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Management of the Patient with Constipation

Yıl 2017, Cilt: 5 Sayı: 2, 24 - 29, 05.02.2017

Öz

Abstarct

The most common is constipation gastrıntestinal complaints. The prevalence of constipation in western countries, the rate of 3-31%. the rate of functional constipation onwork done in our country has been 8.3%. The definition of constipation is done in recent years with roma 3 diagnostic criteria and the task force criteria. Constipation There are a lot of reasons. A good history and physical examination is very important in the management of constipation. Treatment  is recommended lifestyle changes and diet. In the groups responding to the treatment drug treatment and surgery may be considered.

Kaynakça

  • Kaynaklar 1.Pape P,Ferrazzi S,Thompson WG.et.al.An Epidomiological surveyof constipation in canada:definition,rates,demografics and predic-tors of health care seeking .AM J. Gastrenterol 2001;96:3130-7 2.Johanson JF, Kralstein J. Chronic Constipation :A survey of the pa-tient perspective .Aliment Fharmacol ther 2007;25:599-608 3.Talley NJ, O'Keefe EA, Zinsmeister AR, Melton LJ 3rd. Prevalenceof gastrointestinal symptoms in the elderly: a population-based study.Gastroenterology1992;102:895-901. 4.Kasap E, Bor S. Fonksiyonel barsak hastalığı prevalansı. Güncel Gas-troenteroloji 2006;10:165-8. 5.Benninga MA, Voskuijl WP, Taminiau JA. Childhood constipation:is there new light in the tunnel? J Pediatr Gastroenterol Nutr 2004;39: 448-464.. 6.Drossman DA, Li Z, Andruzzi E, et al. US householdersurvey of func-tional gastrointestinal disorders.Dig Dis Sci 1993; 38: 1569-80. 7.Johanson JF, Sonnenberg A, Koch TR. Clinical epidemiology of chro-nic constipation. J Clin Gastroenterol 1989;11:525-36. 8.Longstreth GF, Thompson WG, Chey WD, et al. Functional boweldisorders.Gastroenterology 2006;130:1480-91. 9.Harewood GC, Coulie B, Camilleri M, et al. Descendingperineumsyndrome: Audit of clinical and laboratory features and outcome ofpelvic floor retraining.Am J Gastroenterol 1999; 94: 126-30. 10.Rao SSC, Sun WM. Current techniques of assessingdefecationdynamics. Dig Dis Sci 1997; 15: 64-77 11.Schiller LR. Constipation and fecal incontinence in the elderly. Gas-troenterol Clin North Am 2001;30:497-515. 12.Fleshman JW. Functional colorectal disorders. In: Handbookof co-lorectal surgery, ed: Beck DE, Quality Medical Publishing, Inc. 1997,pp:198-216. 13.Schouten WR, Gordon PH. Constipation. In: Gordon PH, NivatvongsS, eds. Principles and Practice of Surgery for the Colon, Rectum andAnus. St. Louis, Missouri: Quality Medical Publishing, Inc.1999, pp1181-231. 14.Minguez M, Herreros B, Sanchiz V, et al. Predictive value of the bal-loon expulsion test for excluding the diagnosis of pelvic floor dyssyner-gia in constipation.Gastroenterology 2004; 126: 57-62. 15.Fleshman JW, Dreznik Z, Cohen E, Fry RD, Kodner IJ.Ballon expul-sion test facilitates diagnosis of pelvic floor outletobstruction due tononrelaxing puborectalis muscle. Dis ColonRectum 1992;35:1019-25. 16.Hinton JM, Lennard-Jones JE, Young AC. A new method for studyinggut transit times using radioopaque markers. Gut 1969;10:842-7. 17.Nam YS, Pikarsky AJ, Wexner SD, Singh JJ, Weiss EG, Nogueras JJ,et al. Reproducibility of colonic transit study in patients with chro-nic constipation. Dis Colon Rectum 2001;44:86-92. 18.Rao SS. Constipation: evaluation and treatment of colonic and anorec-tal motility disorders. Gastrointest Endosc Clin N Am 2009;19:117-39, 19.Dukas L, Willett WC, Giovannucci EL. Association between physi-cal activity,fiber intake, and other lifestyle variables and constipa-tion in a study of women. Am J Gastroenterol 2003;98:1790-6. 20.Burkitt Dp , Walker AR, Painter NS. Effect of dietary fibre onstoolsand transit-times, and its role in the causation ofdisease. Lancet1972;21:408-12. 21.Annells M, Koch T. Constipation and the preached trio: Diet, fluidintake, exercise. Int J Nurs Stud 2003;40: 843-52. 22.Rao SS, Seaton K, Miller M, et al. Randomized controlled trial of bio-feedback,sham feedback, and standard therapy for dyssynergic de-fecation.Clin Gastroenterol Hepatol 2007;5:331-8. 23.Amenta M, Cascio MT, Di Fiore P, Venturini I. Diet and chronic cons-tipation.Benefits of oral supplementation with symbiotic zir fos (Bi-fidobacterium longum W11 + FOS Actilight). Acta Biomed2006;77:157-62.

