Cofré L Pamela, Germain P Fernando, Medina L Luis, Orellana G Hernán, Suárez M Juan, Vergara A Teresa
Departamento de Gastroenterología, Hospital Naval Almirante Nef, Viña del Mar, Chile.
Rev Med Chil. 2008 Apr;136(4):507-16. Epub 2008 Jun 16.
Constipation affects 2% to 27% of individuals. It is associated to irritable bowel syndrome in 59% of cases, to a pelvic floor dysfunction in 29% and to a low transit time in 13%. During assessment of patients with constipation the effects of medications and chronic diseases must be discarded and the ideal is to determine which type of functional disorder it present. An algorithm for the management of chronic idiopathic constipation, that includes a recommendation to increase fiber and liquid intake as an initial approach and an orientation to the use of different laxatives, is presented. The usefulness of biofeedback in patients with pelvic floor dysfunction and without organic cause of constipation, is also discussed.
便秘影响2%至27%的人群。在59%的病例中，便秘与肠易激综合征相关，29%与盆底功能障碍相关，13%与传输时间减慢相关。在评估便秘患者时，必须排除药物和慢性疾病的影响，理想的做法是确定其存在哪种类型的功能障碍。本文提出了一种慢性特发性便秘的管理算法，其中包括建议增加纤维和液体摄入量作为初始方法，以及指导使用不同的泻药。文中还讨论了生物反馈疗法对盆底功能障碍且无便秘器质性病因患者的有效性。
