Short bowel syndrome classification: Difference between revisions
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==Overview== | ==Overview== | ||
Based on the length of the remaining [[Intestine|bowel]], short bowel syndrome may be divided into | Based on the length of the remaining [[Intestine|bowel]], short bowel syndrome may be divided into end-jejunostomy, jejunocolonic [[anastomosis]], ileocolonic [[anastomosis]]. Severity varies from mild to severe dysfunction. All of them require home [[Total parenteral nutrition|parenteral nutrition]] except ileocolonic [[anastomosis]] which has excellent [[prognosis]] and rarely needs [[Total parenteral nutrition|parenteral nutrition]]. Based on the [[etiology]], short bowel syndrome may be divided into cases occurring secondary to [[vascular]] abnormalities, [[Mucous membrane|mucosal]] disease of [[intestine]] and cases without preexisting [[Intestine|intestinal disease]]. | ||
==Classification== | ==Classification== | ||
Based on the length of the remaining [[Intestine|bowel]], short bowel syndrome may be divided into three types:<ref name="pmid22244264">{{cite journal |vauthors=Thompson JS, Rochling FA, Weseman RA, Mercer DF |title=Current management of short bowel syndrome |journal=Curr Probl Surg |volume=49 |issue=2 |pages=52–115 |year=2012 |pmid=22244264 |doi=10.1067/j.cpsurg.2011.10.002 |url=}}</ref><ref name="pmid16837533">{{cite journal |vauthors=Nightingale J, Woodward JM |title=Guidelines for management of patients with a short bowel |journal=Gut |volume=55 Suppl 4 |issue= |pages=iv1–12 |year=2006 |pmid=16837533 |pmc=2806687 |doi=10.1136/gut.2006.091108 |url=}}</ref><ref name="pmid17198059">{{cite journal |vauthors=Misiakos EP, Macheras A, Kapetanakis T, Liakakos T |title=Short bowel syndrome: current medical and surgical trends |journal=J. Clin. Gastroenterol. |volume=41 |issue=1 |pages=5–18 |year=2007 |pmid=17198059 |doi=10.1097/01.mcg.0000212617.74337.e9 |url=}}</ref><ref name="pmid26818425">{{cite journal |vauthors=Limketkai BN, Parian AM, Shah ND, Colombel JF |title=Short Bowel Syndrome and Intestinal Failure in Crohn's Disease |journal=Inflamm. Bowel Dis. |volume=22 |issue=5 |pages=1209–18 |year=2016 |pmid=26818425 |doi=10.1097/MIB.0000000000000698 |url=}}</ref> | |||
*'''End-jejunostomy (type I):''' Most severe form and less [[Intestine|intestinal]] [[adaptation]] | |||
*'''Jejunocolonic [[anastomosis]] (type II):''' Greater degree of [[Intestine|intestinal]] [[adaptation]] | |||
*'''Ileocolonic [[anastomosis]] (type III):''' Uncommon, excellent prognosis and [[Total parenteral nutrition|parenteral nutrition]] is rarely needed | |||
Based on the etiology, short bowel syndrome may be divided into three categories:<ref>Robinson MK, Wilmore DW. Short bowel syndrome. In: Holzheimer RG, Mannick JA, editors. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt; 2001. Available from: https://www.ncbi.nlm.nih.gov/books/NBK6974/</ref><ref name="Wall2013">{{cite journal|last1=Wall|first1=Elizabeth A.|title=An Overview of Short Bowel Syndrome Management: Adherence, Adaptation, and Practical Recommendations|journal=Journal of the Academy of Nutrition and Dietetics|volume=113|issue=9|year=2013|pages=1200–1208|issn=22122672|doi=10.1016/j.jand.2013.05.001}}</ref><ref name="EçaBarbosa2016">{{cite journal|last1=Eça|first1=Rosário|last2=Barbosa|first2=Elisabete|title=Short bowel syndrome: treatment options|journal=Journal of Coloproctology|volume=36|issue=4|year=2016|pages=262–272|issn=22379363|doi=10.1016/j.jcol.2016.07.002}}</ref><ref name="pmid15494290">{{cite journal |vauthors=Keller J, Panter H, Layer P |title=Management of the short bowel syndrome after extensive small bowel resection |journal=Best Pract Res Clin Gastroenterol |volume=18 |issue=5 |pages=977–92 |year=2004 |pmid=15494290 |doi=10.1016/j.bpg.2004.05.002 |url=}}</ref> | |||
