What is necessary to diagnose constipation?

被引：79
作者：
Rao, Satish S. C. [1 ]
Meduri, Kalyani [1 ]
机构：
[1] Univ Iowa Carver Coll Med, Dept Internal Med, Div Gastroenterol & Hepatol, Iowa City, IA 52242 USA
来源：
BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY | 2011年 / 25卷 / 01期
关键词：
Constipation; Diagnostic tests; Rectal exam; Colon transit; Anorectal manometry; Colonic manometry; WHOLE-GUT TRANSIT; COLONIC TRANSIT; BARIUM ENEMA; PELVIC FLOOR; DYSSYNERGIC DEFECATION; RECTAL HYPOSENSITIVITY; FECAL INCONTINENCE; MEDICAL-STUDENTS; CLINICAL UTILITY; MOTOR-ACTIVITY;
D O I：
10.1016/j.bpg.2010.11.001
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Constipation is a common ailment with multiple symptoms and diverse etiology. Understanding the pathophysiology is important to guide optimal management. During the past few years, there have been remarkable developments in the diagnosis of constipation and defecation disorders. Several innovative manometric, neurophysiologic, and radiologic techniques have been discovered, which have improved the accuracy of identifying the neuromuscular mechanisms of chronic constipation. These include use of digital rectal examination, Bristol stool scale, colonic scintigraphy, wireless motility capsule for assessment of colonic and whole gut transit, high resolution anorectal manometry, and colonic manometry. These tests provide a better definition of the underlying mechanism(s), which in turn can lead to improved management of this condition. In this review, we summarize the recent advances in diagnostic testing with a particular emphasis on when and why to test, and discuss the utility of diagnostic tests for chronic constipation. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码：127 / 140
页数：14
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