변비의 국소 치료: 관장과 좌약
- Affiliated Author(s)
- 박경식
- Alternative Author(s)
- Park, Kyung Sik
- Journal Title
- 대한내과학회지
- ISSN
- 1738-9364
- Issued Date
- 2015
- Abstract
- The treatment for constipation should be individualized and dependent on the cause, coexisting morbidities, and patient’s cognitive
status. Although most cases of constipation respond to conservative treatment, including dietary and life-style changes, or mild
laxatives, some patients still complain of consistent symptoms and need an assessment of defecatory dysfunction. There is insufficient
evidence to support the use of enemas in chronic constipation, although many clinicians and patients find them useful and
effective for the treatment of fecal impaction when used with other modalities. In addition, suppositories can be considered as an initial
trial for the treatment of defecatory dysfunction, since they help to initiate or facilitate rectal evacuation. The routine use of enemas
is typically discouraged, especially sodium phosphate enemas, although tap-water enemas seem safe for more regular use.
Soapsuds enemas are not recommended due to possible rectal mucosal damage. (Korean J Med 2015;88:15-21)
Keywords: Constipation; Enema; Suppository
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