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相关概念视频

Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

146
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

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Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
153
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

154
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
154
Irritable Bowel Syndrome III: Medical and Nursing Management01:30

Irritable Bowel Syndrome III: Medical and Nursing Management

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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

175
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
175
Drugs Affecting GI Tract Motility: Bulk-Forming and Stimulant Laxatives01:22

Drugs Affecting GI Tract Motility: Bulk-Forming and Stimulant Laxatives

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Laxatives enhance bowel movements and alleviate constipation. They augment the stool's bulk, stimulate intestinal muscle contractions, draw water into the intestines, or soften the stool. There are five key types of laxatives: bulk laxatives, stimulant laxatives, osmotic laxatives, stool softeners, and lubricant laxatives.
Bulk-forming laxatives, such as psyllium, methylcellulose, and polycarbophil, absorb water in the intestine, increasing stool bulk and promoting bowel movement. This...
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针对慢性便秘的基于证据的临床指南2023年

Eikichi Ihara1,2, Noriaki Manabe1, Hidenori Ohkubo1

  • 1Guidelines Committee for Creating and Evaluating the "Evidence-Based Clinical Guidelines for Chronic Constipation 2023, The Japanese Gastroenterological Association, Bunkyo-ku, Japan.

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概括

2023年日本胃肠道学会的指导方针为慢性便秘的诊断和治疗提供了基于证据的策略. 他们详细介绍了初级和二级便秘的管理,优先考虑生活方式的改变和透性松剂.

关键词:
慢性便秘 慢性便秘便秘占主导地位的刺激性肠综合征.定义 定义 定义功能性便秘是一种功能性便秘.准则 准则 准则 准则

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科学领域:

  • 胃肠病学 胃肠病学
  • 临床实践指南 临床实践指南

背景情况:

  • 慢性便秘是一种普遍的胃肠道疾病,影响全球数百万人.
  • 现有的治疗指南需要根据新出现的科学证据定期更新.

研究的目的:

  • 来自日本胃肠道学会的慢性便秘 (2023) 临床指南的第一个版本.
  • 为慢性便秘的定义,诊断和管理提供全面的,基于证据的建议.

主要方法:

  • 对最新的科学证据进行系统审查.
  • 开发慢性便秘的诊断和治疗流程图.
  • 将便秘分为二级和初级形式,包括功能性便秘和易怒肠综合征,便秘占主导地位的亚型.

主要成果:

  • 指南涵盖定义,分类,诊断标准,测试,流行病学,病理生理学和治疗.
  • 治疗算法优先区分次要原因,然后解决运动障碍.
  • 第一线治疗包括改变生活方式和饮食,其次是透性药,分泌剂和胆汁酸转运抑制剂.

结论:

  • 2023年准则为日本的慢性便秘管理提供了一个结构化的方法.
  • 建议强调一个逐步的治疗策略,从保守措施开始,逐步推进药物治疗.
  • 这些指导方针旨在优化临床策略,改善全球慢性便秘患者的治疗结果.