American Gastroenterological Association Technical Review on Constipation

By A. Bharucha, J. Pembérton, G. Locke. Gastroenterology, 2013

834 citations recorded by the source corpus.

Constipation is a very common symptom. Prompted by several advances since the last technical review 15 years ago,1 this update will identify a rational, efficacious, and ideally cost-effective approach to patients with constipation. Toward those objectives, the epidemiology, clinical assessment, diagnostic testing, and management of constipation will be discussed, primarily from the perspective of a practicing gastroenterologist. Constipation in children and secondary constipation (eg, due to spinal cord injury) in adults will not be specifically addressed. This review was prepared by updating the previous technical review with material sourced from recent reviews on chronic constipation,2–4 supplemented by selected and focused literature searches of peer-reviewed, published studies. Although recommendations are graded based on US Preventive Services Task Force (USPSTF) ratings, formal cost-effectiveness analyses have not been performed. Comparisons of diagnostic approaches, with precise estimates of specificity and sensitivities, also have not been published. Indeed, in some instances, individual diagnostic techniques have not even been standardized.

Subfields: Gastroenterology, Rheumatology, Surgery

View Paper: https://www.semanticscholar.org/paper/d20ae91e753f5aefc97dae4f3ac9920f1a422704

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In Gastroenterology

1. B. Lacy
2. M. Simrén

Citations in the corpus

• Bowel Disorders. (2016, background): “Constipated patients with severely delayed colon transit and/or obstructed defection are less likely to improve with fiber.(31,77) Prospective RCTs dictating the choice of therapy after a patient fails fiber therapy are not available.”