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[Chronic idiopathic constipation in adults. Pathogenesis and treatment]
Y Bouhnik1, B Coffin, J C Rambaud
1Hôpital Saint-Lazare, Paris.
Annales De Gastroenterologie Et D'Hepatologie
|March 1, 1996
Summary
This review details factors causing adult chronic idiopathic constipation, including gut issues and psychological elements. It covers diagnostic methods and various treatments like diet, medication, and biofeedback for effective constipation management.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Chronic idiopathic constipation (CIC) affects adults significantly.
- Understanding CIC's multifactorial nature is crucial for effective management.
Purpose of the Study:
- To review the primary factors contributing to adult CIC.
- To outline diagnostic methods and therapeutic strategies for CIC.
Main Methods:
- Literature review of factors influencing CIC.
- Analysis of diagnostic tools like colonic transit time and anorectal manometry.
- Review of therapeutic options including lifestyle, pharmacological, and psychological interventions.
Main Results:
- Key factors identified: colic substrates, bacterial fermentation, colonic peristalsis, perineal anomalies, and psychological factors.
- Diagnostic methods such as colonic transit time and anorectal manometry are readily available.
- Therapeutic approaches encompass dietary changes, laxatives, biofeedback, and psychological support.
Conclusions:
- Effective management of adult CIC requires addressing its diverse underlying factors.
- A multimodal treatment approach, tailored to individual patient needs, is recommended.