Chronic constipation in adults: Contemporary perspectives and clinical challenges. 2: Conservative, behavioural, medical and surgical treatment. Issue 7 (1st February 2021)

• Record Type: Journal Article
• Authors: Corsetti, Maura; Brown, Steven; Chiarioni, Giuseppe; Dimidi, Eirini; Dudding, Thomas; Emmanuel, Anton; Fox, Mark; Ford, Alexander C.; Giordano, Pasquale; Grossi, Ugo; Henderson, Michelle; Knowles, Charles H.; O'Connell, P. Ronan; Quigley, Eamonn M. M.; Simren, Magnus; Spiller, Robin; Whelan, Kevin; Whitehead, William E.; Williams, Andrew B.; Scott, S. Mark
• Is Part Of: Neurogastroenterology & motility. Volume 33:Issue 7(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-02-01
• Subjects: algorithm -- constipation -- IBS‐C -- treatment; Gastrointestinal system -- Motility -- Periodicals; Gastrointestinal system -- Innervation -- Periodicals; 616.33
• DOI: 10.1111/nmo.14070
• Languages: English
• ISSNs: 1350-1925

Abstract

Abstract: Background: Chronic constipation is a prevalent disorder that affects quality of life of patients and consumes resources in healthcare systems worldwide. In clinical practice, it is still considered a challenge as clinicians frequently are unsure as to which treatments to use and when. Over a decade ago, a Neurogastroenterology and Motility journal supplement devoted to the investigation and management of constipation was published ( Neurogastroenterol Motil 2009;21(Suppl 2):1). In October 2018, the 3rd London Masterclass, entitled "Contemporary management of constipation" was held. The faculty members of this symposium were invited to write two reviews to present a collective synthesis of talks presented and discussions held during this meeting. The first review addresses epidemiology, diagnosis, clinical associations, pathophysiology, and investigation. Purpose: The present is the second of these reviews, providing contemporary perspectives and clinical challenges regarding behavioral, conservative, medical, and surgical treatments for patients presenting with constipation. It includes a management algorithm to guide clinical practice.