Konstipasyona Güncel Yaklaşım

Yıl 2017, Cilt: 5 Sayı: 2, 24 - 29, 05.02.2017

Öz

Öz

Kabızlık gastrointestinal sistemin en sık rastlanan yakınmasıdır. Batı ülkelerindeki ka-bızlık prevelansı % 3-31 oranındadır. Ülkemizde yapılan çalışmada fonksiyonel konstipasyon oranı % 8.3 bulunmuştur. Kabızlığın tanımı  son yıllarda roma 3 tanı kriterleri ve task force kriterleri ile yapılmaktadır. Kabızlığın bir cok nedeni vardır. Kabızlığın yönetiminde iyi bir öykü ve fizik muayene çok önemlidir. Tedavide ilk olarak yaşam tarzı değişiklikleri ve diyet önerilmektedir. Tedaviye cevap vermeyen gruplarda ilaç ve cerrahi tedavi düşünülebilir.


Kaynakça

  • Kaynaklar 1.Pape P,Ferrazzi S,Thompson WG.et.al.An Epidomiological surveyof constipation in canada:definition,rates,demografics and predic-tors of health care seeking .AM J. Gastrenterol 2001;96:3130-7 2.Johanson JF, Kralstein J. Chronic Constipation :A survey of the pa-tient perspective .Aliment Fharmacol ther 2007;25:599-608 3.Talley NJ, O'Keefe EA, Zinsmeister AR, Melton LJ 3rd. Prevalenceof gastrointestinal symptoms in the elderly: a population-based study.Gastroenterology1992;102:895-901. 4.Kasap E, Bor S. Fonksiyonel barsak hastalığı prevalansı. Güncel Gas-troenteroloji 2006;10:165-8. 5.Benninga MA, Voskuijl WP, Taminiau JA. Childhood constipation:is there new light in the tunnel? J Pediatr Gastroenterol Nutr 2004;39: 448-464.. 6.Drossman DA, Li Z, Andruzzi E, et al. US householdersurvey of func-tional gastrointestinal disorders.Dig Dis Sci 1993; 38: 1569-80. 7.Johanson JF, Sonnenberg A, Koch TR. Clinical epidemiology of chro-nic constipation. J Clin Gastroenterol 1989;11:525-36. 8.Longstreth GF, Thompson WG, Chey WD, et al. Functional boweldisorders.Gastroenterology 2006;130:1480-91. 9.Harewood GC, Coulie B, Camilleri M, et al. Descendingperineumsyndrome: Audit of clinical and laboratory features and outcome ofpelvic floor retraining.Am J Gastroenterol 1999; 94: 126-30. 10.Rao SSC, Sun WM. Current techniques of assessingdefecationdynamics. Dig Dis Sci 1997; 15: 64-77 11.Schiller LR. Constipation and fecal incontinence in the elderly. Gas-troenterol Clin North Am 2001;30:497-515. 12.Fleshman JW. Functional colorectal disorders. In: Handbookof co-lorectal surgery, ed: Beck DE, Quality Medical Publishing, Inc. 1997,pp:198-216. 13.Schouten WR, Gordon PH. Constipation. In: Gordon PH, NivatvongsS, eds. Principles and Practice of Surgery for the Colon, Rectum andAnus. St. Louis, Missouri: Quality Medical Publishing, Inc.1999, pp1181-231. 14.Minguez M, Herreros B, Sanchiz V, et al. Predictive value of the bal-loon expulsion test for excluding the diagnosis of pelvic floor dyssyner-gia in constipation.Gastroenterology 2004; 126: 57-62. 