Recommendations on Chronic Constipation (Including Constipation Associated with Irritable Bowel Syndrome) Treatment
While chronic constipation (CC) has a high prevalence in primary care, there are no existing treatment recommendations to guide health care professionals. To address this, a consensus group of 10 gastroenterologists was formed to develop treatment recommendations. Although constipation may occur as...
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Series: | Canadian Journal of Gastroenterology |
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doaj-6c11e147f72e4088acdc2ff6a17d10fb2020-11-24T22:44:20ZengHindawi LimitedCanadian Journal of Gastroenterology0835-79002007-01-0121Suppl B3B22B10.1155/2007/848706Recommendations on Chronic Constipation (Including Constipation Associated with Irritable Bowel Syndrome) TreatmentPierre Paré0Ronald Bridges1Malcolm C Champion2Subhas C Ganguli3James R Gray4E Jan Irvine5Victor Plourde6Pierre Poitras7Geoffrey K Turnbull8Paul Moayyedi9Nigel Flook10Stephen M Collins11Université Laval and Division of Gastroenterology, CHAUQ – Hopital St-Sacrement, Quebec City, Quebec, CanadaDivision of Gastroenterology, University of Calgary, Calgary, Alberta, CanadaDepartment of Gastroenterology, Ottawa Hospital, and University of Ottawa, Ottawa, Ontario, CanadaMcMaster University and Department of Gastroenterology, St Joseph’s Healthcare, Hamilton, Ontario, CanadaDivision of Gastroenterology, University of British Columbia, Vancouver, British Columbia, CanadaUniversity of Toronto, and Division of Gastroenterology, St Michael’s Hospital, Toronto, Ontario, CanadaUniversité de Montréal, Montreal, Quebec, CanadaCHUM St Luc and Université de Montréal, Montreal, Quebec, CanadaDalhousie University, Halifax, Nova Scotia, CanadaDivision of Gastroenterology, McMaster University, Hamilton, Ontario, CanadaMisericordia Community Hospital & Health Center, and University of Alberta Hospital, Edmonton, Alberta, CanadaFaculty of Health Sciences, McMaster University, Hamilton, Ontario, CanadaWhile chronic constipation (CC) has a high prevalence in primary care, there are no existing treatment recommendations to guide health care professionals. To address this, a consensus group of 10 gastroenterologists was formed to develop treatment recommendations. Although constipation may occur as a result of organic disease, the present paper addresses only the management of primary CC or constipation associated with irritable bowel syndrome. The final consensus group was assembled and the recommendations were created following the exact process outlined by the Canadian Association of Gastroenterology for the following areas: epidemiology, quality of life and threshold for treatment; definitions and diagnostic criteria; lifestyle changes; bulking agents and stool softeners; osmotic agents; prokinetics; stimulant laxatives; suppositories; enemas; other drugs; biofeedback and behavioural approaches; surgery; and probiotics. A treatment algorithm was developed by the group for CC and constipation associated with irritable bowel syndrome. Where possible, an evidence-based approach and expert opinions were used to develop the statements in areas with insufficient evidence. The nature of the underlying pathophysiology for constipation is often unclear, and it can be tricky for physicians to decide on an appropriate treatment strategy for the individual patient. The myriad of treatment options available to Canadian physicians can be confusing; thus, the main aim of the recommendations and treatment algorithm is to optimize the approach in clinical care based on available evidence.http://dx.doi.org/10.1155/2007/848706 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pierre Paré Ronald Bridges Malcolm C Champion Subhas C Ganguli James R Gray E Jan Irvine Victor Plourde Pierre Poitras Geoffrey K Turnbull Paul Moayyedi Nigel Flook Stephen M Collins |
spellingShingle |
Pierre Paré Ronald Bridges Malcolm C Champion Subhas C Ganguli James R Gray E Jan Irvine Victor Plourde Pierre Poitras Geoffrey K Turnbull Paul Moayyedi Nigel Flook Stephen M Collins Recommendations on Chronic Constipation (Including Constipation Associated with Irritable Bowel Syndrome) Treatment Canadian Journal of Gastroenterology |
author_facet |
Pierre Paré Ronald Bridges Malcolm C Champion Subhas C Ganguli James R Gray E Jan Irvine Victor Plourde Pierre Poitras Geoffrey K Turnbull Paul Moayyedi Nigel Flook Stephen M Collins |
author_sort |
Pierre Paré |
title |
Recommendations on Chronic Constipation (Including Constipation Associated with Irritable Bowel Syndrome) Treatment |
title_short |
Recommendations on Chronic Constipation (Including Constipation Associated with Irritable Bowel Syndrome) Treatment |
title_full |
Recommendations on Chronic Constipation (Including Constipation Associated with Irritable Bowel Syndrome) Treatment |
title_fullStr |
Recommendations on Chronic Constipation (Including Constipation Associated with Irritable Bowel Syndrome) Treatment |
title_full_unstemmed |
Recommendations on Chronic Constipation (Including Constipation Associated with Irritable Bowel Syndrome) Treatment |
title_sort |
recommendations on chronic constipation (including constipation associated with irritable bowel syndrome) treatment |
publisher |
Hindawi Limited |
series |
Canadian Journal of Gastroenterology |
issn |
0835-7900 |
publishDate |
2007-01-01 |
description |
While chronic constipation (CC) has a high prevalence in primary care, there are no existing treatment recommendations to guide health care professionals. To address this, a consensus group of 10 gastroenterologists was formed to develop treatment recommendations. Although constipation may occur as a result of organic disease, the present paper addresses only the management of primary CC or constipation associated with irritable bowel syndrome. The final consensus group was assembled and the recommendations were created following the exact process outlined by the Canadian Association of Gastroenterology for the following areas: epidemiology, quality of life and threshold for treatment; definitions and diagnostic criteria; lifestyle changes; bulking agents and stool softeners; osmotic agents; prokinetics; stimulant laxatives; suppositories; enemas; other drugs; biofeedback and behavioural approaches; surgery; and probiotics. A treatment algorithm was developed by the group for CC and constipation associated with irritable bowel syndrome. Where possible, an evidence-based approach and expert opinions were used to develop the statements in areas with insufficient evidence. The nature of the underlying pathophysiology for constipation is often unclear, and it can be tricky for physicians to decide on an appropriate treatment strategy for the individual patient. The myriad of treatment options available to Canadian physicians can be confusing; thus, the main aim of the recommendations and treatment algorithm is to optimize the approach in clinical care based on available evidence. |
url |
http://dx.doi.org/10.1155/2007/848706 |
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