*'''[[Vascular]] abnormalities''' | |||
**[[Mesenteric arterial thrombosis|Mesenteric vessel thrombosis]] | |||
**[[Mesentery|Mesenteric]] [[Blood vessel|vessel]] [[occlusion]] | |||
**[[Volvulus]] | |||
**[[Adhesion (medicine)|Adhesions]] | |||
**[[Internal hernia]] | |||
* | *'''[[Mucous membrane|Mucosal]] disease of [[intestine]]''' | ||
**[[Crohn's disease]] | |||
** | **[[Radiation enteropathy|Radiation enteritis]] | ||
** | *'''Without preexisting [[Intestine|intestinal disease]]''' | ||
**[[Cancer|Malignancy]] | |||
**Jejunoileal bypass surgery to treat [[obesity]] | |||
**[[Physical trauma|Trauma]] to the [[small intestine]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
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[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Surgery]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 00:09, 30 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Based on the length of the remaining bowel, short bowel syndrome may be divided into end-jejunostomy, jejunocolonic anastomosis, ileocolonic anastomosis. Severity varies from mild to severe dysfunction. All of them require home parenteral nutrition except ileocolonic anastomosis which has excellent prognosis and rarely needs parenteral nutrition. Based on the etiology, short bowel syndrome may be divided into cases occurring secondary to vascular abnormalities, mucosal disease of intestine and cases without preexisting intestinal disease.
Classification
Based on the length of the remaining bowel, short bowel syndrome may be divided into three types:[1][2][3][4]
- End-jejunostomy (type I): Most severe form and less intestinal adaptation
- Jejunocolonic anastomosis (type II): Greater degree of intestinal adaptation
- Ileocolonic anastomosis (type III): Uncommon, excellent prognosis and parenteral nutrition is rarely needed
Based on the etiology, short bowel syndrome may be divided into three categories:[5][6][7][8]
- Vascular abnormalities
- Mucosal disease of intestine
- Without preexisting intestinal disease
- Malignancy
- Jejunoileal bypass surgery to treat obesity
- Trauma to the small intestine
References
- ↑ Thompson JS, Rochling FA, Weseman RA, Mercer DF (2012). "Current management of short bowel syndrome". Curr Probl Surg. 49 (2): 52–115. doi:10.1067/j.cpsurg.2011.10.002. PMID 22244264.
- ↑ Nightingale J, Woodward JM (2006). "Guidelines for management of patients with a short bowel". Gut. 55 Suppl 4: iv1–12. doi:10.1136/gut.2006.091108. PMC 2806687. PMID 16837533.
- ↑ Misiakos EP, Macheras A, Kapetanakis T, Liakakos T (2007). "Short bowel syndrome: current medical and surgical trends". J. Clin. Gastroenterol. 41 (1): 5–18. doi:10.1097/01.mcg.0000212617.74337.e9. PMID 17198059.
- ↑ Limketkai BN, Parian AM, Shah ND, Colombel JF (2016). "Short Bowel Syndrome and Intestinal Failure in Crohn's Disease". Inflamm. Bowel Dis. 22 (5): 1209–18. doi:10.1097/MIB.0000000000000698. PMID 26818425.
- ↑ Robinson MK, Wilmore DW. Short bowel syndrome. In: Holzheimer RG, Mannick JA, editors. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt; 2001. Available from: https://www.ncbi.nlm.nih.gov/books/NBK6974/
- ↑ Wall, Elizabeth A. (2013). "An Overview of Short Bowel Syndrome Management: Adherence, Adaptation, and Practical Recommendations". Journal of the Academy of Nutrition and Dietetics. 113 (9): 1200–1208. doi:10.1016/j.jand.2013.05.001. ISSN 2212-2672.
- ↑ Eça, Rosário; Barbosa, Elisabete (2016). "Short bowel syndrome: treatment options". Journal of Coloproctology. 36 (4): 262–272. doi:10.1016/j.jcol.2016.07.002. ISSN 2237-9363.
- ↑ Keller J, Panter H, Layer P (2004). "Management of the short bowel syndrome after extensive small bowel resection". Best Pract Res Clin Gastroenterol. 18 (5): 977–92. doi:10.1016/j.bpg.2004.05.002. PMID 15494290.