Shin Jeong Eun, Jung Hye-Kyung, Lee Tae Hee, Jo Yunju, Lee Hyuk, Song Kyung Ho, Hong Sung Noh, Lim Hyun Chul, Lee Soon Jin, Chung Soon Sup, Lee Joon Seong, Rhee Poong-Lyul, Lee Kwang Jae, Choi Suck Chei, Shin Ein Soon
Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
J Neurogastroenterol Motil. 2016 Jul 30;22(3):383-411. doi: 10.5056/jnm15185.
The Korean Society of Neurogastroenterology and Motility first published guidelines for chronic constipation in 2005 and was updated in 2011. Although the guidelines were updated using evidence-based process, they lacked multidisciplinary participation and did not include a diagnostic approach for chronic constipation. This article includes guidelines for diagnosis and treatment of chronic constipation to realistically fit the situation in Korea and to be applicable to clinical practice. The guideline development was based upon the adaptation method because research evidence was limited in Korea, and an organized multidisciplinary group carried out systematical literature review and series of evidence-based evaluations. Six guidelines were selected using the Appraisal of Guidelines for Research & Evaluation (AGREE) II process. A total 37 recommendations were adopted, including 4 concerning the definition and risk factors of chronic constipation, 8 regarding diagnoses, and 25 regarding treatments. The guidelines are intended to help primary physicians and general health professionals in clinical practice in Korea, to provide the principles of medical treatment to medical students, residents, and other healthcare professionals, and to help patients for choosing medical services based on the information. These guidelines will be updated and revised periodically to reflect new diagnostic and therapeutic methods.
韩国神经胃肠病学与动力学会于2005年首次发布慢性便秘指南，并于2011年进行了更新。尽管这些指南是通过循证流程进行更新的，但缺乏多学科参与，且未纳入慢性便秘的诊断方法。本文包含慢性便秘的诊断和治疗指南，以切实符合韩国的实际情况并适用于临床实践。指南制定基于改编方法，因为韩国的研究证据有限，一个有组织的多学科小组进行了系统的文献综述和一系列循证评估。使用《研究与评价指南评估》（AGREE）II流程选择了六项指南。共采纳了37条建议，包括4条关于慢性便秘的定义和危险因素，8条关于诊断，25条关于治疗。这些指南旨在帮助韩国临床实践中的初级医师和普通健康专业人员，为医学生、住院医师和其他医疗保健专业人员提供医学治疗原则，并帮助患者根据信息选择医疗服务。这些指南将定期更新和修订，以反映新的诊断和治疗方法。
