DIAGNOSIS AND MANAGEMENT OF CHRONIC IDIOPATHIC CONSTIPATION: A NARRATIVE REVIEW FROM A BRAZILIAN EXPERT TASK FORCE

Area of Science:

• Gastroenterology
• Internal Medicine

Background:

• Chronic idiopathic constipation (CIC) is a prevalent global health issue.
• It incurs significant healthcare costs and impacts patient well-being.
• Understanding CIC is crucial for effective patient care.

Purpose of the Study:

• To review expert society consensus and guidelines on CIC diagnosis and treatment in adults.
• To aid clinical decision-making for managing adult CIC patients.
• To provide a practical reference for CIC management.

Main Methods:

• Literature search of MEDLINE/PubMed, SciELO, EMBASE, and Cochrane databases.
• Keywords included "chronic constipation," "diagnosis," and "management of chronic constipation."
• Reviewed articles on the mechanism, safety, and efficacy of available therapies in Brazil.

Main Results:

• Diagnostic approach and understanding pathophysiology are key to appropriate therapy selection.
• Patient needs and the therapeutic ecosystem are integral to CIC management.
• Effective management requires a comprehensive approach.

Conclusions:

• CIC is common in adults, particularly the elderly and women.
• Proper management relies on detailed medical history, physical examination, and appropriate therapeutics.
• Optimizing CIC treatment enhances patient quality of life.