Abstract

Constipation: what every physician should know

Constipation is one of the most common symptoms. Causes underlying constipation are complex and depend on a number of factors, such as e.g. poor diet, insufficient physical activity, genetic build-up, family history, social and economic aspects, and can be classified either as functional or organic. Sometimes constipation is an acute condition and requires a differential diagnosis against obstruction as well as a prompt diagnostic examination. Constipation is most commonly a chronic symptom that tends to persist over several months or years. Treatment is varied and includes dietary and behavior changes as well as the possible use of various drugs. The prognosis depends on causes and clinical course.

Piśmiennictwo

1. Benninga M, Candy DC, Catto-Smith AG, et al. The Paris Consensus on Childhood Constipation Terminology (PACCT) Group. J Pediatr Gastroenterol Nutr 2005;40:273-5

2. Wald A, Scarpignato C, Kamm MA, et al. The burden of constipation on quality of life: results of a multinational survey. Aliment Pharmacol Ther 2007;26:227-36

3. Dukas L, Willett WC, Giovannucci EL. Association between physical activity, fiber intake, and other lifestyle variables and constipation in a study of women. Am J Gastroenterol 2003;98:1790-6

4. Haug TT, Mykletun A, Dahl AA. Are anxiety and depression related to gastrointestinal symptoms in the general population? Scand J Gastroenterol 2002;37:294-8

5. Lu CL, Chang FY, Chen CY, et al. Significance of Rome II-defined functional constipation in Taiwan and comparison with constipation predominant irritable bowel syndrome. Aliment Pharmacol Ther 2006;24:429-38

6. Suares NC, Ford AC. Systematic review: the effects of fibre in the management of chronic idiopathic constipation. Aliment Pharmacol Ther 2011;33:895-901

7. Everhart JE, Ruhl CE. Burden of digestive diseases in the United States part II: lower gastrointestinal diseases. Gastroenterology 2009;136:741-54

8. Galvez C, Garrigues V, Ortiz V, et al. Healthcare seeking for constipation: a population-based survey in the Mediterranean area of Spain. Aliment Pharmacol Ther 2006;24:421-8

9. Whitehead WE, Drinkwater D, Cheskin LJ, et al. Constipation in the elderly living at home. Definition, prevalence, and relationship to lifestyle and health status. J Am Geriatr Soc 1989;37:423-9

10. Chun AB, Sokol MS, Kaye WH, et al. Colonic and anorectal function in constipated patients with anorexia nervosa. Am J Gastroenterol 1997;92:1879-83

11. Hosseinzadeh ST, Poorsaadati S, Radkani B, et al. Psychological disorders in patients with chronic constipation. Gastroenterol Hepatol Bed Bench 2011;4:159-63

12. Sonnenberg A, Koch TR. Epidemiology of constipation in the United States. Dis Colon Rectum 1989;32:1-8

13. Rao SS, Seaton K, Miller MJ, et al. Psychological profiles and quality of life differ between patients with dyssynergia and those with slow transit constipation. J Psychosom Res 2007;63:441-9

14. Devroede G, Girand G, BouchouchaM, et al. Idiopathic constipation by colonic dysfunction: relationship with personality and anxiety. Dig Dis Sci 1989;34:1428-33

15. Bytzer P, Howell S, Leemon M, et al. Low socioeconomic class is a risk factor for upper and lower gastrointestinal symptoms: a population based study in 15 000 Australian adults. Gut 2001;49:66-72

16. Wald A, Scarpignato C, Mueller-Lissner S, et al. A multinational survey of prevalence and patterns of laxative use among adults with self-defined constipation. Aliment Pharmacol Ther 2008;28:917-30

17. Sandler RS, Jordan MC, Shelton BJ. Demographic and dietary determinants of constipation in the US population. AmJ Public Health 1990;80:185-9

18. Howell SC, Quine S, Talley NJ. Low social class is linked to upper gastrointestinal symptoms in an Australian sample of urban adults. Scand J Gastroenterol 2006;41:657-66

19. Ludvigsson JF. Abis Study Group Epidemiological study of constipation and other gastrointestinal symptoms in 8000 children. Acta Paediatr 2006;95:573-80

20. Inan M, Aydiner CY, Tokuc B, et al. Factors associated with childhood constipation. J Paediatr Child Health 2007;43:700-6

21. Ip KS, Lee WT, Chan JS, et al. A community-based study of the prevalence of constipation in young children and the role of dietaryfibre. Hong Kong Med J 2005;11:431-6

22. Iraji N, Keshteli AH, Sadeghpour S, et al. Constipation in Iran: SEPAHAN systematic review. Int J Prev Med 2012;3:S34-41

23. Vazquez Roque M, Bouras EP. Epidemiology and management of chronic constipation in elderly patients. Clin Interv Aging 2015;10:919-30

24. Bharucha AE, Pemberton JH, Locke GR. American gastroenterological association technical review on constipation. Gastroenterology 2013;144:218-38

25. Mulak A, Smereka A, Paradowski L. Nowości i modyfikacje w Kryteriach Rzymskich IV. Gastroenterol Klin 2016;8(2):52-61

26. Mach T. Zaparcie. W: Dąbrowski A (red.). Wielka Interna. Część II. Wydanie II. Warszawa: Medical Tribune Polska, 2019

27. Heaton KW, Radvan J, Cripps H, et al. Defecation frequency and timing, and stool form in the general population: a prospective study. Gut 1992;33(6):818-24. doi: 10.1136/gut.33.6.818PMCID: PMC1379343

28. Lewis S, Heaton K. Increasing butyrate concentration in the distal colon by accelerating intestinal transit. Gut 1997;41(2):245-51. doi: 10.1136/gut.41.2.245

29. Voderholzer WA, Schatke W, Muhldorfer BE, et al. Clinical response to dietary fibre treatment of chronic constipation. Am J Gastroenterol 1997;92:95-8

30. Basilisco G, Coletta M. Chronic constipation: a critical review. Dig Liver Dis 2013;45:886-93

31. Suares NC, Ford AC. Prevalence of, and risk factors for, chronic idiopathic constipation in the community: systematic review and metaanalysis. Am J Gastroenterol 2011;106:1582-91

32. Bijkerk CJ, Muris JWM, Knottnerus JA, et al. Systematic review: the role of different types of fibre in the treatment of irritable bowel syndrome. Aliment Pharmacol Ther 2004;19:245-51

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