Short bowel syndrome classification
|
Short bowel syndrome Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Short bowel syndrome classification On the Web |
|
American Roentgen Ray Society Images of Short bowel syndrome classification |
|
Risk calculators and risk factors for Short bowel syndrome classification |
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][4]
- 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
| Bowel resection types | End-jejunostomy | Jejunocolonic anastomosis | Ileocolonic anastomosis |
|---|---|---|---|
| Average remaining bowel length | |||
| Main feature | Less intestinal adaptation | Greater degree of intestinal adaptation | |
| Management | |||
| Prognosis | Poor | Fair | Excellent |
- Based on the etiology, short bowel syndrome may be divided into three categories:[5][6][7][8]
- 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.
- ↑ Limketkai BN, Parian AM, Shah ND, Colombel JF (2016). "Short Bowel Syndrome and Intestinal Failure in Crohn's Disease". Inflamm. Bowel Dis. 22 (5): 1209–18. doi:10.1097/MIB.0000000000000698. PMID 26818425.
- ↑ 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.