Guidelines for the Treatment of Constipation / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 100-114, 2011.
Article
in Korean
| WPRIM
| ID: wpr-11779
ABSTRACT
While constipation is a common symptom in Korea, there are no existing treatment guidelines. Although constipation may occur as a result of organic cause, there is no obstructive mucosal or structural cause in the vast majority of patients with constipation. The present paper deals with only the management of functional constipation lifestyle changes; bulking agents and stool softeners; osmotic agents; stimulant laxatives; prokinetics; biofeedback and surgical treatments. Exercise and dietary fiber are helpful in some patients with constipation. Laxatives including bulking agents, stool softeners, osmotic agents, and stimulant laxatives have been found to be more effective than placebo at relieving symptoms of constipation. New enterokinetic agents that affect peristalsis through selective interaction with 5-hydroxytryptamine-4 receptors can be effective in patients with constipation who cannot get adequate relief from current laxatives. Biofeedback can relieve symptoms in selected patients with pelvic floor dyssynergia. Surgical treatments can be helpful in some patients with refractory constipation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Surface-Active Agents
/
Biofeedback, Psychology
/
Dietary Fiber
/
Health Behavior
/
Cathartics
/
Electric Stimulation Therapy
/
Constipation
/
Exercise Therapy
/
Laxatives
/
Serotonin 5-HT4 Receptor Antagonists
Type of study:
Controlled clinical trial
/
Practice guideline
Limits:
Humans
Language:
Korean
Journal:
The Korean Journal of Gastroenterology
Year:
2011
Type:
Article
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