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[Chronic constipation].

¹Abteilung für Gastroenterologie und Hepatologie, Universitätsspital, Basel. Lukas.Degen@unibas.ch

Therapeutische Umschau. Revue Therapeutique

|August 1, 2007

Summary

This summary is machine-generated.

Chronic constipation significantly impacts quality of life, often without clear pathology. Treatment includes laxatives, with biofeedback or surgery for select cases.

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Area of Science:

Gastroenterology
Colorectal Surgery
Pelvic Floor Physical Therapy

Context:

Chronic constipation affects patient quality of life, influenced by subjective and objective factors.
The Rome-III criteria guide diagnosis, acknowledging that most cases lack distinct pathology.
A subset of patients presents with slow colonic transit or pelvic floor dysfunction.

Purpose:

To review the diagnostic approach and management strategies for chronic constipation.
To highlight the importance of identifying underlying causes like slow colonic transit or pelvic floor dysfunction.
To outline current therapeutic options, from pharmacological agents to procedural interventions.

Summary:

Chronic constipation diagnosis considers subjective perceptions and objective parameters, often guided by Rome-III criteria.

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While many patients lack specific pathology, some exhibit slow colonic transit or pelvic floor dysfunction, necessitating further investigation.

Management primarily involves laxatives, with biofeedback training and surgical interventions considered for refractory cases.

Impact:

Improved patient quality of life through effective management of chronic constipation.
Enhanced clinical evaluation by considering both common and less frequent causes of constipation.
Guidance for healthcare providers on selecting appropriate treatments based on individual patient needs.