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2022 Seoul Consensus on Clinical Practice Guidelines for Functional Constipation

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Author(s)
Young Sin ChoYoo Jin LeeJeong Eun ShinHye-Kyung JungSeon-Young ParkSeung Joo KangKyung Ho SongJung-Wook KimHyun Chul LimHee Sun ParkSeong-Jung KimRa Ri ChaKi Bae BangChang Seok BangSung Kyun YimSeung-Bum RyooBong Hyeon KyeWoong Bae JiMiyoung ChoiIn-Kyung SungSuck Chei Choi
Keimyung Author(s)
Lee, Yoo Jin
Department
Dept. of Internal Medicine (내과학)
Journal Title
J Neurogastroenterol Motil
Issued Date
2023
Volume
29
Issue
3
Keyword
ConstipationDiagnosisGuidelineMeta-analysisTherapeutics
Abstract
Chronic constipation is one of the most common digestive diseases encountered in clinical practice. Constipation manifests as a variety of symptoms, such as infrequent bowel movements, hard stools, feeling of incomplete evacuation, straining at defecation, a sense of anorectal blockage during defecation, and use of digital maneuvers to assist defecation. During the diagnosis of chronic constipation, the Bristol Stool Form Scale, colonoscopy, and a digital rectal examination are useful for objective symptom evaluation and differential diagnosis of secondary constipation. Physiological tests for functional constipation have complementary roles and are recommended for patients who have failed to respond to treatment with available laxatives and those who are strongly suspected of having a defecatory disorder. As new evidence on the diagnosis and management of functional constipation emerged, the need to revise the previous guideline was suggested. Therefore, these evidence-based guidelines have proposed recommendations developed using a systematic review and meta-analysis of the treatment options available for functional constipation. The benefits and cautions of new pharmacological agents (such as lubiprostone and linaclotide) and conventional laxatives have been described through a meta-analysis. The guidelines consist of 34 recommendations, including 3 concerning the definition and epidemiology of functional constipation, 9 regarding diagnoses, and 22 regarding managements. Clinicians (including primary physicians, general health professionals, medical students, residents, and other healthcare professionals) and patients can refer to these guidelines to make informed decisions regarding the management of functional constipation.
Keimyung Author(s)(Kor)
이유진
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2093-0887
Source
https://www.jnmjournal.org/journal/view.html?doi=10.5056/jnm23066
DOI
10.5056/jnm23066
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45046
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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