Fang Zhixue, Huang Zhongcheng
Department of Colorectal and Anal Surgery, The First Affiliated Hospital of Hunan Normal University(The People's Hospital of Hunan Province), Changsha 410005, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2017 Dec 25;20(12):1342-1344.
Chronic constipation is one of the common diseases in clinic. For the complicated causes and pathophysiology, the overall efficacy is not satisfactory in the traditional medical model. Multidisciplinary-team (MDT) approach is a new team medical model, which is also an important systematic and modular medical approach. Treating patients with chronic constipation by multidisciplinary-team approach is an effective way to improve the overall efficacy. In diagnosis, MDT approach can get more accurate and explicit diagnosis and type of the constipation by gathering patients' detailed medical history, complete physical examination, laboratory and image test, patients' mental and nutritional condition. In treatment, MDT members can cooperate in various fields, such as basic research, medicine, physics, psychology, surgery and conversion therapy, and that may provides more thoughts and methods for the treatment of chronic constipation.
慢性便秘是临床上常见的疾病之一。由于其病因和病理生理过程复杂,在传统医疗模式下总体疗效并不理想。多学科团队(MDT)模式是一种新的团队医疗模式,也是一种重要的系统性、模块化医疗方法。采用多学科团队模式治疗慢性便秘患者是提高总体疗效的有效途径。在诊断方面,MDT模式通过收集患者详细的病史、全面的体格检查、实验室及影像学检查、患者的心理和营养状况,能够对便秘做出更准确、明确的诊断及分型。在治疗方面,MDT成员可在基础研究、医学、物理、心理、外科及转化治疗等各个领域展开协作,这可为慢性便秘的治疗提供更多思路和方法。