医学
工作队
叙述性评论
便秘
慢性便秘
任务(项目管理)
叙述的
物理疗法
重症监护医学
物理医学与康复
外科
管理
语言学
政治学
哲学
公共行政
经济
作者
Maria do Carmo Friche Passos,Ricardo Cerqueira ALVARIZ,Eduardo Antonio ANDRÉ,Ricardo Correa Barbuti,Henrique Sarubbi Fillmann,Sthela M. Murad-Regadas,Joffre Rezende Filho,Marcos Perrotti,Luciana S Guedes
标识
DOI:10.1590/s0004-2803.202200001-23
摘要
ABSTRACT Background Chronic idiopathic constipation (CIC) is a condition that widely affects the global population, represents relevant healthcare resource utilization and costs, and impacts the individual’s well-being. Objective To review the consensus of expert societies and published guidelines on the diagnosis and treatment of CIC in adults, seeking to assist reasoning and decision-making for medical management of patients with CIC and provide a practical reference material. Methods A Brazilian medical task force searched the scientific literature in the following electronic databases: MEDLINE/PubMed, SciELO, EMBASE and Cochrane, using the following descriptors: chronic constipation, diagnosis, management of chronic constipation. In addition, a review of articles on the mechanism of action, safety, and efficacy of therapeutic options available in Brazil was carried out. Results The diagnostic approach and the understanding of the pathophysiology present in CIC are essential items to indicate the appropriate therapy and to understand the ecosystem of the patient’s needs. Conclusion CIC is a common condition in adults, occurring more frequently in the elderly and in women. Proper management is defined by detailed medical history and physical examination, together with appropriate therapeutics, regardless pharmacological or not, and depending on the best moment of indication. This way, the impact on quality of life is also optimized.
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