便秘新指南 诊疗新规范

该表格用于筛查是否有焦虑或抑郁症状，供消化医生参考。

Faecal incontinence (FI) and constipation occur following corrective surgery for anorectal malformations (ARMs) and in children or adults with chronic constipation without a structural birth anomaly (chronic idiopathic constipation, CIC).

Constipation in the elderly is a common condition that is not a discreet disease entity, but a constellation of symptoms that has multiple possible causes. It refers to passing stools less than three times a week, but might include other symptoms, such as lack of total evacua-tion, straining or excessive stool hardness.

Chronic constipation is a frequent complaint. Symptoms of obstruc-tive defecation (straining, hard and lumpy stools, or incomplete evacu-ation) are more frequent and bothersome than the frequency of bowel movements. Patient assessment is clinically based on the presence or absence of red flags.

Constipation with associated fecal incontinence can represent a devastating problem for all who suffer from it, often preventing a person from becoming socially accepted, which in turn can provoke serious psychological sequelae. In this review we focus on the surgical approach to constipation in its role as a contributor to fecal incontinence.

Chronic constipation (CC) is a common gastrointestinal disorder with a varying prevalence depending on the defini-tion used to establish the diagnosis. Overall, 12%–19% of Americans are affected (Am J Gastroenterol 2004;9:750–
759), and CC is the second most common ambulatory diag-nosis made by gastroenterologists.

Chronic constipation is a very common functional gastrointestinal disorder which can be associated with significant impairments in quality of life for some people with the condition. Its management has, traditionally, been based on dietary and lifestyle changes and the use of a variety of laxative agents.

To evaluate the efficacy and tolerability of lubiprostone (Amitiza) for constipation in Parkinson disease (PD) in a double-blind, randomized, controlled study.

Diet modification to increase water and fiber consumption is considered an important component in the management of constipation. This prospective randomized study aimed to evaluate the compliance of 86 children with refractory functional constipation (mean age 4.4 years, range 1 to 11 years)—to a high-fiber, high-water diet following either physician’s dietary advice (PI group) (n42) or physician’s dietary advice plus personalized diet management by a registered dietitian (DM group) (n44).

There has been no definitive systematic review and meta-analysis to date examining the effect of laxatives and pharmacological therapies in chronic idiopathic constipation (CIC).