Chronic idiopathic constipation in adults. Pathogenesis and treatment
Bouhnik, Y.; Coffin, B.; Rambaud, J.C.
Annales de Gastroenterologie et d'Hepatologie 32(2): 89-96
1996
ISSN/ISBN: 0066-2070 PMID: 8737504 Document Number: 456930
The purpose of this review article is to outline the main factors underlying adult chronic idiopathic constipation (colic substrates, bacterial fermentation, colic peristalsis, perineal anomalies and psychological factors) as well as readily available exploratory methods (colic transit time, anorectal manometry). A review is made of the various therapeutic possibilities, taking into account hygienico-dietetic and pharmacological treatments (mono- or multifactorial laxatives), biofeedback and psychological approaches. The main cases seen in clinical practice are described.