Constipation: Evaluation and Treatment of Colonic and Anorectal Motility Disorders - 20/08/11
Division of Gastroenterology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 4612 JCP, Iowa City, IA-52242.Abstract |
This article focuses on the colonic and anorectal motility disturbances that are associated with chronic constipation and their management. Functional chronic constipation consists of three overlapping subtypes: slow transit constipation, dyssynergic defecation, and irritable bowel syndrome with constipation. The Rome criteria may serve as a useful guide for making a clinical diagnosis of functional constipation. Today, an evidence-based approach can be used to treat patients with chronic constipation. The availability of specific drugs for the treatment of chronic constipation, such as tegaserod and lubiprostone, has enhanced the therapeutic armamentarium for managing these patients. Randomized controlled trials have also established the efficacy of biofeedback therapy in the treatment of dyssynergic defecation.
Le texte complet de cet article est disponible en PDF.Keywords : Constipation, Irritable bowel syndrome, Colon, Dyssynergic defecation, Anorectal manometry, Balloon expulsion test
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| This article appeared previously in the September 2007 issue of Gastroenterology Clinics of North America (36:3), with permission. |
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| This work was supported in part by grant DK57100-0441 from the National Institutes of Health and in part by the Department of Internal Medicine, University of Iowa Carver College of Medicine. |
Vol 19 - N° 1
P. 117-139 - janvier 2009 Retour au numéro
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