Rectal prolapse classification: Difference between revisions

	Rectal prolapse Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Rectal Prolapse from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Abdominal X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Rectal prolapse classification On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Rectal prolapse classification All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Rectal prolapse classification
CDC on Rectal prolapse classification
Rectal prolapse classification in the news
Blogs on Rectal prolapse classification
Directions to Hospitals Treating Rectal prolapse
Risk calculators and risk factors for Rectal prolapse classification

VisualWikitext

Latest revision as of 16:30, 16 February 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]

Overview

Rectal prolapse may be classified into complete and incomplete subtypes based on disease extension or be classified into pediatric and adult subtypes based on age of presentation. Also it may be classified by disease grading.

Classification

Classification by disease grading:

Rectal prolapse is graded into four types: ^[1]

Grade 1: up to anal verge
Grade 2: prolapse outside the anus but reduces spontaneously
Grade 3: prolapses outside the anus but can be manually reduced
Grade 4: prolapse can not be reduced manually

Classification by disease extension:

Rectal prolapse is classified by disease extension into two subtypes:^[2]

Complete prolapse: a protrusion of the entire layer of the rectum to the outside of the anus.

Incomplete prolapse: the protruding rectal wall is limited to the inside of the anal canal. Mucosal prolapse is not a protrusion of the whole layer of the rectal wall, but only the anal mucosa.

Classification by age of presentation:

Rectal prolapse may be classified by age of presentation into two subtypes:^[3]

Pediatric type: which usually presents with mucosal prolapse only

Adult type: showing full-thickness protrusion

References

↑ Patcharatrakul T, Rao S (2017). "Update on the Pathophysiology and Management of Anorectal Disorders". Gut Liver. doi:10.5009/gnl17172. PMID 29050194. Vancouver style error: initials (help)
↑ Shin EJ (2011). "Surgical treatment of rectal prolapse". J Korean Soc Coloproctol. 27 (1): 5–12. doi:10.3393/jksc.2011.27.1.5. PMC 3053504. PMID 21431090.
↑ Elhaddad A, Amerstorfer EE, Singer G, Huber-Zeyringer A, Till H (2017). "Laparoscopic posterior rectopexy (Well's procedure) for full-thickness rectal prolapse following laparoscopic repair of an anorectal malformation: A case report". Int J Surg Case Rep. 42: 187–190. doi:10.1016/j.ijscr.2017.12.020. PMC 5737946. PMID 29268123.

Template:WH Template:WS

[pmid29050194-1] Patcharatrakul T, Rao S (2017). "Update on the Pathophysiology and Management of Anorectal Disorders". Gut Liver. doi:10.5009/gnl17172. PMID 29050194. Vancouver style error: initials (help)

[pmid21431090-2] Shin EJ (2011). "Surgical treatment of rectal prolapse". J Korean Soc Coloproctol. 27 (1): 5–12. doi:10.3393/jksc.2011.27.1.5. PMC 3053504. PMID 21431090.

[pmid29268123-3] Elhaddad A, Amerstorfer EE, Singer G, Huber-Zeyringer A, Till H (2017). "Laparoscopic posterior rectopexy (Well's procedure) for full-thickness rectal prolapse following laparoscopic repair of an anorectal malformation: A case report". Int J Surg Case Rep. 42: 187–190. doi:10.1016/j.ijscr.2017.12.020. PMC 5737946. PMID 29268123.

[1]

[2]

