Intussusception classification: Difference between revisions
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==Overview== | ==Overview== | ||
[[Irritable bowel syndrome|Irritable bowel syndrome (IBS)]] may be classified according to Rome IV [[Criterion|criteria]] into [[Irritable bowel syndrome|IBS]] with predominant [[constipation]] , [[Irritable bowel syndrome|IBS]] with predominant [[diarrhea]], [[Irritable bowel syndrome|IBS]] with mixed [[Bowel|bowel habits]], and unclassified [[Irritable bowel syndrome|IBS]]. In addition, [[Irritable bowel syndrome|IBS]] occurring subsequent to [[gastrointestinal]] [[Infection|infections]] is known as post [[Infection|infectious]]-IBS (PI-[[Irritable bowel syndrome|IBS]]). The rationale behind these different sub-types is to maintain consistency of [[patient]] selection. This increases understanding of [[Pathophysiology|pathophysiological]] mechanisms, aids in effective [[diagnosis]], [[Treatment Planning|treatment]], and patient recruitment for [[Clinical trial|clinical trials]]. | |||
==Classification== | ==Classification== | ||
* Intussusception can be classified according to various parameters:- | |||
* | ** Classification of intussusception based on its location:- | ||
* | *** Ileocolic intussusception<ref name="pmid22929138">{{cite journal |vauthors=Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B |title=Intussusception: clinical presentations and imaging characteristics |journal=Pediatr Emerg Care |volume=28 |issue=9 |pages=842–4 |year=2012 |pmid=22929138 |doi=10.1097/PEC.0b013e318267a75e |url=}}</ref> | ||
* | **** 90% cases. | ||
**** It involves the ileocecal junction. | |||
*** Ileo-ileo-colic | |||
*** Jejuno-jejunal | |||
*** Jejuno-ileal | |||
*** Colo-colic | |||
{{Family tree/start}} | |||
{{Family tree | | | | | | | | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | |A01= Types}} | |||
{{Family tree | | | | | | | | | | | | | | | | | | | | | | |!| | | | | }} | |||
{{Family tree | | | | | | | | | | |,|-|-|-|-|-|v|-|-|-|-|-|+|-|-|-|-|-|v|-|-|-|-|-|.| |}} | |||
{{Family tree | | | | | | | | | | B01 | | | | B02 | | | | B03 | | | | B04 | | | | B05 |B01= Ileocolic| B02= Ileo-Ileo-Colic| B03= Jejuno-jejunal| B04= Jejuno-Ileal| B05= Colo-Colic}} | |||
{{Family tree/end}} | |||
* Classification based on etiology . | |||
** Intussusception can be classified into 2 types based on etiology. | |||
*** Idiopathic | |||
**** In this there is no clear trigger point. | |||
**** Most commonly seen in children. | |||
Lead point | |||
* In this there is a clear pathologic trigger. | |||
* Most commonly seen in adults. | |||
{{Family tree/start}} | |||
{{Family tree | | | | | | | | | | | | | | | | | | | | B01 | | | |B01= Children}} | |||
{{Family tree | | | | | | | | | | | | | | | | | |,|-|-|^|-|-|.| | }} | |||
{{Family tree | | | | | | | | | | | | | | | | | C01 | | | | C02 |C01= Idiopathic- no lead point| C02= Pathologic- Lead point}} | |||
{{Family tree/end}} | |||
==References== | ==References== |
Revision as of 19:42, 21 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]
Overview
Irritable bowel syndrome (IBS) may be classified according to Rome IV criteria into IBS with predominant constipation , IBS with predominant diarrhea, IBS with mixed bowel habits, and unclassified IBS. In addition, IBS occurring subsequent to gastrointestinal infections is known as post infectious-IBS (PI-IBS). The rationale behind these different sub-types is to maintain consistency of patient selection. This increases understanding of pathophysiological mechanisms, aids in effective diagnosis, treatment, and patient recruitment for clinical trials.
Classification
- Intussusception can be classified according to various parameters:-
- Classification of intussusception based on its location:-
- Ileocolic intussusception[1]
- 90% cases.
- It involves the ileocecal junction.
- Ileo-ileo-colic
- Jejuno-jejunal
- Jejuno-ileal
- Colo-colic
- Ileocolic intussusception[1]
- Classification of intussusception based on its location:-
Types | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Ileocolic | Ileo-Ileo-Colic | Jejuno-jejunal | Jejuno-Ileal | Colo-Colic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
- Classification based on etiology .
- Intussusception can be classified into 2 types based on etiology.
- Idiopathic
- In this there is no clear trigger point.
- Most commonly seen in children.
- Idiopathic
- Intussusception can be classified into 2 types based on etiology.
Lead point
- In this there is a clear pathologic trigger.
- Most commonly seen in adults.
Children | |||||||||||||||||||||||||||||||||||||||||||||||||||
Idiopathic- no lead point | Pathologic- Lead point | ||||||||||||||||||||||||||||||||||||||||||||||||||
References
- ↑ Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B (2012). "Intussusception: clinical presentations and imaging characteristics". Pediatr Emerg Care. 28 (9): 842–4. doi:10.1097/PEC.0b013e318267a75e. PMID 22929138.