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Related Experiment Videos

[Constipation--a new approach].

J Guerre1, S Chaussade

  • 1Hôpital Cochin, Paris, France.

Annales De Gastroenterologie Et D'Hepatologie
|June 1, 1987
PubMed
Summary
This summary is machine-generated.

Chronic idiopathic constipation, defined as fewer than 3 stools weekly, is often treated with bran, successfully aiding 60% of patients with diet-related issues. Further diagnostics identify specific causes for tailored treatments in non-responsive cases.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Digestive Physiology

Background:

  • Chronic idiopathic constipation (CIC) is characterized by infrequent bowel movements (less than 3 per week).
  • Severe forms like Hirschsprung's disease or idiopathic megacolon require immediate attention.
  • Dietary factors are a common cause of constipation, amenable to simple interventions.

Purpose of the Study:

  • To outline diagnostic and treatment strategies for chronic idiopathic constipation.
  • To differentiate between various etiological forms of constipation.
  • To emphasize the importance of tailored treatments based on specific diagnoses.

Main Methods:

  • Initial treatment with 20 grams of bran daily for diet-related constipation.
  • Diagnostic evaluation including colonic transit time studies.

Related Experiment Videos

  • Further investigations such as anorectal manometry and defecation radiography for complex cases.

    • Main Results:

    • Bran therapy effectively treats approximately 60% of patients with constipation secondary to dietary errors.
    • Diagnostic tests help identify specific underlying causes like colonic inertia, irritable colon, or anismus.
    • Recognition of diverse etiological forms is crucial for effective management.

    Conclusions:

    • A stepwise approach is recommended for managing chronic idiopathic constipation.
    • Dietary modification with bran is a primary treatment for a significant portion of patients.
    • Specific diagnostic tools are essential for identifying and treating refractory constipation cases.