Journal
NEUROGASTROENTEROLOGY AND MOTILITY
Volume 33, Issue 7, Pages -Publisher
WILEY
DOI: 10.1111/nmo.14070
Keywords
algorithm; constipation; IBS-C; treatment
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This article summarizes contemporary perspectives and clinical challenges regarding treatment methods for patients with constipation, including behavioral, conservative, medical, and surgical treatments, and provides a management algorithm to guide clinical practice.
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.
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