-
- K Krogh
- Department of Hepatology and Gastroenterology Aarhus University Hospital Aarhus Denmark
-
- G Chiarioni
- Gastroenterology Division University of Verona Verona Italy
-
- W Whitehead
- Division of Gastroenterology and Hepatology University of North Carolina at Chapel Hill Chapel Hill NC USA
説明
<jats:p>Chronic constipation (CC) is an extremely common condition with an estimated prevalence of up to 24%. Most patients with CC should be treated in primary care. Changes in lifestyle, including increased intake of dietary fibre, fluid, and exercise, should be attempted in most patients. Osmotic or stimulant laxatives are indicated if there are insufficient effects of lifestyle changes. Prokinetics and secretagogues should be restricted to those not responding to basic treatment. Anorectal physiology tests and assessment of colorectal transit time are indicated if medical treatment fails or if symptoms indicate severely obstructed defecation. If symptoms indicate an underlying structural disorder, barium or magnetic resonance evacuation proctography is indicated. Biofeedback therapy is effective in patients with dyssynergic defecation. In patients with other evacuation disorders, rectally administered laxatives or transanal irrigation should be attempted. Surgery is restricted to the minority of CC patients with very severe symptoms not responding to conservative treatment.</jats:p>
収録刊行物
-
- United European Gastroenterology Journal
-
United European Gastroenterology Journal 5 (4), 465-472, 2017-06
Wiley
