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Updated: Jul 24, 2025

Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation
Published on: July 5, 2024
2022 Seoul Consensus on Clinical Practice Guidelines for Functional Constipation.
Young Sin Cho1, Yoo Jin Lee2, Jeong Eun Shin3
1Division of Gastroenterology, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Chungcheongnam-do, Korea.
New guidelines offer evidence-based recommendations for diagnosing and managing chronic constipation. This includes evaluating new drugs and conventional laxatives for functional constipation, aiding clinical decisions.
Area of Science:
- Gastroenterology
- Clinical Practice Guidelines
Background:
- Chronic constipation is a prevalent digestive disorder with diverse symptoms.
- Objective evaluation tools like the Bristol Stool Form Scale aid diagnosis.
- Physiological tests are valuable for refractory cases and suspected defecatory disorders.
Purpose of the Study:
- To revise and update evidence-based guidelines for functional constipation diagnosis and management.
- To provide recommendations based on systematic reviews and meta-analyses.
- To inform clinicians and patients on optimal treatment strategies.
Main Methods:
- Systematic review and meta-analysis of existing literature.
- Evaluation of pharmacological agents, including novel drugs (lubiprostone, linaclotide) and conventional laxatives.
- Development of 34 evidence-based recommendations covering definition, epidemiology, diagnosis, and management.
Main Results:
- The guidelines address the benefits and cautions of various treatment options.
- Recommendations cover diagnostic criteria and therapeutic approaches for functional constipation.
- Meta-analysis informed the assessment of pharmacological interventions.
Conclusions:
- These guidelines provide a comprehensive framework for managing functional constipation.
- Clinicians and patients can utilize these recommendations for informed decision-making.
- Updated guidance reflects new evidence on diagnosis and treatment of constipation.
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