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Chronic constipation in adults: Contemporary perspectives and clinical challenges. 2: Conservative, behavioural, medical and surgical treatment
Author(s) -
Corsetti Maura,
Brown Steven,
Chiarioni Giuseppe,
Dimidi Eirini,
Dudding Thomas,
Emmanuel Anton,
Fox Mark,
Ford Alexander C.,
Giordano Pasquale,
Grossi Ugo,
Henderson Michelle,
Knowles Charles H.,
O’Connell P. Ronan,
Quigley Eamonn M. M.,
Simren Magnus,
Spiller Robin,
Whelan Kevin,
Whitehead William E.,
Williams Andrew B.,
Scott S. Mark
Publication year - 2021
Publication title -
neurogastroenterology and motility
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.489
H-Index - 105
eISSN - 1365-2982
pISSN - 1350-1925
DOI - 10.1111/nmo.14070
Subject(s) - constipation , medicine , chronic constipation , clinical practice , alternative medicine , quality of life (healthcare) , intensive care medicine , family medicine , nursing , pathology
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.