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Review
. 2021 Jul;33(7):e14070.
doi: 10.1111/nmo.14070. Epub 2021 Feb 1.

Chronic constipation in adults: Contemporary perspectives and clinical challenges. 2: Conservative, behavioural, medical and surgical treatment

Maura Corsetti  1   2 , Steven Brown  3 , Giuseppe Chiarioni  4   5 , Eirini Dimidi  6 , Thomas Dudding  7 , Anton Emmanuel  8 , Mark Fox  9   10 , Alexander C Ford  11   12 , Pasquale Giordano  13 , Ugo Grossi  14 , Michelle Henderson  15 , Charles H Knowles  16 , P Ronan O'Connell  17 , Eamonn M M Quigley  18 , Magnus Simren  5   19 , Robin Spiller  1   2 , Kevin Whelan  6 , William E Whitehead  5 , Andrew B Williams  20 , S Mark Scott  16
Affiliations
Free article
Review

Chronic constipation in adults: Contemporary perspectives and clinical challenges. 2: Conservative, behavioural, medical and surgical treatment

Maura Corsetti et al. Neurogastroenterol Motil. 2021 Jul.
Free article

Abstract

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.

Keywords: IBS-C; algorithm; constipation; treatment.

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References

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