[3]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Rectal prolapse}}
-{{CMG}}; {{AE}}
+{{CMG}}; {{AE}} {{SHH}}
-{{PleaseHelp}}
 ==Overview==
-There is no established system for the classification of [disease name].
+Rectal prolapse may be classified into complete and incomplete subtypes based on disease extension or be classified into pediatric and adult subtypes based on age of presentation. Also it may be classified by disease grading.
-OR
-[Disease name] may be classified according to [classification method] into [number] subtypes/groups: [group1], [group2], [group3], and [group4].
-OR
-[Disease name] may be classified into [large number > 6] subtypes based on [classification method 1], [classification method 2], and [classification method 3].
-[Disease name] may be classified into several subtypes based on [classification method 1], [classification method 2], and [classification method 3].
-OR
-Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.
-OR
-If the staging system involves specific and characteristic findings and features:
-According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
-OR
-The staging of [malignancy name] is based on the [staging system].
-OR
-There is no established system for the staging of [malignancy name].
 ==Classification==
-There are three chief conditions which come under the title ''rectal prolapse:''
-*'''''Full-thickness rectal prolapse''''' describes the entire rectum protruding through the anus
+=== '''Classification by disease grading:''' ===
-*'''''Mucosal prolapse''''' describes only the rectal mucosa (not the entire wall) prolapsing
+Rectal prolapse is graded into four types: <ref name="pmid29050194">{{cite journal |vauthors=Patcharatrakul T, Rao SSC |title=Update on the Pathophysiology and Management of Anorectal Disorders |journal=Gut Liver |volume= |issue= |pages= |year=2017 |pmid=29050194 |doi=10.5009/gnl17172 |url=}}</ref>
-*'''''[[Internal intussusception]]''''' wherein the rectum collapses but does not exit the rectum
+* '''Grade 1:''' up to anal verge
+* '''Grade 2:''' prolapse outside the [[anus]] but reduces spontaneously
+* '''Grade 3:''' prolapses outside the [[anus]] but can be manually reduced
+* '''Grade 4:''' prolapse can not be reduced manually
-complete or full-thickness prolapse and incomplete or partial thickness prolapse. Complete prolapse represents a protrusion of the entire layer of the rectum to the outside of the anus and, thus, shows concentric folds
+=== Classification by disease extension: ===
+Rectal prolapse is classified by disease extension into two subtypes:<ref name="pmid21431090">{{cite journal |vauthors=Shin EJ |title=Surgical treatment of rectal prolapse |journal=J Korean Soc Coloproctol |volume=27 |issue=1 |pages=5–12 |year=2011 |pmid=21431090 |pmc=3053504 |doi=10.3393/jksc.2011.27.1.5 |url=}}</ref>
+* '''Complete prolapse:''' a protrusion of the entire layer of the [[rectum]] to the outside of the anus.
-Rectal prolapse (RP) may be classified into two subtypes:
+* '''Incomplete prolapse:''' the protruding rectal wall is limited to the inside of the [[anal canal]]. [[Mucous membrane|Mucosal]] prolapse is not a protrusion of the whole layer of the rectal wall, but only the anal mucosa.
-* Pediatric type which usually presents with mucosal prolapse only
-* Adult type showing full-thickness protrusion<ref name="pmid29268123">{{cite journal |vauthors=Elhaddad A, Amerstorfer EE, Singer G, Huber-Zeyringer A, Till H |title=Laparoscopic posterior rectopexy (Well's procedure) for full-thickness rectal prolapse following laparoscopic repair of an anorectal malformation: A case report |journal=Int J Surg Case Rep |volume=42 |issue= |pages=187–190 |year=2017 |pmid=29268123 |pmc=5737946 |doi=10.1016/j.ijscr.2017.12.020 |url=}}</ref>
+=== Classification by age of presentation: ===
+Rectal prolapse may be classified by age of presentation into two subtypes:<ref name="pmid29268123">{{cite journal |vauthors=Elhaddad A, Amerstorfer EE, Singer G, Huber-Zeyringer A, Till H |title=Laparoscopic posterior rectopexy (Well's procedure) for full-thickness rectal prolapse following laparoscopic repair of an anorectal malformation: A case report |journal=Int J Surg Case Rep |volume=42 |issue= |pages=187–190 |year=2017 |pmid=29268123 |pmc=5737946 |doi=10.1016/j.ijscr.2017.12.020 |url=}}</ref>
+* '''Pediatric type:''' which usually presents with [[Mucous membrane|mucosal]] prolapse only
-[Disease name] may be classified according to [classification method] into [number] subtypes/groups:
+* '''Adult type:''' showing full-thickness protrusion
-*[Group1]
-*[Group2]
-*[Group3]
-*[Group4]
-OR
-*[Disease name] may be classified into [large number > 6] subtypes based on:
-**[Classification method 1]
-**[Classification method 2]
-**[Classification method 3]
-*[Disease name] may be classified into several subtypes based on:
-**[Classification method 1]
-**[Classification method 2]
-**[Classification method 3]
-OR
-*Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.
-OR
-*If the staging system involves specific and characteristic findings and features:
-*According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
-OR
-*The staging of [malignancy name] is based on the [staging system].
-OR
-*There is no established system for the staging of [malignancy name].
 ==References==
@@ Line 78: / Line 33: @@
 {{WS}}
+[[Category:Medicine]]
 [[Category:Gastroenterology]]
 [[Category:Surgery]]