15.Fleshman JW, Dreznik Z, Cohen E, Fry RD, Kodner IJ.Ballon expul-sion test facilitates diagnosis of pelvic floor outletobstruction due tononrelaxing puborectalis muscle. Dis ColonRectum 1992;35:1019-25. 16.Hinton JM, Lennard-Jones JE, Young AC. A new method for studyinggut transit times using radioopaque markers. Gut 1969;10:842-7. 17.Nam YS, Pikarsky AJ, Wexner SD, Singh JJ, Weiss EG, Nogueras JJ,et al. Reproducibility of colonic transit study in patients with chro-nic constipation. Dis Colon Rectum 2001;44:86-92. 18.Rao SS. Constipation: evaluation and treatment of colonic and anorec-tal motility disorders. Gastrointest Endosc Clin N Am 2009;19:117-39, 19.Dukas L, Willett WC, Giovannucci EL. Association between physi-cal activity,fiber intake, and other lifestyle variables and constipa-tion in a study of women. Am J Gastroenterol 2003;98:1790-6. 20.Burkitt Dp , Walker AR, Painter NS. Effect of dietary fibre onstoolsand transit-times, and its role in the causation ofdisease. Lancet1972;21:408-12. 21.Annells M, Koch T. Constipation and the preached trio: Diet, fluidintake, exercise. Int J Nurs Stud 2003;40: 843-52. 22.Rao SS, Seaton K, Miller M, et al. Randomized controlled trial of bio-feedback,sham feedback, and standard therapy for dyssynergic de-fecation.Clin Gastroenterol Hepatol 2007;5:331-8. 23.Amenta M, Cascio MT, Di Fiore P, Venturini I. Diet and chronic cons-tipation.Benefits of oral supplementation with symbiotic zir fos (Bi-fidobacterium longum W11 + FOS Actilight). Acta Biomed2006;77:157-62.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler 1
Yazarlar

Doç. Dr. Kadim Bayan Bu kişi benim

Yayımlanma Tarihi 5 Şubat 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 5 Sayı: 2

Kaynak Göster

APA Bayan, D. D. K. (2017). Konstipasyona Güncel Yaklaşım. Klinik Tıp Bilimleri, 5(2), 24-29.
AMA Bayan DDK. Konstipasyona Güncel Yaklaşım. Klinik Tıp Bilimleri. Şubat 2017;5(2):24-29.
Chicago Bayan, Doç. Dr. Kadim. “Konstipasyona Güncel Yaklaşım”. Klinik Tıp Bilimleri 5, sy. 2 (Şubat 2017): 24-29.
EndNote Bayan DDK (01 Şubat 2017) Konstipasyona Güncel Yaklaşım. Klinik Tıp Bilimleri 5 2 24–29.
IEEE D. D. K. Bayan, “Konstipasyona Güncel Yaklaşım”, Klinik Tıp Bilimleri, c. 5, sy. 2, ss. 24–29, 2017.
ISNAD Bayan, Doç. Dr. Kadim. “Konstipasyona Güncel Yaklaşım”. Klinik Tıp Bilimleri 5/2 (Şubat 2017), 24-29.
JAMA Bayan DDK. Konstipasyona Güncel Yaklaşım. Klinik Tıp Bilimleri. 2017;5:24–29.
MLA Bayan, Doç. Dr. Kadim. “Konstipasyona Güncel Yaklaşım”. Klinik Tıp Bilimleri, c. 5, sy. 2, 2017, ss. 24-29.
Vancouver Bayan DDK. Konstipasyona Güncel Yaklaşım. Klinik Tıp Bilimleri. 2017;5(2):24-9.