대한소화기학회로고
 
 
 
Author Moo In Park, Jeong Eun Shin, Seung Jae Myung, Kyu Chan Huh, Chang Hwan Choi, Sung Ae Jung, Suck Chei Choi, Chong Il Sohn, Myung Gyu Choi
Place of duty Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. medcsc@wmc.wonkwang.ac.kr,Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.,Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.,Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea.,Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.,Department of Internal Medicine, Chung-Ang University College of Medicine, Korea.,Department of Internal Medicine, Ewha Womans Unniversity School of Medicine, Seoul, Korea.,Department of Internal Medicine, Sungkyunkwan University, School of Medicine, Korea.,Department of Internal Medicine, The Catholic University of Korea School of Medicine, Seoul, Korea.
Title Guidelines for the Treatment of Constipation
Publicationinfo Korean J Gastroenterol 2011 Feb; 057(02): 100-114.
Key_word Constipation,Treatment,Guideline
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract While constipation is a common symptom in Korea, there are no existing treatment guidelines. Although constipation may occur as a result of organic cause, there is no obstructive mucosal or structural cause in the vast majority of patients with constipation. The present paper deals with only the management of functional constipation: lifestyle changes; bulking agents and stool softeners; osmotic agents; stimulant laxatives; prokinetics; biofeedback and surgical treatments. Exercise and dietary fiber are helpful in some patients with constipation. Laxatives including bulking agents, stool softeners, osmotic agents, and stimulant laxatives have been found to be more effective than placebo at relieving symptoms of constipation. New enterokinetic agents that affect peristalsis through selective interaction with 5-hydroxytryptamine-4 receptors can be effective in patients with constipation who cannot get adequate relief from current laxatives. Biofeedback can relieve symptoms in selected patients with pelvic floor dyssynergia. Surgical treatments can be helpful in some patients with refractory constipation.
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