X. Nelissen, Assistant Lecturer, Phone: 04/366 72 13
- P. Bonnet, Junior Lecturer, Service d’Urologie, C.H.U. B35, 4000 Sart Tilman, Phone: 04/366 72 52, Email: p.bonnet@chu.ulg.ac.be
- A. Carlier, Junior Lecturer, Service de Chirurgie maxillo-faciale, et plastique, C.H.U. B35, 4000 Sart Tilman, Secretary: Ms G. Dereyer – Phone: 04/366 84 76

Human Normal and Pathological Biochemistry & Physiology: Part: global metabolism, kidney, blood and coagulation, digestive system, fluids and electrolytes, conjunctival tissues
- Dr. Jean-Olivier DEFRAIGNE, Junior Lecturer
- Dr. Jean CLOSSET, Supervising Tutor, Tour de Pathologie, B23 – Tél 04/366 24 24 – Email: jclosset@ulg.ac.be
- Dr. Ahmed IGOUT, Senior Assistant Lecturer, Tour de Pathologie, B23 – Phone: 04/366 24 62 – Email: aigout@ulg.ac.be

Embryology:
- J.P. SCHAAPS, Junior Lecturer, Chef de Service Associé (Associate Head of Department), Gynécologie-Obstétrique, CHR Citadelle, Bd du 12e de Ligne 1, 4000 Liège.
- A. MATHIEU, Assistant Lecturer, 04/366 51 96/97

Histology:
E. HEINEN, Ordinary Professor
Service d’Histologie Humaine – Institut d’Anatomie 20, rue de Pitteurs – 4020 LIEGE – 2nd floor – Secretary: Phone: 04/366 51 71
Please contact the professor during synthesis classes or make an appointment with the secretary. For practical questions, practical exercises, study problems, etc. please contact Ms MELOT on 04/366 24 09, Mr JOLOIS on 04/366 51 74 or Ms DEFAWEUX on 04/366 51 78 or during practical sessions or go to their office on the 2nd floor. Email: lecturer: eheinen@ulg.ac.be – assistant lecturers: fmelot@ulg.ac.be ojolois@ulg.ac.be valerie.defaweux@ulg.ac.be
Remarks : Like for all other modules, a forum is available for posting questions on the module’s topics. http://www.ulg.ac.be




ULg : Students and Studies Administration - Academic Affairs
Contact : Monique Marcourt, direction A.E.E.
Date of data : 27/02/2006
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