DIAGNOSIS AND MANAGEMENT OF CHRONIC IDIOPATHIC CONSTIPATION: A NARRATIVE REVIEW FROM A BRAZILIAN EXPERT TASK FORCE
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 guideline...
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| Format: | Article |
| Language: | English |
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Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)
2022-04-01
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| Series: | Arquivos de Gastroenterologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032022000100137&tlng=en |
| _version_ | 1811300217785417728 |
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| author | Maria do Carmo Friche PASSOS Ricardo Cerqueira ALVARIZ Eduardo Antonio ANDRÉ Ricardo Correa BARBUTI Henrique Sarubbi FILLMANN Sthela Maria MURAD-REGADAS Joffre REZENDE FILHO Marcos PERROTTI Luciana GUEDES |
| author_facet | Maria do Carmo Friche PASSOS Ricardo Cerqueira ALVARIZ Eduardo Antonio ANDRÉ Ricardo Correa BARBUTI Henrique Sarubbi FILLMANN Sthela Maria MURAD-REGADAS Joffre REZENDE FILHO Marcos PERROTTI Luciana GUEDES |
| author_sort | Maria do Carmo Friche PASSOS |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T06:47:53Z |
| format | Article |
| id | doaj.art-b0b1ff27195d4e16b308af998a1de676 |
| institution | Directory Open Access Journal |
| issn | 1678-4219 |
| language | English |
| last_indexed | 2024-04-13T06:47:53Z |
| publishDate | 2022-04-01 |
| publisher | Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE) |
| record_format | Article |
| series | Arquivos de Gastroenterologia |
| spelling | doaj.art-b0b1ff27195d4e16b308af998a1de6762022-12-22T02:57:31ZengInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)Arquivos de Gastroenterologia1678-42192022-04-0159113714410.1590/s0004-2803.202200001-23DIAGNOSIS AND MANAGEMENT OF CHRONIC IDIOPATHIC CONSTIPATION: A NARRATIVE REVIEW FROM A BRAZILIAN EXPERT TASK FORCEMaria do Carmo Friche PASSOShttps://orcid.org/0000-0002-5247-9477Ricardo Cerqueira ALVARIZhttps://orcid.org/0000-0002-6069-3836Eduardo Antonio ANDRÉhttps://orcid.org/0000-0002-7787-3841Ricardo Correa BARBUTIhttps://orcid.org/0000-0002-1910-119XHenrique Sarubbi FILLMANNhttps://orcid.org/0000-0002-6687-0856Sthela Maria MURAD-REGADAShttps://orcid.org/0000-0002-9905-6981Joffre REZENDE FILHOhttps://orcid.org/0000-0002-5599-1070Marcos PERROTTIhttps://orcid.org/0000-0003-4842-1552Luciana GUEDEShttps://orcid.org/0000-0002-8901-2600ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032022000100137&tlng=enChronic idiopathic constipationfunctional constipationdiagnosistreatment |
| spellingShingle | Maria do Carmo Friche PASSOS Ricardo Cerqueira ALVARIZ Eduardo Antonio ANDRÉ Ricardo Correa BARBUTI Henrique Sarubbi FILLMANN Sthela Maria MURAD-REGADAS Joffre REZENDE FILHO Marcos PERROTTI Luciana GUEDES DIAGNOSIS AND MANAGEMENT OF CHRONIC IDIOPATHIC CONSTIPATION: A NARRATIVE REVIEW FROM A BRAZILIAN EXPERT TASK FORCE Arquivos de Gastroenterologia Chronic idiopathic constipation functional constipation diagnosis treatment |
| title | DIAGNOSIS AND MANAGEMENT OF CHRONIC IDIOPATHIC CONSTIPATION: A NARRATIVE REVIEW FROM A BRAZILIAN EXPERT TASK FORCE |
| title_full | DIAGNOSIS AND MANAGEMENT OF CHRONIC IDIOPATHIC CONSTIPATION: A NARRATIVE REVIEW FROM A BRAZILIAN EXPERT TASK FORCE |
| title_fullStr | DIAGNOSIS AND MANAGEMENT OF CHRONIC IDIOPATHIC CONSTIPATION: A NARRATIVE REVIEW FROM A BRAZILIAN EXPERT TASK FORCE |
| title_full_unstemmed | DIAGNOSIS AND MANAGEMENT OF CHRONIC IDIOPATHIC CONSTIPATION: A NARRATIVE REVIEW FROM A BRAZILIAN EXPERT TASK FORCE |
| title_short | DIAGNOSIS AND MANAGEMENT OF CHRONIC IDIOPATHIC CONSTIPATION: A NARRATIVE REVIEW FROM A BRAZILIAN EXPERT TASK FORCE |
| title_sort | diagnosis and management of chronic idiopathic constipation a narrative review from a brazilian expert task force |
| topic | Chronic idiopathic constipation functional constipation diagnosis treatment |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032022000100137&tlng=en |
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