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Guidelines for the Diagnosis and Treatment of Chronic Functional Constipation in Korea, 2015 Revised Edition.

Shin JE, Jung HK, Lee TH, Jo Y, Lee H, Song KH, Hong SN, Lim HC, Lee SJ, Chung SS, Lee JS, Rhee PL, Lee KJ, Choi SC, Shin ES, Clinical Management Guideline Group under the Korean Society of Neurogastroenterology and Motili - J Neurogastroenterol Motil (2016)

Bottom Line: Six guidelines were selected using the Appraisal of Guidelines for Research & Evaluation (AGREE) II process.The guidelines are intended to help primary physicians and general health professionals in clinical practice in Korea, to provide the principles of medical treatment to medical students, residents, and other healthcare professionals, and to help patients for choosing medical services based on the information.These guidelines will be updated and revised periodically to reflect new diagnostic and therapeutic methods.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.

ABSTRACT
The Korean Society of Neurogastroenterology and Motility first published guidelines for chronic constipation in 2005 and was updated in 2011. Although the guidelines were updated using evidence-based process, they lacked multidisciplinary participation and did not include a diagnostic approach for chronic constipation. This article includes guidelines for diagnosis and treatment of chronic constipation to realistically fit the situation in Korea and to be applicable to clinical practice. The guideline development was based upon the adaptation method because research evidence was limited in Korea, and an organized multidisciplinary group carried out systematical literature review and series of evidence-based evaluations. Six guidelines were selected using the Appraisal of Guidelines for Research & Evaluation (AGREE) II process. A total 37 recommendations were adopted, including 4 concerning the definition and risk factors of chronic constipation, 8 regarding diagnoses, and 25 regarding treatments. The guidelines are intended to help primary physicians and general health professionals in clinical practice in Korea, to provide the principles of medical treatment to medical students, residents, and other healthcare professionals, and to help patients for choosing medical services based on the information. These guidelines will be updated and revised periodically to reflect new diagnostic and therapeutic methods.

No MeSH data available.


Related in: MedlinePlus

The Bristol Stool Form Scale.
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f3-jnm-22-383: The Bristol Stool Form Scale.

Mentions: Stool form according to the Bristol Stool Form Scale (BSFS) is a useful visual aid (Fig. 3).37 It uses simple visual illustration that is easily understood by patients, enabling them to recognize stool form and consistency. The BSFS is a reliable indicator of CTT38 and particularly useful in patients reporting some discrepancy between the frequency of bowel movements and stool hardness.26 Some patients complain of having constipation with a normal frequency of bowel movement and hard or lumpy stool, but in some cases, patients consider constipation to be having rare bowel movements with normal stool consistency. No correlation has been observed between stool frequency and measured transit in constipated or healthy adults.38 In constipated adults, stool form correlated well with colon transit, but this correlation was not detected in healthy controls. Thus, history taking pertaining to stool form is a simple and useful way to estimate CTT in constipated patients.


Guidelines for the Diagnosis and Treatment of Chronic Functional Constipation in Korea, 2015 Revised Edition.

Shin JE, Jung HK, Lee TH, Jo Y, Lee H, Song KH, Hong SN, Lim HC, Lee SJ, Chung SS, Lee JS, Rhee PL, Lee KJ, Choi SC, Shin ES, Clinical Management Guideline Group under the Korean Society of Neurogastroenterology and Motili - J Neurogastroenterol Motil (2016)

The Bristol Stool Form Scale.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4930295&req=5

f3-jnm-22-383: The Bristol Stool Form Scale.
Mentions: Stool form according to the Bristol Stool Form Scale (BSFS) is a useful visual aid (Fig. 3).37 It uses simple visual illustration that is easily understood by patients, enabling them to recognize stool form and consistency. The BSFS is a reliable indicator of CTT38 and particularly useful in patients reporting some discrepancy between the frequency of bowel movements and stool hardness.26 Some patients complain of having constipation with a normal frequency of bowel movement and hard or lumpy stool, but in some cases, patients consider constipation to be having rare bowel movements with normal stool consistency. No correlation has been observed between stool frequency and measured transit in constipated or healthy adults.38 In constipated adults, stool form correlated well with colon transit, but this correlation was not detected in healthy controls. Thus, history taking pertaining to stool form is a simple and useful way to estimate CTT in constipated patients.

Bottom Line: Six guidelines were selected using the Appraisal of Guidelines for Research & Evaluation (AGREE) II process.The guidelines are intended to help primary physicians and general health professionals in clinical practice in Korea, to provide the principles of medical treatment to medical students, residents, and other healthcare professionals, and to help patients for choosing medical services based on the information.These guidelines will be updated and revised periodically to reflect new diagnostic and therapeutic methods.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.

ABSTRACT
The Korean Society of Neurogastroenterology and Motility first published guidelines for chronic constipation in 2005 and was updated in 2011. Although the guidelines were updated using evidence-based process, they lacked multidisciplinary participation and did not include a diagnostic approach for chronic constipation. This article includes guidelines for diagnosis and treatment of chronic constipation to realistically fit the situation in Korea and to be applicable to clinical practice. The guideline development was based upon the adaptation method because research evidence was limited in Korea, and an organized multidisciplinary group carried out systematical literature review and series of evidence-based evaluations. Six guidelines were selected using the Appraisal of Guidelines for Research & Evaluation (AGREE) II process. A total 37 recommendations were adopted, including 4 concerning the definition and risk factors of chronic constipation, 8 regarding diagnoses, and 25 regarding treatments. The guidelines are intended to help primary physicians and general health professionals in clinical practice in Korea, to provide the principles of medical treatment to medical students, residents, and other healthcare professionals, and to help patients for choosing medical services based on the information. These guidelines will be updated and revised periodically to reflect new diagnostic and therapeutic methods.

No MeSH data available.


Related in: MedlinePlus