지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 139 - 145 (7page)
이용수
초록· 키워드
오류제보하기
Chronic constipation (CC) is a common disorder in the elderly population globally and is associated with comorbidities and negative implications on the quality of life. Constipation prevalence varies in different studies, primarily owing to the nonuniformity of the diagnostic criteria. However, 15%–30% of individuals aged >60 years are diagnosed with CC. Primary care physicians are the main healthcare providers that manage constipation in elderly patients in parallel with increased population aging and increased prevalence of constipation. Physical inactivity, polypharmacy, chronic medical conditions, rectal hyposensitivity, and defecatory disorders all play a role in the pathogenesis of CC in elderly patients. Detailed anamnesis, particularly history related to chronic medication use, with digital rectal examination may assist in identifying constipation causes. Additionally, blood tests and colonoscopy may identify organic causes of CC. Physiologic tests (i.e., anorectal manometry, colonic transit time with radiopaque markers, and defecography) can evaluate the physiologic function of the colon, rectum, and anus. However, generally, there are several causes of constipation in older patients, and an individualized approach is recommended. Treatment of chronic idiopathic constipation is empiric, based on the stepwise approach. Lifestyle advice, adjustment of chronic medications, and prescription of laxatives are the first steps of management. Several laxatives are available, and the treatment is evolving in the last decade. Biofeedback is an effective therapy especially for defecatory disorders. This review aimed to summarize the most updated knowledge for primary care physicians in the approach and management of CC in elderly patients.
목차
등록된 정보가 없습니다.
참고문헌 (48)
참고문헌 신청
Pare P / 2001 / An epidemiological survey of constipation in canada : definitions, rates, demographics, and predictors of health care seeking / Am J Gastroenterol 96:3130~3137
Wald A / 2008 / A multinational survey of prevalence and patterns of laxative use among adults with self-defined constipation / Aliment Pharmacol Ther 28:917~930
Wald A / 2010 / Survey of laxative use by adults with self-defined constipation in South America and Asia : a comparison of six countries / Aliment Pharmacol Ther 31:274~284
Bouras EP / 2009 / Chronic constipation in the elderly / Gastroenterol Clin North Am 38:463~480
Drossman DA / 2016 / Rome IV-functional GI disorders : disorders of gut-brain interaction / Gastroenterology 150:1257~1261
Wald A / 2008 / A multinational survey of prevalence and patterns of laxative use among adults with self-defined constipation / Aliment Pharmacol Ther 28:917~930
Wald A / 2010 / Survey of laxative use by adults with self-defined constipation in South America and Asia : a comparison of six countries / Aliment Pharmacol Ther 31:274~284
Bouras EP / 2009 / Chronic constipation in the elderly / Gastroenterol Clin North Am 38:463~480
Drossman DA / 2016 / Rome IV-functional GI disorders : disorders of gut-brain interaction / Gastroenterology 150:1257~1261
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