2022功能性便秘临床实践指南首尔共识。

IF 3.3 3区 医学 Q2 CLINICAL NEUROLOGY Journal of Neurogastroenterology and Motility Pub Date : 2023-07-30 DOI:10.5056/jnm23066
Young Sin Cho, Yoo Jin Lee, Jeong Eun Shin, Hye-Kyung Jung, Seon-Young Park, Seung Joo Kang, Kyung Ho Song, Jung-Wook Kim, Hyun Chul Lim, Hee Sun Park, Seong-Jung Kim, Ra Ri Cha, Ki Bae Bang, Chang Seok Bang, Sung Kyun Yim, Seung-Bum Ryoo, Bong Hyeon Kye, Woong Bae Ji, Miyoung Choi, In-Kyung Sung, Suck Chei Choi
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引用次数: 1

摘要

慢性便秘是临床上最常见的消化系统疾病之一。便秘表现为多种症状,如排便不频繁、大便坚硬、感觉排便不完全、排便时紧张、排便时肛门直肠阻塞感,以及使用手指动作辅助排便。在诊断慢性便秘时,布里斯托大便量表、结肠镜检查和直肠指检对继发性便秘的客观症状评估和鉴别诊断很有帮助。功能性便秘的生理检查具有补充作用,推荐用于对现有泻药治疗无效的患者和强烈怀疑患有排便障碍的患者。随着功能性便秘诊断和治疗的新证据的出现,有必要修改先前的指南。因此,这些基于证据的指南通过对功能性便秘治疗方案的系统回顾和荟萃分析提出了建议。新药物(如鲁比前列石和利那洛肽)和传统泻药的益处和注意事项已通过荟萃分析进行了描述。该指南包括34项建议,其中3项关于功能性便秘的定义和流行病学,9项关于诊断,22项关于处理。临床医生(包括初级医师、普通卫生专业人员、医学生、住院医师和其他卫生保健专业人员)和患者可以参考这些指南来做出关于功能性便秘管理的明智决定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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2022 Seoul Consensus on Clinical Practice Guidelines for Functional Constipation.

Chronic constipation is one of the most common digestive diseases encountered in clinical practice. Constipation manifests as a variety of symptoms, such as infrequent bowel movements, hard stools, feeling of incomplete evacuation, straining at defecation, a sense of anorectal blockage during defecation, and use of digital maneuvers to assist defecation. During the diagnosis of chronic constipation, the Bristol Stool Form Scale, colonoscopy, and a digital rectal examination are useful for objective symptom evaluation and differential diagnosis of secondary constipation. Physiological tests for functional constipation have complementary roles and are recommended for patients who have failed to respond to treatment with available laxatives and those who are strongly suspected of having a defecatory disorder. As new evidence on the diagnosis and management of functional constipation emerged, the need to revise the previous guideline was suggested. Therefore, these evidence-based guidelines have proposed recommendations developed using a systematic review and meta-analysis of the treatment options available for functional constipation. The benefits and cautions of new pharmacological agents (such as lubiprostone and linaclotide) and conventional laxatives have been described through a meta-analysis. The guidelines consist of 34 recommendations, including 3 concerning the definition and epidemiology of functional constipation, 9 regarding diagnoses, and 22 regarding managements. Clinicians (including primary physicians, general health professionals, medical students, residents, and other healthcare professionals) and patients can refer to these guidelines to make informed decisions regarding the management of functional constipation.

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来源期刊
Journal of Neurogastroenterology and Motility
Journal of Neurogastroenterology and Motility GASTROENTEROLOGY & HEPATOLOGY-CLINICAL NEUROLOGY
CiteScore
6.30
自引率
8.80%
发文量
96
期刊介绍: Journal of Neurogastroenterology and Motility (J Neurogastroenterol Motil) is a joint official journal of the Korean Society of Neurogastroenterology and Motility, the Thai Neurogastroenterology and Motility Society, the Japanese Society of Neurogastroenterology and Motility, the Indian Motility and Functional Disease Association, the Chinese Society of Gastrointestinal Motility, the South East Asia Gastro-Neuro Motility Association, the Taiwan Neurogastroenterology and Motility Society and the Asian Neurogastroenterology and Motility Association, launched in January 2010 after the title change from the Korean Journal of Neurogastroenterology and Motility, published from 1994 to 2009.
期刊最新文献
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