Constipation - Evaluation and management

被引:16
作者
Borum, ML [1 ]
机构
[1] George Washington Univ, Med Ctr, Dept Med, Div Gastroenterol, Washington, DC 20037 USA
来源
PRIMARY CARE | 2001年 / 28卷 / 03期
关键词
D O I
10.1016/S0095-4543(05)70054-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Constipation is a common symptom that can result from several disorders. Most patients with chronic constipation do not have a medical disorder contributing to the constipation and, therefore, require limited evaluation. Initial intervention should include dietary measures and fiber supplements; however, if fiber supplementation is ineffective, other agents can be used. Surgery should be reserved for patients who meet specific clinical criteria.
引用
收藏
页码:577 / +
页数:15
相关论文
共 47 条
  • [1] SEGMENTAL COLONIC TRANSIT-TIME
    ARHAN, P
    DEVROEDE, G
    JEHANNIN, B
    LANZA, M
    FAVERDIN, C
    DORNIC, C
    PERSOZ, B
    TETREAULT, L
    PEREY, B
    PELLERIN, D
    [J]. DISEASES OF THE COLON & RECTUM, 1981, 24 (08) : 625 - 629
  • [2] MELANOSIS OF THE RECTUM IN PATIENTS WITH CHRONIC CONSTIPATION
    BADIALI, D
    MARCHEGGIANO, A
    PALLONE, F
    PAOLUZI, P
    BAUSANO, G
    IANNONI, C
    MATERIA, E
    ANZINI, F
    CORAZZIARI, E
    [J]. DISEASES OF THE COLON & RECTUM, 1985, 28 (04) : 241 - 245
  • [3] THE LAXATIVE EFFECTS OF LACTULOSE IN NORMAL AND CONSTIPATED SUBJECTS
    BASS, P
    DENNIS, S
    [J]. JOURNAL OF CLINICAL GASTROENTEROLOGY, 1981, 3 : 23 - 28
  • [4] BATTLE WM, 1980, GASTROENTEROLOGY, V79, P1217
  • [5] BINDER HJ, 1975, GASTROENTEROLOGY, V69, P1001
  • [6] Colectomy for severe slow-transit constipation in strictly selected patients
    Christiansen, J
    Rasmussen, OD
    [J]. SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1996, 31 (08) : 770 - 773
  • [7] BOWEL SYMPTOMS IN AN APPARENTLY WELL POPULATION
    DENT, OF
    GOULSTON, KJ
    ZUBRZYCKI, J
    CHAPUIS, PH
    [J]. DISEASES OF THE COLON & RECTUM, 1986, 29 (04) : 243 - 247
  • [8] UNITED-STATES HOUSEHOLDER SURVEY OF FUNCTIONAL GASTROINTESTINAL DISORDERS - PREVALENCE, SOCIODEMOGRAPHY, AND HEALTH IMPACT
    DROSSMAN, DA
    LI, ZM
    ANDRUZZI, E
    TEMPLE, RD
    TALLEY, NJ
    THOMPSON, WG
    WHITEHEAD, WE
    JANSSENS, J
    FUNCHJENSEN, P
    CORAZZIARI, E
    RICHTER, JE
    KOCH, GG
    [J]. DIGESTIVE DISEASES AND SCIENCES, 1993, 38 (09) : 1569 - 1580
  • [9] DROSSMAN DA, 1982, GASTROENTEROLOGY, V83, P529
  • [10] THE ANAL-SPHINCTER IN PATIENTS WITH MYOTONIC MUSCULAR-DYSTROPHY
    ECKARDT, VF
    NIX, W
    [J]. GASTROENTEROLOGY, 1991, 100 (02) : 424 - 430