Expert Consensus Document: Diagnosis for Chronic Constipation with Faecal Retention in the Rectum Using Ultrasonography

Chronic constipation is a common gastrointestinal disorder in older adults, and it is very important to manage chronic constipation. However, evaluating these subjective symptoms is extremely difficult in cases where patients are unable to express their symptoms because of a cognitive or physical im...

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Main Authors: Masaru Matsumoto, Noboru Misawa, Momoko Tsuda, Noriaki Manabe, Takaomi Kessoku, Nao Tamai, Atsuo Kawamoto, Junko Sugama, Hideko Tanaka, Mototsugu Kato, Ken Haruma, Hiromi Sanada, Atsushi Nakajima
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/2/300
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author Masaru Matsumoto
Noboru Misawa
Momoko Tsuda
Noriaki Manabe
Takaomi Kessoku
Nao Tamai
Atsuo Kawamoto
Junko Sugama
Hideko Tanaka
Mototsugu Kato
Ken Haruma
Hiromi Sanada
Atsushi Nakajima
author_facet Masaru Matsumoto
Noboru Misawa
Momoko Tsuda
Noriaki Manabe
Takaomi Kessoku
Nao Tamai
Atsuo Kawamoto
Junko Sugama
Hideko Tanaka
Mototsugu Kato
Ken Haruma
Hiromi Sanada
Atsushi Nakajima
author_sort Masaru Matsumoto
collection DOAJ
description Chronic constipation is a common gastrointestinal disorder in older adults, and it is very important to manage chronic constipation. However, evaluating these subjective symptoms is extremely difficult in cases where patients are unable to express their symptoms because of a cognitive or physical impairment. Hence, it is necessary to observe the patient’s colonic faecal retention using objective methods. Ultrasonography observation for colonic faecal retention is useful for diagnosing constipation and evaluating the effectiveness of treatment. Since there was no standard protocol for interpreting rectal ultrasonography findings, we developed an observation protocol through an expert consensus. We convened a group of experts in the diagnosis and evaluation of chronic constipation and ultrasonography to discuss and review the current literature on this matter. Together, they composed a succinct, evidence-based observation protocol for rectal faecal retention using ultrasonography. We created an observation protocol to enhance the quality and accuracy of diagnosis of chronic constipation, especially rectal constipation. This consensus statement is intended to serve as a guide for physicians, laboratory technicians and nurses who do not specialise in ultrasound or the diagnosis of chronic constipation.
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spelling doaj.art-9adbf477a77b41a2a0cdb90bc5697b2e2023-11-23T19:29:43ZengMDPI AGDiagnostics2075-44182022-01-0112230010.3390/diagnostics12020300Expert Consensus Document: Diagnosis for Chronic Constipation with Faecal Retention in the Rectum Using UltrasonographyMasaru Matsumoto0Noboru Misawa1Momoko Tsuda2Noriaki Manabe3Takaomi Kessoku4Nao Tamai5Atsuo Kawamoto6Junko Sugama7Hideko Tanaka8Mototsugu Kato9Ken Haruma10Hiromi Sanada11Atsushi Nakajima12School of Nursing, Ishikawa Prefectural Nursing University, 1-1 Gakuendai, Kahoku 929-1210, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, JapanDepartment of Gastroenterology, National Hospital Organization Hakodate National Hospital, 18-16 Kawahara-cho, Hakodate 041-8512, JapanDivision of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, 2-6-1 Nakasange, Kita-ku, Okayama 700-8505, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, JapanDepartment of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, JapanDivision of Ultrasound and Department of Diagnostic Imaging, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, JapanResearch Center for Implementation Nursing Science Initiative, School of Health Sciences, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake 470-1192, JapanSchool of Nursing, College of Nursing and Nutrition, Shukutoku University, 673 Nitona-cho, Chuo-ku, Chiba City 260-8703, JapanDepartment of Gastroenterology, National Hospital Organization Hakodate National Hospital, 18-16 Kawahara-cho, Hakodate 041-8512, JapanDivision of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, 2-6-1 Nakasange, Kita-ku, Okayama 700-8505, JapanDepartment of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, JapanChronic constipation is a common gastrointestinal disorder in older adults, and it is very important to manage chronic constipation. However, evaluating these subjective symptoms is extremely difficult in cases where patients are unable to express their symptoms because of a cognitive or physical impairment. Hence, it is necessary to observe the patient’s colonic faecal retention using objective methods. Ultrasonography observation for colonic faecal retention is useful for diagnosing constipation and evaluating the effectiveness of treatment. Since there was no standard protocol for interpreting rectal ultrasonography findings, we developed an observation protocol through an expert consensus. We convened a group of experts in the diagnosis and evaluation of chronic constipation and ultrasonography to discuss and review the current literature on this matter. Together, they composed a succinct, evidence-based observation protocol for rectal faecal retention using ultrasonography. We created an observation protocol to enhance the quality and accuracy of diagnosis of chronic constipation, especially rectal constipation. This consensus statement is intended to serve as a guide for physicians, laboratory technicians and nurses who do not specialise in ultrasound or the diagnosis of chronic constipation.https://www.mdpi.com/2075-4418/12/2/300constipationfaecal retentionrectumultrasonography
spellingShingle Masaru Matsumoto
Noboru Misawa
Momoko Tsuda
Noriaki Manabe
Takaomi Kessoku
Nao Tamai
Atsuo Kawamoto
Junko Sugama
Hideko Tanaka
Mototsugu Kato
Ken Haruma
Hiromi Sanada
Atsushi Nakajima
Expert Consensus Document: Diagnosis for Chronic Constipation with Faecal Retention in the Rectum Using Ultrasonography
Diagnostics
constipation
faecal retention
rectum
ultrasonography
title Expert Consensus Document: Diagnosis for Chronic Constipation with Faecal Retention in the Rectum Using Ultrasonography
title_full Expert Consensus Document: Diagnosis for Chronic Constipation with Faecal Retention in the Rectum Using Ultrasonography
title_fullStr Expert Consensus Document: Diagnosis for Chronic Constipation with Faecal Retention in the Rectum Using Ultrasonography
title_full_unstemmed Expert Consensus Document: Diagnosis for Chronic Constipation with Faecal Retention in the Rectum Using Ultrasonography
title_short Expert Consensus Document: Diagnosis for Chronic Constipation with Faecal Retention in the Rectum Using Ultrasonography
title_sort expert consensus document diagnosis for chronic constipation with faecal retention in the rectum using ultrasonography
topic constipation
faecal retention
rectum
ultrasonography
url https://www.mdpi.com/2075-4418/12/2/300
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