Short bowel syndrome classification: Difference between revisions
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**Jejunocolonic [[anastomosis]] (type II): Greater degree of [[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 | **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: | *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> | ||
**Vascular abnormalities | **Vascular abnormalities | ||
***Mesenteric vessel thrombosis | ***Mesenteric vessel thrombosis | ||
Revision as of 14:25, 30 November 2017
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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 three types such as end-jejunostomy, jejunocolonic anastomosis, ileocolonic anastomosis. They have different progress from mild to severe dysfunction. All of them require home parenteral nutrition except ileocolonic anastomosis which has excellent prognosis and rarely needs parenteral nutrition.
Classification
- Based on the length of the remaining bowel, short bowel syndrome may be divided into three types:[1][2]
- 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:[3]
- Vascular abnormalities
- Mesenteric vessel thrombosis
- Mesenteric vessel occlusion
- Volvulus
- Adhesions
- Internal hernia
- Mucosal disease of intestine
- Crohn's disease
- Radiation enteritis
- Without preexisting intestine disease
- Malignancy
- Jejunoileal bypass surgery to treat obesity
- Trauma to the small intestine
- Vascular abnormalities
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.
- ↑ 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/