便秘：评估与管理
Constipation: Evaluation and Management.
作者信息
Jani Bhairvi, Marsicano Elizabeth
机构信息
Bhairvi Jani, MD, is a Fellow in the Division of Gastroenterology and Hepatology, Saint Louis University School of Medicine, St. Louis, Mo.
Elizabeth Marsicano, MD, is an Assistant Professor of Internal Medicine in the Division of Gastroenterology and Hepatology, Saint Louis University School of Medicine, St. Louis, Mo.
出版信息
Mo Med. 2018 May-Jun;115(3):236-240.
Abstract
Constipation is defined as the infrequent passage of stools or difficulty with evacuation of stools. Constipation can be classified as primary or secondary, and primary constipation can be further divided into slow transit constipation or outlet obstruction. The diagnostic workup involves focused lab tests and structural evaluation, followed by a therapeutic trial of fiber and laxatives, and finally, specialized tests. Treatment can consist of dietary changes, medications, physical therapy, and possibly surgery in refractory cases.
摘要
便秘的定义为排便次数减少或排便困难。便秘可分为原发性或继发性，原发性便秘可进一步分为慢传输型便秘或出口梗阻型便秘。诊断检查包括针对性的实验室检查和结构评估，随后进行纤维和泻药的治疗性试验，最后进行专门检查。治疗可包括饮食改变、药物治疗、物理治疗，难治性病例可能还需要手术治疗。
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