Shin Jeong Eun, Park Kyung Sik, Nam Kwangwoo
Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.
Korean J Gastroenterol. 2019 Feb 25;73(2):92-98. doi: 10.4166/kjg.2019.73.2.92.
Constipation is a common functional problem of the digestive system and may occur secondary to diet, drugs, endocrine diseases, metabolic diseases, neurological diseases, psychiatric disorders, or gastrointestinal obstruction. When there is no secondary cause, constipation is diagnosed as functional constipation. The first steps that should be taken to relieve symptoms are diet and lifestyle modifications, and if unsuccessful, laxative therapy should be initiated. If a patient does not respond to laxative therapy, diagnostic anorectal physiological tests are performed, though they are not routinely recommended. However, these tests may be considered earlier in patients strongly suspected to have a defecatory disorder. The revised guideline on the diagnosis and treatment of chronic constipation will undoubtedly aid the individualized management of chronic constipation in clinical practice.
便秘是消化系统常见的功能性问题，可能继发于饮食、药物、内分泌疾病、代谢疾病、神经疾病、精神障碍或胃肠道梗阻。当不存在继发原因时，便秘被诊断为功能性便秘。缓解症状应采取的首要措施是饮食和生活方式调整，若未成功，则应开始使用泻药治疗。如果患者对泻药治疗无反应，可进行诊断性肛门直肠生理检查，不过通常不建议常规进行此项检查。然而，对于高度怀疑有排便障碍的患者，可更早考虑进行这些检查。慢性便秘诊断和治疗的修订指南无疑将有助于临床实践中慢性便秘的个体化管理。
