Diagnostics and treatment of chronic constipation in adults: clinical guidelines of the Russian gastroenterological association
Aim of publication. To present the modern concept on etiology and pathogenesis of constipation, its classification, basic diagnostic and treatment methods to general practitioners. Summary. The prevalence of constipation in general population is quite high and averages 12 to 19%. Two types of consti...
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| Format: | Article |
| Language: | Russian |
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Gastro LLC
2018-08-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/160 |
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| author | V. T. Ivashkin I. V. Mayev A. A. Sheptulin A. S. Trukhmanov Ye. A. Poluektova Ye. K. Baranskaya O. S. Shifrin T. L. Lapina M. F. Osipenko V. I. Simanenkov I. B. Khlynov |
| author_facet | V. T. Ivashkin I. V. Mayev A. A. Sheptulin A. S. Trukhmanov Ye. A. Poluektova Ye. K. Baranskaya O. S. Shifrin T. L. Lapina M. F. Osipenko V. I. Simanenkov I. B. Khlynov |
| author_sort | V. T. Ivashkin |
| collection | DOAJ |
| description | Aim of publication. To present the modern concept on etiology and pathogenesis of constipation, its classification, basic diagnostic and treatment methods to general practitioners. Summary. The prevalence of constipation in general population is quite high and averages 12 to 19%. Two types of constipation are usually distinguished: primary (functional) and secondary that is related to mechanical obstruction of the intestinal passage of bowel content, neurologic and endocrine diseases, systemic diseases of connective tissue, intake of drugs etc. At diagnosing of functional constipation early detection of «alarm symptoms» which require thorough patient investigation is important. Moreover, insufficient treatment response require step-by-step instrumental diagnostics. Constipation treatment has to be comprehensive and include general recommendations (intensification of physical activity, increase in dietary fiber in daily ration etc.), intake of psyllium, laxatives, including first of all of polyethyleneglycol, at insufficient response enterokinetic agents. Conclusion. Successful treatment of constipation requires correct detection of its cause, following essential dietary recommendations and stepwise application of pharmaceutical agents. |
| format | Article |
| id | doaj-art-a69f88e6ee4d430a875e5f3ca3153e4c |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2018-08-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-a69f88e6ee4d430a875e5f3ca3153e4c2025-02-10T16:14:29ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732018-08-01273758310.22416/1382-4376-2017-27-3-75-83160Diagnostics and treatment of chronic constipation in adults: clinical guidelines of the Russian gastroenterological associationV. T. Ivashkin0I. V. Mayev1A. A. Sheptulin2A. S. Trukhmanov3Ye. A. Poluektova4Ye. K. Baranskaya5O. S. Shifrin6T. L. Lapina7M. F. Osipenko8V. I. Simanenkov9I. B. Khlynov10Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University»State educational government-financed institution of higher professional education «Yevdokimov Moscow State University of Medicine and Dentistry»Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University»Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University»Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University»Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University»Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University»Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University»State educational government-financed institution of higher professional education «Mechnikov North-Western State Medical university»State educational government-financed institution of higher professional education «Novosibirsk state medical university»State educational government-financed institution of higher professional education «Ural state medical university»Aim of publication. To present the modern concept on etiology and pathogenesis of constipation, its classification, basic diagnostic and treatment methods to general practitioners. Summary. The prevalence of constipation in general population is quite high and averages 12 to 19%. Two types of constipation are usually distinguished: primary (functional) and secondary that is related to mechanical obstruction of the intestinal passage of bowel content, neurologic and endocrine diseases, systemic diseases of connective tissue, intake of drugs etc. At diagnosing of functional constipation early detection of «alarm symptoms» which require thorough patient investigation is important. Moreover, insufficient treatment response require step-by-step instrumental diagnostics. Constipation treatment has to be comprehensive and include general recommendations (intensification of physical activity, increase in dietary fiber in daily ration etc.), intake of psyllium, laxatives, including first of all of polyethyleneglycol, at insufficient response enterokinetic agents. Conclusion. Successful treatment of constipation requires correct detection of its cause, following essential dietary recommendations and stepwise application of pharmaceutical agents.https://www.gastro-j.ru/jour/article/view/160первичный (функциональный) запорвторичный запоросмотические слабитель-ныестимулирующие слабительныеэнтерокинетики |
| spellingShingle | V. T. Ivashkin I. V. Mayev A. A. Sheptulin A. S. Trukhmanov Ye. A. Poluektova Ye. K. Baranskaya O. S. Shifrin T. L. Lapina M. F. Osipenko V. I. Simanenkov I. B. Khlynov Diagnostics and treatment of chronic constipation in adults: clinical guidelines of the Russian gastroenterological association Российский журнал гастроэнтерологии, гепатологии, колопроктологии первичный (функциональный) запор вторичный запор осмотические слабитель-ные стимулирующие слабительные энтерокинетики |
| title | Diagnostics and treatment of chronic constipation in adults: clinical guidelines of the Russian gastroenterological association |
| title_full | Diagnostics and treatment of chronic constipation in adults: clinical guidelines of the Russian gastroenterological association |
| title_fullStr | Diagnostics and treatment of chronic constipation in adults: clinical guidelines of the Russian gastroenterological association |
| title_full_unstemmed | Diagnostics and treatment of chronic constipation in adults: clinical guidelines of the Russian gastroenterological association |
| title_short | Diagnostics and treatment of chronic constipation in adults: clinical guidelines of the Russian gastroenterological association |
| title_sort | diagnostics and treatment of chronic constipation in adults clinical guidelines of the russian gastroenterological association |
| topic | первичный (функциональный) запор вторичный запор осмотические слабитель-ные стимулирующие слабительные энтерокинетики |
| url | https://www.gastro-j.ru/jour/article/view/160 |
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