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[Practical approach to constipation in adults].
Jacek Hermann1, Tomasz Kościński, Michał Drews
1Katedra i Klinika Chirurgii Ogólnej, Chirurgii Onkologii Gastroenterologicznej i Chirurgii Plastycznej UM w Poznaniu, Polska.
Ginekologia Polska
|February 6, 2013
Summary
Constipation, a common condition, stems from primary causes like slow colonic transit or pelvic floor dysfunction, or secondary issues. Management involves lifestyle changes, medication, and sometimes surgery for severe cases.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Pelvic Floor Physical Therapy
Context:
- Constipation is a prevalent gastrointestinal disorder with diverse etiologies.
- Understanding the underlying causes is crucial for effective management.
- Secondary constipation can be linked to systemic diseases, neurological disorders, or medications.
Purpose:
- To provide a comprehensive overview of constipation, encompassing its epidemiology, etiology, pathophysiology, and management.
- To differentiate between primary constipation subtypes: slow-transit constipation and pelvic floor dysfunction.
- To outline diagnostic approaches and treatment strategies, including surgical interventions.
Summary:
- Constipation is categorized into primary (slow transit, pelvic floor dysfunction) and secondary (organic lesions, metabolic, endocrine, neurological, psychiatric diseases, medications).
- Diagnostic tools include digital rectal examination, colonoscopy, barium enema, colonic transit time, defecography, and anorectal manometry.
- Treatment progresses from lifestyle modifications and pharmacotherapy to biofeedback and surgery for refractory cases.
Impact:
- This review aids clinicians in diagnosing and managing constipation effectively.
- It highlights the importance of differentiating constipation subtypes for targeted treatment.
- The information supports informed decision-making regarding surgical qualification for intractable constipation.
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