Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia on Diagnosis and Treatment of Constipation in Adults
Aim. Current clinical recommendations are intended to supply gastroenterologists, physicians and general practitioners with modern methods for the diagnosis and treatment of constipation.Key points. Constipation is defined as primary (functional) and secondary form, the latter comprising a manifestat...
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| Language: | Russian |
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Gastro LLC
2020-12-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/523 |
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| author | V. T. Ivashkin Yu. A. Shelygin I. V. Maev A. A. Sheptulin D. V. Aleshin S. I. Achkasov E. K. Baranskaya N. D. Kulikova T. L. Lapina A. I. Moskalev M. F. Osipenko E. A. Poluektova V. I. Simanenkov A. S. Trukhmanov O. Yu. Fomenko O. S. Shifrin |
| author_facet | V. T. Ivashkin Yu. A. Shelygin I. V. Maev A. A. Sheptulin D. V. Aleshin S. I. Achkasov E. K. Baranskaya N. D. Kulikova T. L. Lapina A. I. Moskalev M. F. Osipenko E. A. Poluektova V. I. Simanenkov A. S. Trukhmanov O. Yu. Fomenko O. S. Shifrin |
| author_sort | V. T. Ivashkin |
| collection | DOAJ |
| description | Aim. Current clinical recommendations are intended to supply gastroenterologists, physicians and general practitioners with modern methods for the diagnosis and treatment of constipation.Key points. Constipation is defined as primary (functional) and secondary form, the latter comprising a manifestation of another illness. The causes of constipation are diagnosed with colonoscopy, especially in patients aged over 50 having “anxiety symptoms” and hereditary colorectal oncological predisposition. Indications may also include the bowel transit time estimation with radiopaque markers, balloon expulsion test, anorectal manometry, defecography and electromyography. Therapy for constipation should be comprehensive and concern lifestyle, diet recommendations and use of medications (psyllium, macrogol, lactulose, lactitol, contact laxatives, prucalopride). Patients with a less effective conservative therapy and largely reduced quality of life should be considered for surgical intervention.Conclusion. An effective therapy for constipation requires a correct diagnosis of its causes. |
| format | Article |
| id | doaj-art-18945664d2904d8fb848e876e9c53882 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2020-12-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-18945664d2904d8fb848e876e9c538822025-02-10T16:14:36ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732020-12-01306698510.22416/1382-4376-2020-30-6-69-85398Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia on Diagnosis and Treatment of Constipation in AdultsV. T. Ivashkin0Yu. A. Shelygin1I. V. Maev2A. A. Sheptulin3D. V. Aleshin4S. I. Achkasov5E. K. Baranskaya6N. D. Kulikova7T. L. Lapina8A. I. Moskalev9M. F. Osipenko10E. A. Poluektova11V. I. Simanenkov12A. S. Trukhmanov13O. Yu. Fomenko14O. S. Shifrin15Sechenov First Moscow State Medical University (Sechenov University)Ryzhikh National Medical Research Centre for ColoproctologyYevdokimov Moscow State University of Medicine and DentistrySechenov First Moscow State Medical University (Sechenov University)Ryzhikh National Medical Research Centre for ColoproctologyRyzhikh National Medical Research Centre for ColoproctologySechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Ryzhikh National Medical Research Centre for ColoproctologyNovosibirsk State Medical UniversitySechenov First Moscow State Medical University (Sechenov University)Mechnikov North-Western State Medical UniversitySechenov First Moscow State Medical University (Sechenov University)Ryzhikh National Medical Research Centre for ColoproctologySechenov First Moscow State Medical University (Sechenov University)Aim. Current clinical recommendations are intended to supply gastroenterologists, physicians and general practitioners with modern methods for the diagnosis and treatment of constipation.Key points. Constipation is defined as primary (functional) and secondary form, the latter comprising a manifestation of another illness. The causes of constipation are diagnosed with colonoscopy, especially in patients aged over 50 having “anxiety symptoms” and hereditary colorectal oncological predisposition. Indications may also include the bowel transit time estimation with radiopaque markers, balloon expulsion test, anorectal manometry, defecography and electromyography. Therapy for constipation should be comprehensive and concern lifestyle, diet recommendations and use of medications (psyllium, macrogol, lactulose, lactitol, contact laxatives, prucalopride). Patients with a less effective conservative therapy and largely reduced quality of life should be considered for surgical intervention.Conclusion. An effective therapy for constipation requires a correct diagnosis of its causes.https://www.gastro-j.ru/jour/article/view/523constipationdiagnosislaxativessurgical treatment |
| spellingShingle | V. T. Ivashkin Yu. A. Shelygin I. V. Maev A. A. Sheptulin D. V. Aleshin S. I. Achkasov E. K. Baranskaya N. D. Kulikova T. L. Lapina A. I. Moskalev M. F. Osipenko E. A. Poluektova V. I. Simanenkov A. S. Trukhmanov O. Yu. Fomenko O. S. Shifrin Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia on Diagnosis and Treatment of Constipation in Adults Российский журнал гастроэнтерологии, гепатологии, колопроктологии constipation diagnosis laxatives surgical treatment |
| title | Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia on Diagnosis and Treatment of Constipation in Adults |
| title_full | Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia on Diagnosis and Treatment of Constipation in Adults |
| title_fullStr | Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia on Diagnosis and Treatment of Constipation in Adults |
| title_full_unstemmed | Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia on Diagnosis and Treatment of Constipation in Adults |
| title_short | Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia on Diagnosis and Treatment of Constipation in Adults |
| title_sort | clinical recommendations of the russian gastroenterological association and association of coloproctologists of russia on diagnosis and treatment of constipation in adults |
| topic | constipation diagnosis laxatives surgical treatment |
| url | https://www.gastro-j.ru/jour/article/view/523 |
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