Constipation diagnostic study of choice: Difference between revisions
Jump to navigation
Jump to search
(Created page with "__NOTOC__ {{Constipation}} {{CMG}}; {{AE}}{{EG}} ==Overview== When the stool is hard, infrequent, and requires significant effort to pass, you have constipation. The passage...") |
No edit summary |
||
| Line 5: | Line 5: | ||
==Overview== | ==Overview== | ||
[[Diagnostic study of choice]] for constipation is ROME III criteria. Rome III criteria includes [[symptom]] onset for more than 6 months and two or more number of specific [[symptoms]]. Specific constipation [[symptoms]] include straining, hard [[stool]], sensation of incomplete evacuation, sensation of [[obstruction]], necessitate of manual maneuvers, less than 3 [[Bowel movement|bowel movements]] per week, lack of loose stool, and lack of [[Irritable bowel syndrome|irritable bowel syndrome (IBS)]]. | |||
==Diagnostic Study of Choice== | ==Diagnostic Study of Choice== | ||
The diagnostic criteria based on the American Gastroenterological Association (AGA) | The [[diagnostic criteria]] based on the [[American Gastroenterological Association|American Gastroenterological Association (AGA)]]<ref name="pmid23261065">{{cite journal| author=Bharucha AE, Pemberton JH, Locke GR| title=American Gastroenterological Association technical review on constipation. | journal=Gastroenterology | year= 2013 | volume= 144 | issue= 1 | pages= 218-38 | pmid=23261065 | doi=10.1053/j.gastro.2012.10.028 | pmc=PMC3531555 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23261065 }} </ref>, Rome III criteria<ref name="Longstreth-2006">{{Cite journal | last1 = Longstreth | first1 = GF. | last2 = Thompson | first2 = WG. | last3 = Chey | first3 = WD. | last4 = Houghton | first4 = LA. | last5 = Mearin | first5 = F. | last6 = Spiller | first6 = RC. | title = Functional bowel disorders. | journal = Gastroenterology | volume = 130 | issue = 5 | pages = 1480-91 | month = Apr | year = 2006 | doi = 10.1053/j.gastro.2005.11.061 | PMID = 16678561 }}</ref> and pharmacologic studies based criteria<ref name="Lembo-2010">{{Cite journal | last1 = Lembo | first1 = AJ. | last2 = Kurtz | first2 = CB. | last3 = Macdougall | first3 = JE. | last4 = Lavins | first4 = BJ. | last5 = Currie | first5 = MG. | last6 = Fitch | first6 = DA. | last7 = Jeglinski | first7 = BI. | last8 = Johnston | first8 = JM. | title = Efficacy of linaclotide for patients with chronic constipation. | journal = Gastroenterology | volume = 138 | issue = 3 | pages = 886-95.e1 | month = Mar | year = 2010 | doi = 10.1053/j.gastro.2009.12.050 | PMID = 20045700 }}</ref> is as follows. | ||
{| class="wikitable" | {| class="wikitable" | ||
! Rome III criteria<ref name="pmid23261065">{{cite journal| author=Bharucha AE, Pemberton JH, Locke GR| title=American Gastroenterological Association technical review on constipation. | journal=Gastroenterology | year= 2013 | volume= 144 | issue= 1 | pages= 218-38 | pmid=23261065 | doi=10.1053/j.gastro.2012.10.028 | pmc=PMC3531555 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23261065 }} </ref><ref name="Longstreth-2006">{{Cite journal | last1 = Longstreth | first1 = GF. | last2 = Thompson | first2 = WG. | last3 = Chey | first3 = WD. | last4 = Houghton | first4 = LA. | last5 = Mearin | first5 = F. | last6 = Spiller | first6 = RC. | title = Functional bowel disorders. | journal = Gastroenterology | volume = 130 | issue = 5 | pages = 1480-91 | month = Apr | year = 2006 | doi = 10.1053/j.gastro.2005.11.061 | PMID = 16678561 }}</ref>!! Pharmacologic studies based criteria<ref name="pmid23261065">{{cite journal| author=Bharucha AE, Pemberton JH, Locke GR| title=American Gastroenterological Association technical review on constipation. | journal=Gastroenterology | year= 2013 | volume= 144 | issue= 1 | pages= 218-38 | pmid=23261065 | doi=10.1053/j.gastro.2012.10.028 | pmc=PMC3531555 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23261065 }} </ref><ref name="Lembo-2010">{{Cite journal | last1 = Lembo | first1 = AJ. | last2 = Kurtz | first2 = CB. | last3 = Macdougall | first3 = JE. | last4 = Lavins | first4 = BJ. | last5 = Currie | first5 = MG. | last6 = Fitch | first6 = DA. | last7 = Jeglinski | first7 = BI. | last8 = Johnston | first8 = JM. | title = Efficacy of linaclotide for patients with chronic constipation. | journal = Gastroenterology | volume = 138 | issue = 3 | pages = 886-95.e1 | month = Mar | year = 2010 | doi = 10.1053/j.gastro.2009.12.050 | PMID = 20045700 }}</ref> | ! Rome III criteria<ref name="pmid23261065">{{cite journal| author=Bharucha AE, Pemberton JH, Locke GR| title=American Gastroenterological Association technical review on constipation. | journal=Gastroenterology | year= 2013 | volume= 144 | issue= 1 | pages= 218-38 | pmid=23261065 | doi=10.1053/j.gastro.2012.10.028 | pmc=PMC3531555 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23261065 }} </ref><ref name="Longstreth-2006">{{Cite journal | last1 = Longstreth | first1 = GF. | last2 = Thompson | first2 = WG. | last3 = Chey | first3 = WD. | last4 = Houghton | first4 = LA. | last5 = Mearin | first5 = F. | last6 = Spiller | first6 = RC. | title = Functional bowel disorders. | journal = Gastroenterology | volume = 130 | issue = 5 | pages = 1480-91 | month = Apr | year = 2006 | doi = 10.1053/j.gastro.2005.11.061 | PMID = 16678561 }}</ref>!! Pharmacologic studies based criteria<ref name="pmid23261065">{{cite journal| author=Bharucha AE, Pemberton JH, Locke GR| title=American Gastroenterological Association technical review on constipation. | journal=Gastroenterology | year= 2013 | volume= 144 | issue= 1 | pages= 218-38 | pmid=23261065 | doi=10.1053/j.gastro.2012.10.028 | pmc=PMC3531555 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23261065 }} </ref><ref name="Lembo-2010">{{Cite journal | last1 = Lembo | first1 = AJ. | last2 = Kurtz | first2 = CB. | last3 = Macdougall | first3 = JE. | last4 = Lavins | first4 = BJ. | last5 = Currie | first5 = MG. | last6 = Fitch | first6 = DA. | last7 = Jeglinski | first7 = BI. | last8 = Johnston | first8 = JM. | title = Efficacy of linaclotide for patients with chronic constipation. | journal = Gastroenterology | volume = 138 | issue = 3 | pages = 886-95.e1 | month = Mar | year = 2010 | doi = 10.1053/j.gastro.2009.12.050 | PMID = 20045700 }}</ref> | ||
|- | |- | ||
| Symptom onset for | | '''''Symptom onset for ≥ 6 months and ≥ 2 of the following for the past 3 months:''''' | ||
* Straining during at least one-fourth of | * Straining during at least one-fourth of [[Defecation|defecations]] | ||
* Hard or lumpy stools in at least one-fourth of | * Hard or lumpy [[stools]] in at least one-fourth of [[Defecation|defecations]] | ||
* Sensation of incomplete evacuation for at least one-fourth of | * Sensation of incomplete evacuation for at least one-fourth of [[Defecation|defecations]] | ||
* Sensation of anorectal obstruction/blockade for at least one-fourth of | * Sensation of [[anorectal]] [[obstruction]]/blockade for at least one-fourth of [[Defecation|defecations]] | ||
* Manual maneuvers to facilitate at least one-fourth of | * Manual maneuvers to facilitate at least one-fourth of [[Defecation|defecations]] | ||
* <3 defecations | * < 3 [[Defecation|defecations]] per week | ||
* Without the use of laxatives, loose stools are rarely present | * Without the use of [[laxatives]], loose [[stools]] are rarely present | ||
* No sufficient criteria for irritable bowel syndrome | * No sufficient criteria for [[Irritable bowel syndrome|irritable bowel syndrome (IBS)]] | ||
|| Spontaneous bowel movements <3 per week and | || '''''Spontaneous bowel movements < 3 per week and ≥ 1 of the following for at least 12 weeks during the past 12 months:''''' | ||
* Straining during | * Straining during at least one-fourth of [[Defecation|defecations]] | ||
* | * Hard or lumpy [[stools]] in at least one-fourth of [[Defecation|defecations]] | ||
* Sensation of incomplete evacuation | * Sensation of incomplete evacuation for at least one-fourth of [[Defecation|defecations]] | ||
* Absence of loose stools or watery spontaneous bowel movements | * Absence of loose [[stools]] or watery spontaneous [[Bowel movement|bowel movements]] | ||
|- | |- | ||
|} | |} | ||
Revision as of 14:29, 13 December 2017
|
Constipation Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Constipation On the Web |
|
American Roentgen Ray Society Images of Constipation |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
Diagnostic study of choice for constipation is ROME III criteria. Rome III criteria includes symptom onset for more than 6 months and two or more number of specific symptoms. Specific constipation symptoms include straining, hard stool, sensation of incomplete evacuation, sensation of obstruction, necessitate of manual maneuvers, less than 3 bowel movements per week, lack of loose stool, and lack of irritable bowel syndrome (IBS).
Diagnostic Study of Choice
The diagnostic criteria based on the American Gastroenterological Association (AGA)[1], Rome III criteria[2] and pharmacologic studies based criteria[3] is as follows.
| Rome III criteria[1][2] | Pharmacologic studies based criteria[1][3] |
|---|---|
Symptom onset for ≥ 6 months and ≥ 2 of the following for the past 3 months:
|
Spontaneous bowel movements < 3 per week and ≥ 1 of the following for at least 12 weeks during the past 12 months:
|
References
- ↑ 1.0 1.1 1.2 Bharucha AE, Pemberton JH, Locke GR (2013). "American Gastroenterological Association technical review on constipation". Gastroenterology. 144 (1): 218–38. doi:10.1053/j.gastro.2012.10.028. PMC 3531555. PMID 23261065.
- ↑ 2.0 2.1 Longstreth, GF.; Thompson, WG.; Chey, WD.; Houghton, LA.; Mearin, F.; Spiller, RC. (2006). "Functional bowel disorders". Gastroenterology. 130 (5): 1480–91. doi:10.1053/j.gastro.2005.11.061. PMID 16678561. Unknown parameter
|month=ignored (help) - ↑ 3.0 3.1 Lembo, AJ.; Kurtz, CB.; Macdougall, JE.; Lavins, BJ.; Currie, MG.; Fitch, DA.; Jeglinski, BI.; Johnston, JM. (2010). "Efficacy of linaclotide for patients with chronic constipation". Gastroenterology. 138 (3): 886–95.e1. doi:10.1053/j.gastro.2009.12.050. PMID 20045700. Unknown parameter
|month=ignored (help)