Zhonghua Wei Chang Wai Ke Za Zhi. 2024 Dec 25;27(12):1191-1201. doi: 10.3760/cma.j.cn441530-20241107-00367.
Chronic constipation is a common functional bowel disease, and its diagnosis is based on history and physical examination. Laboratory examination is important for determining the cause, type, severity and treatment effect of chronic constipation. At present, the commonly used workup of chronic constipation includes X-ray, magnetic resonance, pelvic floor ultrasound, neuroelectrophysiology and colorectal manometry, etc., which are recommended in many constipation diagnosis and treatment guidelines, but there has been no consensus on various examination indications, examination methods, judgment criteria and clinical value norms in detail. Led by the Anorectal Physicians Branch of the Chinese Medical Doctor Association, the editorial department of the Chinese Journal of Gastrointestinal Surgery convened domestic experts in related fields to summarize and sort out common laboratory examination methods for chronic constipation in combination with the latest evidence-based medical evidence at home and abroad, and conducted evidence quality assessment and recommendation strength classification according to the GRADE system. The Chinese Expert Consensus on the Examination and Evaluation of Chronic Constipation (2024 edition) was thus formed to help and guide the standardized examination in clinical practice and accurately interpret its clinical value.
慢性便秘是一种常见的功能性肠病，其诊断基于病史和体格检查。实验室检查对于确定慢性便秘的病因、类型、严重程度及治疗效果至关重要。目前，慢性便秘常用的检查方法包括X线、磁共振、盆底超声、神经电生理及结直肠测压等，这些检查在多个便秘诊疗指南中均有推荐，但对于各项检查的适应证、检查方法、判断标准及临床价值规范等细节尚无共识。由中国医师协会肛肠医师分会牵头，《中华胃肠外科杂志》编辑部组织国内相关领域专家，结合国内外最新循证医学证据，对慢性便秘常见实验室检查方法进行总结梳理，并按照GRADE系统进行证据质量评估和推荐强度分级，由此形成《慢性便秘的检查与评估中国专家共识（2024版）》，以助力和指导临床实践中的规范化检查并准确解读其临床价值。
