Expert Consensus Document: An Algorithm for the Care and Treatment of Patients with Constipation Based on Ultrasonographic Findings in the Rectum

被引：2

作者：

Kessoku, Takaomi ^{[1
,2
,3
,4
]}

Matsumoto, Masaru ^{[5
]}

Misawa, Noboru ^{[3
]}

Tsuda, Momoko ^{[6
,7
]}

Miura, Yuka ^{[8
]}

Uchida, Ayaka ^{[9
]}

Toriumi, Yuki ^{[9
]}

Onodera, Tomoyuki ^{[10
]}

Arima, Hiromi ^{[11
]}

Kawamoto, Atsuo ^{[12
,13
]}

Sugama, Junko ^{[8
]}

Matsushima, Makoto ^{[14
]}

Kato, Mototsugu ^{[7
]}

Manabe, Noriaki ^{[15
]}

Tamai, Nao ^{[16
]}

Sanada, Hiromi ^{[5
]}

Nakajima, Atsushi ^{[3
]}

机构：

[1] Int Univ Hlth & Welf, Dept Palliat Med & Gastroenterol, Narita Hosp, 852 Hatakeda, Narita 2860124, Japan

[2] Int Univ Hlth & Welf, Dept Gastroenterol, Grad Sch Med, 4-3 Kozunomori, Narita 2860048, Japan

[3] Yokohama City Univ, Grad Sch Med, Dept Gastroenterol & Hepatol, 3-9 Fukuura,Kanazawa Ku, Yokohama, Kanagawa 2360004, Japan

[4] Kanagawa Dent Univ, Dept Internal Med, Yokohama Clin, 3-31-6 Tsuruya Cho, Yokohama, Kanagawa 2210835, Japan

[5] Ishikawa Prefectural Nursing Univ, Sch Nursing, 1-1 Gakuendai, Kahoku, Ishikawa 9291210, Japan

[6] Natl Hosp Org Hakodate Natl Hosp, Dept Gastroenterol, 18-16 Kawahara Cho, Hakodate, Hokkaido 0418512, Japan

[7] Publ Interest Fdn Hokkaido Canc Soc, Sapporo Canc Screening Ctr, Dept Gastroenterol, 1-15,Kita 26 Higashi 14,Higashi Ku, Sapporo, Hokkaido 0650026, Japan

[8] Fujita Hlth Univ, Res Ctr Implementat Nursing Sci Initiat, Toyoake, Aichi 4701192, Japan

[9] Kanagawa Dent Univ, Dept Lab, Yokohama Clin, 3-31-6 Tsuruya Cho, Yokohama, Kanagawa 2210835, Japan

[10] Natl Hosp Org Hakodate Natl Hosp, Dept Clin Lab, Hakodate, Hokkaido 0418512, Japan

[11] Takano Hosp, Dept Radiol Technol, Coloproctol Ctr, Kumamoto 8620971, Japan

[12] Tokyo Med Univ Hosp, Div Ultrasound, 6-7-1 Nishishinjuku,Shinjuku Ku, Tokyo 1600023, Japan

[13] Tokyo Med Univ Hosp, Dept Diag Imaging, 6-7-1 Nishishinjuku,Shinjuku Ku, Tokyo 1600023, Japan

[14] Matsushima Hosp Proctol Ctr, Nishi Ward, 9-11 Honcho, Yokohama, Kanagawa 2200041, Japan

[15] Kawasaki Med Sch Gen Med Ctr, Dept Clin Pathol & Lab Med, Div Endoscopy & Ultrasonog, Okayama 7008505, Japan

[16] Yokohama City Univ, Grad Sch Med, Dept Nursing, Yokohama, Kanagawa 2360027, Japan

来源：

DIAGNOSTICS | 2024年 / 14卷 / 14期

关键词：

constipation; fecal retention; rectum; ultrasonography; treatment; defecation care; OPIOID-INDUCED CONSTIPATION; PLACEBO-CONTROLLED TRIAL; DOUBLE-BLIND; IDIOPATHIC CONSTIPATION; BISACODYL; LUBIPROSTONE; MULTICENTER; ULTRASOUND; DIAGNOSIS; SAFETY;

D O I：

10.3390/diagnostics14141510

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Chronic constipation is a common gastrointestinal disorder, and its management is critical. However, it is extremely difficult to assess its subjective symptoms when patients are unable to report them due to cognitive or physical disabilities, especially in cases of patients with incurable geriatric, pediatric, palliative, psychiatric, or neurological diseases. We had previously established a protocol for observing and assessing rectal fecal retention using ultrasonography and for classifying cases into three categories based on the rectal findings: no fecal retention, fecal retention without hard stools, and fecal retention with hard stools. However, although the detection of rectal fecal retention using ultrasonography would be expected to lead to better therapeutic management, there is no standard algorithm for selecting specific treatments and defecation care options based on ultrasonographic findings. Therefore, we organized an expert consensus meeting of multidisciplinary professionals to develop such an algorithm based on rectal ultrasonography findings for patients with constipation in both residential and hospital settings.

引用

页数：20

共 51 条

[11] An Update of Pharmacological Management in Children with Functional Constipation [J].