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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Vogelsang, H; Pfeiffer, J; Moser, G.
Recommendations on Therapy for Chronic Constipation - Working Group for Functional Diagnosis and Psychosomatics of the Austrian Society of Gastroenterology and Hepatology
Z GASTROENTEROL. 2011; 49(2): 294-303.
Doi: 10.1055/s-0029-1245932
Web of Science
PubMed
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FullText_MUG
- Co-authors Med Uni Graz
- Pfeifer Johann
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- Abstract:
- Constipation is one of the most frequent gastroenterological problems, especially among elderly people. Chronic constipation is now defined by the new Rome III criteria. Life style counselling is usually only effective in early stages of disease and for mild types. In patients with constipation one should actively screen for possible causative, medically adverse events. Recently new effective opioid antagonists were introduced to act against constipation in patients on long-term opioid therapy. If these actions fail, medical therapy with polyethylene glycol or lactulose should be favoured in the long-term treatment. Psychodiagnostic queries concerning fear should be included in the diagnostic procedures. Biofeedback is an effective therapy in these cases and especially with pelvic floor dyssynergia. Surgical interventions are rarely indicated or successful with the exception of chronic outlet obstruction with severe anatomic changes.
© Georg Thieme Verlag KG Stuttgart · New York. - Find related publications in this database (using NLM MeSH Indexing)
- -
- Biofeedback, Psychology - methods
- Chronic Disease -
- Constipation - diagnosis Constipation - psychology Constipation - therapy
- Gastroenterology - standards
- Gastrointestinal Agents - therapeutic use
- Humans -
- Practice Guidelines as Topic -
- Find related publications in this database (Keywords)
- constipation
- opoid-induced
- PEG
- psychology
- surgery