Rectal prolapse classification: Difference between revisions

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Revision as of 17:18, 19 January 2018

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

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Overview

Classification

Classification by disease extension:

Rectal prolapse is classified by disease extension into two subtypes:

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.^[1]

Classification by age of presentation:

Rectal prolapse may be classified by age of presentation into two subtypes:

Pediatric type: which usually presents with mucosal prolapse only

Adult type: showing full-thickness protrusion^[2]

References

↑ Horster FA (1988). "[The significance of microsomal antibodies, thyroglobulin antibodies, thyrotropin receptor antibodies in the diagnosis of thyroid diseases]". Internist (Berl) (in German). 29 (8): 538–40. PMID 3053504.
↑ 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

[pmid3053504-1] Horster FA (1988). "[The significance of microsomal antibodies, thyroglobulin antibodies, thyrotropin receptor antibodies in the diagnosis of thyroid diseases]". Internist (Berl) (in German). 29 (8): 538–40. PMID 3053504.

[pmid29268123-2] 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]

@@ Line 6: / Line 6: @@
 ==Overview==
-There is no established system for the classification of [disease name].
-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
-*'''''Mucosal prolapse''''' describes only the rectal mucosa (not the entire wall) prolapsing
-*'''''[[Internal intussusception]]''''' wherein the rectum collapses but does not exit the rectum
-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<ref name="pmid3053504">{{cite journal |vauthors=Horster FA |title=[The significance of microsomal antibodies, thyroglobulin antibodies, thyrotropin receptor antibodies in the diagnosis of thyroid diseases] |language=German |journal=Internist (Berl) |volume=29 |issue=8 |pages=538–40 |year=1988 |pmid=3053504 |doi= |url=}}</ref>
+==== Classification by disease extension: ====
+Rectal prolapse is classified by disease extension into two subtypes:
+* '''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. Mucosal prolapse is not a protrusion of the whole layer of the rectal wall, but  only the anal mucosa.<ref name="pmid3053504">{{cite journal |vauthors=Horster FA |title=[The significance of microsomal antibodies, thyroglobulin antibodies, thyrotropin receptor antibodies in the diagnosis of thyroid diseases] |language=German |journal=Internist (Berl) |volume=29 |issue=8 |pages=538–40 |year=1988 |pmid=3053504 |doi= |url=}}</ref>
-* 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:
+* '''Pediatric type:''' which usually presents with mucosal prolapse only
-[Disease name] may be classified according to [classification method] into [number] subtypes/groups:
+* '''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>
-*[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==