Comparison analysis between domestic and foreign guidelines on constipation diagnosis and treatment

Baohua LIU; Yi LIU

doi:10.16016/j.1000-5404.201906038

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Comparison analysis between domestic and foreign guidelines on constipation diagnosis and treatment

Expert Reviews | 更新时间：2026-01-09

- Comparison analysis between domestic and foreign guidelines on constipation diagnosis and treatment
- Journal of Third Military Medical University Vol. 41, Issue 19, Pages: 1845-1850(2019)
- 作者机构：
  
  1.400042 重庆，陆军军医大学(第三军医大学)大坪医院:普通外科, 全军便秘诊治中心
  2.400042 重庆，陆军军医大学(第三军医大学)大坪医院:信息科
- 作者简介：
- 基金信息：
  
  the National Natural Science Foundation of China(81570483);the National Natural Science Foundation of China(81770541);the Science and Technology Innovation Special Project of Social People's Livelihood of Chongqing(CSTC2015shmszx120109)
- DOI：10.16016/j.1000-5404.201906038
  CLC： R574.62
- Received：07 June 2019，
  
  Revised：2019-08-31，
  
  Published：15 October 2019
- 稿件说明：
移动端阅览
Baohua LIU, Yi LIU. Comparison analysis between domestic and foreign guidelines on constipation diagnosis and treatment[J]. Journal of Third Military Medical University, 2019, 41(19): 1845-1850.
DOI：

Baohua LIU, Yi LIU. Comparison analysis between domestic and foreign guidelines on constipation diagnosis and treatment[J]. Journal of Third Military Medical University, 2019, 41(19): 1845-1850. DOI： 10.16016/j.1000-5404.201906038.

摘要

对国内外“便秘诊治指南”的各自特点进行比较分析。阐述内容包括便秘的概念、发病率、分型及病因分类、诊断方法和治疗4个方面。便秘是一种发病率较高的疾病，老年人和患有其他各种疾病患者发病率更高；便秘分为结肠慢传输型、出口梗阻型和功能性排便障碍型等类型。病因分为功能性疾病、器质性疾病和药物3类。对便秘患者行全面检查有利于了解便秘的病因和分型，以指导精准的治疗；应重视便秘患者的结肠镜检查，易于发现其结直肠息肉和器质性病变。便秘的非手术治疗包括健康教育、饮食的调节、排便习惯的建立、药物的分级应用。结肠慢传输型便秘手术方法包括次全结肠切除盲肠直肠吻合术、全结肠切除回肠直肠吻合术、结肠旷置术、回肠造口术。对于出口梗阻型便秘中的直肠内脱垂，目前国外多采用腹腔镜腹侧补片直肠悬吊术；直肠前突手术方法包括经阴道和经肛手术。

Abstract

We compared and analyzed the guidelines at home and abroad on constipation diagnosis and treatment

and elucidated its concept

incidence and classification

as well as its etiology classification

diagnosis and treatment methods. Currently

constipation is considered as a disease with higher incidence

especially in the elderly and the patients with multiple comorbidities. Constipations are concisely classified as colonic slow transit constipation

outlet obstruction constipation and functional defecation disorders. According to its etiology

constipations are divided into 3 categories: functional disease

organic disease and drug-induced disease. Comprehensive examinations of constipation are helpful to understand its etiology and classification and to guide accurate treatment. Colonoscopy is valuable in the detection of polyp and organic disease of colonic rectum in constipation patients. Nonsurgical treatments are very important for constipation

including health education

dietary regulation

establishment of bowel habits

and graded use of drug. The surgical methods for slow transit constipation include subtotal colectomy with cecoproctostomy

total colectomy with ileoproctostomy

colonic exclusion and ileostomy. Laparoscopic ventral mesh rectal suspension is commonly performed abroad to treat internal rectal prolapse of outlet obstruction constipation. Transvaginal and transanal approaches are used for the surgical treatment of rectocele. In the treatment of constipation

health education and non-surgical treatments should be emphasized. Surgical treatment must be considered only after the systematic non-surgical treatments are ineffective or not effective.

关键词

Keywords

references

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