Short bowel syndrome classification: Difference between revisions
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{{CMG}}; {{AE}} {{SSH}} | {{CMG}}; {{AE}} {{SSH}} | ||
==Overview== | ==Overview== | ||
Based on the length of the remaining [[Intestine|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 [[Total parenteral nutrition|parenteral nutrition]] except ileocolonic [[anastomosis]] which has excellent prognosis and rarely needs [[Total parenteral nutrition|parenteral nutrition]]. | Based on the length of the remaining [[Intestine|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 [[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 three categories such as [[vascular]] abnormalities, [[Mucous membrane|mucosal]] disease of [[intestine]] and causes without preexisting [[Intestine|intestinal disease]]. | ||
==Classification== | ==Classification== | ||
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**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> | ||
**Vascular abnormalities | **[[Vascular]] abnormalities | ||
***Mesenteric vessel | ***[[Mesenteric arterial thrombosis|Mesenteric vessel thrombosis]] | ||
***Mesenteric vessel occlusion | ***[[Mesentery|Mesenteric]] vessel [[occlusion]] | ||
***Volvulus | ***[[Volvulus]] | ||
***Adhesions | ***[[Adhesion (medicine)|Adhesions]] | ||
***Internal hernia | ***[[Internal hernia]] | ||
**Mucosal disease of intestine | **[[Mucous membrane|Mucosal]] disease of [[intestine]] | ||
***Crohn's disease | ***[[Crohn's disease]] | ||
***Radiation enteritis | ***[[Radiation enteropathy|Radiation enteritis]] | ||
**Without preexisting | **Without preexisting [[Intestine|intestinal disease]] | ||
***Malignancy | ***[[Cancer|Malignancy]] | ||
***Jejunoileal bypass surgery to treat obesity | ***Jejunoileal bypass surgery to treat [[obesity]] | ||
***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 14:29, 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]
- 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
- 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.
- ↑ 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/