Short bowel syndrome classification: Difference between revisions
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==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> | *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> | ||
**End-jejunostomy (type I): Most severe form and less [[Intestine|intestinal]] [[adaptation]] | **End-jejunostomy (type I): Most severe form and less [[Intestine|intestinal]] [[adaptation]] | ||
**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:<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> | *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 | **[[Vascular]] abnormalities | ||
***[[Mesenteric arterial thrombosis|Mesenteric vessel thrombosis]] | ***[[Mesenteric arterial thrombosis|Mesenteric vessel thrombosis]] | ||
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***Jejunoileal bypass surgery to treat [[obesity]] | ***Jejunoileal bypass surgery to treat [[obesity]] | ||
***[[Physical trauma|Trauma]] to the [[small intestine]] | ***[[Physical trauma|Trauma]] to the [[small intestine]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 14:31, 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. Based on the etiology, short bowel syndrome may be divided into three categories such as vascular abnormalities, mucosal disease of intestine and causes 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]
- 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:[4][5][6][7]
- 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.
- ↑ 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.