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Constipation.

Adil E Bharucha1

  • 1Division of Gastroenterology and Hepatology, Clinical and Enteric Neuroscience Translational and Epidemiological Research Program (CENTER), Mayo Clinic and Mayo Foundation, Rochester, MN 55905, USA. bharucha.adil@mayo.edu

Best Practice & Research. Clinical Gastroenterology
|July 24, 2007
PubMed
Summary
This summary is machine-generated.

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Chronic constipation can be categorized into three types based on colonic transit and anorectal function assessments. Treatments vary, with pelvic floor retraining effective for functional defaecatory disorders.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pelvic Floor Disorders

Background:

  • Chronic constipation is a prevalent condition with diverse symptoms.
  • Patient categorization aids in understanding underlying pathophysiology.
  • Key types include normal transit/IBS, pelvic floor dysfunction, and slow transit constipation.

Purpose of the Study:

  • To outline the classification of chronic constipation.
  • To describe the mechanisms of slow transit constipation and functional defaecatory disorders.
  • To review current management strategies for different constipation subtypes.

Main Methods:

  • Assessment of colonic transit studies.
  • Evaluation of anorectal manometry and function tests.
  • Clinical categorization of patients based on diagnostic findings.

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Main Results:

  • Slow transit constipation results from ineffective colonic propulsion.
  • Functional defaecatory disorders stem from pelvic floor dysfunction during defecation.
  • Colonic transit is frequently delayed in patients with functional defaecatory disorders.

Conclusions:

  • Management strategies are tailored to the specific constipation subtype.
  • Medications are common for normal and slow transit constipation.
  • Biofeedback therapy is the primary treatment for functional defaecatory disorders.