Chronic constipation in adults

被引：8

作者：

Zeitoun, Jean-David ^{[1
,2
]}

de Parades, Vincent ^{[3
]}

机构：

[1] Hop St Antoine, Serv Gastroenterol & Nutr, F-75012 Paris, France

[2] Ctr Hosp Diaconesses Croix St Simon, Serv Proctol Medicointervent, F-75012 Paris, France

[3] Grp Hosp Paris St Joseph, Serv Proctol Medicochirurg, F-75014 Paris, France

来源：

PRESSE MEDICALE | 2013年 / 42卷 / 09期

关键词：

IRRITABLE-BOWEL-SYNDROME; CHRONIC IDIOPATHIC CONSTIPATION; SACRAL NERVE-STIMULATION; FECAL INCONTINENCE; CONTROLLED-TRIAL; MANAGEMENT; DISORDERS; METAANALYSIS; MULTICENTER; DEFECATION;

D O I：

10.1016/j.lpm.2012.09.034

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Chronic constipation is a very common condition, which is responsible for a major socioeconomic burden. Primary management must rule out secondary constipation before recognizing chronic idiopathic constipation, which is the most common diagnosis. Initial treatment frequently associates simple lifestyle modifications, whose efficacy is limited, with osmotic laxatives or bulking agents. If those measures do not relieve symptoms, a switch of laxatives or a combination must be proposed. Pharmacological treatments of constipation represent a new alternative approach in case of failure of previously mentioned measures. In case of chronic constipation reluctant to all conservative therapies, specific tests are required before considering biofeedback intervention or exceptionally a surgical option.

引用

页码：1176 / 1185

页数：10

共 28 条

[21] Comparison of straining during defecation in three positions - Results and implications for human health [J].

Sikirov, D .

DIGESTIVE DISEASES AND SCIENCES, 2003, 48 (07) :1201-1205

[22] Diagnosis of dyschezia [J].

Siproudhis, L. ;

Eleouet, M. ;

Desfourneaux, V. ;

Abittan, S. ;

Bretagne, J. -F. .

GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE, 2009, 33 :F68-F74

[23] Guidelines on the irritable bowel syndrome: mechanisms and practical management [J].

Spiller, R. ;

Aziz, Q. ;

Creed, F. ;

Emmanuel, A. ;

Houghton, L. ;

Hungin, P. ;

Jones, R. ;

Kumar, D. ;

Rubin, G. ;

Trudgill, N. ;

Whorwell, P. .

GUT, 2007, 56 (12) :1770-1798

[24] Systematic review: the effects of fibre in the management of chronic idiopathic constipation [J].

Suares, N. C. ;

Ford, A. C. .

ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2011, 33 (08) :895-901

[25] Diagnosis and treatment of chronic constipation - a European perspective [J].

Tack, J. ;

Mueller-Lissner, S. ;

Stanghellini, V. ;

Boeckxstaens, G. ;

Kamm, M. A. ;

Simren, M. ;

Galmiche, J. -P. ;

Fried, M. .

NEUROGASTROENTEROLOGY AND MOTILITY, 2011, 23 (08) :697-710

[26] Current and future therapies for chronic constipation [J].

Tack, J. .

BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY, 2011, 25 (01) :151-158

[27] The burden of constipation on quality of life: results of a multinational survey [J].

Wald, A. ;

Scarpignato, C. ;

Kamm, M. A. ;

Mueller-Lissner, S. ;

Helfrich, I. ;

Schuijt, C. ;

Bubeck, J. ;

Limoni, C. ;

Petrini, O. .

ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2007, 26 (02) :227-236

[28] The problem of insoluble fibre in irritable bowel syndrome [J].

Whorwell, Peter J. .

BRITISH MEDICAL JOURNAL, 2009, 338

← 1 2 3 →