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==
===Transient Intussusception===
* Intussusception can be classified according to various parameters:-
*Transient non obstructing intussusception without a lead point is known to occur in both adults and children and occurs more frequently than was previously reported. <ref>Young H. Kim, Michael A. Blake, Mukesh G. Harisinghani, Krystal Archer-Arroyo, Peter F. Hahn, Martha B. Pitman, and Peter R. Mueller. [http://radiographics.rsnajnls.org/cgi/content/abstract/26/3/733 Adult Intestinal Intussusception: CT Appearances and Identification of a Causative Lead Point.] RadioGraphics 2006 26: 733-744.</ref>
** Classification of intussusception based on its location:-
*Transient intussusception of the small bowel has been reported in adults with [[celiac disease]] and [[Crohn disease]] but is most frequently detected incidentally and is presumed to be innocuous.
*** 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>
*Intussusception without a lead point is known to appear as a non obstructing segment, usually smaller in diameter and shorter than an intussusception with a lead point.
**** 90% cases.
 
**** It involves the ileocecal junction.  
[http://www.radswiki.net Images courtesy of RadsWiki]
*** Ileo-ileo-colic
 
*** Jejuno-jejunal
<gallery>
*** Jejuno-ileal
Image:Transient-intussusception-001.jpg|Transient intussusception
*** Colo-colic
Image:Transient-intussusception-002.jpg|Transient intussusception
{{Family tree/start}}
Image:Transient-intussusception-003.jpg|Transient intussusception
{{Family tree | | | | | | | | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | |A01= Types}}
Image:Transient-intussusception-004.jpg|Transient intussusception
{{Family tree | | | | | | | | | | | | | | | | | | | | | | |!| | | | | }}
</gallery>
{{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 diarrheaIBS 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 diagnosistreatment, 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
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.

Lead point

  • In this there is a clear pathologic trigger.
  • Most commonly seen in adults.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Children
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Idiopathic- no lead point
 
 
 
Pathologic- Lead point

References

  1. 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.

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