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Consenso Latinoamericano de Estreñimiento Crónico / The Latin-American Consensus on Chronic Constipation aimed to establish guidelines to improve the identification, diagnosis and treatment of this disorder in the region. Two coordinators and an honorary coordinator established the process and the topics to be discussed, based on a systematic review
Schmulson Wasserman, Max; Francisconi, Carlos; Olden, Kevin; Aguilar Paíz, Luis; Bustos-Fernández, Luis; Cohen, Henry; Passos, Maria do Carmo; González-Martínez, Marina Alejandra; Iade, Beatriz; Iantorno, Guido; Ledesma Ginatta, Carlos; López-Colombo, Aurelio; Pérez, César Louis; Madrid-Silva, Ana María; Quilici, Flavio; Quintero Samudio, Isaac; Rodríguez Varón, Alberto; Suazo, Jorge; Valenzuela, Jorge; Zolezzi, Alberto.
Afiliação
  • Schmulson Wasserman, Max; Universidad Nacional Autónoma de México (UNAM). Hospital General de México. México
  • Francisconi, Carlos; Universidad Federal de Río Grande de Sul. Porto Alegre. Brasil
  • Olden, Kevin; Universidad de Arkansas para las Ciencias Médicas. Little Rock. Estados Unidos
  • Aguilar Paíz, Luis; Hospital Centro Médico. Ciudad de Guatemala. Guatemala
  • Bustos-Fernández, Luis; Hospital de Gastroenterología Carlos Bonorino Udaondo. Buenos Aires. Argentina
  • Cohen, Henry; Facultad de Medicina. Montevideo. Uruguay
  • Passos, Maria do Carmo; Universidad Federal de Minas de Gerais. Brasil
  • González-Martínez, Marina Alejandra; Hospital de Especialidades. Centro Médico Nacional Siglo XXI-IMSS. méxico
  • Iade, Beatriz; Universidad de la República del Uruguay. Clínica de Gastroenterología. Uruguay
  • Iantorno, Guido; Hospital de Gastroenterología Dr. Carlos Bonorino Udaondo. Buenos Aires. Argentina
  • Ledesma Ginatta, Carlos; Hospital Alcívar. Guayaquil. Ecuador
  • López-Colombo, Aurelio; Instituto Mexicano del Seguro Social. Puebla. México
  • Pérez, César Louis; Hospital Universitario de Caracas. Clínica Gastroenterológica. Caracas. Venezuela
  • Madrid-Silva, Ana María; Universidad de Chile. Hospital Clínico Universidad de Chile. Santiago. Chile
  • Quilici, Flavio; Facultad de Medicina de PUC. Campiñas. Brasil
  • Quintero Samudio, Isaac; Complejo Hospitalario Metropolitano CSS. Hospital San Fernando. Ciudad de Panamá. Panamá
  • Rodríguez Varón, Alberto; Pontificia Universidad Javeriana. Hospital Universitario San Ignacio. Bogotá. Colombia
  • Suazo, Jorge; Hospital del Valle. Centro de Enfermedades Digestivas. San Pedro Sula. Honduras
  • Valenzuela, Jorge; Universidad de Chile. Clínica Las Condes. Santiago. Chile
  • Zolezzi, Alberto; Universidad Ricardo Palma. Hospital María Auxiliadora. Lima. Perú
Gastroenterol. hepatol. (Ed. impr.) ; 31(2): 59-74, feb. 2008. ilus, tab
Article em Es | IBECS | ID: ibc-63632
Biblioteca responsável: ES15.1
Localização: ES15.1 - BNCS
ABSTRACT
The Latin-American Consensus on Chronic Constipation aimed to establish guidelines to improve the identification, diagnosis and treatment of this disorder in the region. Two coordinators and an honorary coordinator established the process and the topics to be discussed, based on a systematic review of the literature published in the previous 10 years, since 1995. Seventeen members participated with the support of their local gastroenterology societies. The members reviewed the different subjects based on the levels of evidence and grades of recommendation; the topics were then discussed in a plenary session. A written report was drafted and the coordinators prepared the final declarations to be submitted to a vote by all the members in October 2006. The consensus concluded that chronic constipation has an estimated prevalence of 5-21% in the region, with a female-to-male ratio of 3:1. Among individuals with constipation, 75% use some type of medication, with more than 50% using home remedies. A diagnosis based on Rome Criteria was recommended and diagnostic testing only in persons older than 50 years or with alarm symptoms. The use of barium enema as an initial investigation was recommended only in countries with a high prevalence of idiopathic megacolon or Chagas' disease. Recommendations on treatment included an increase in dietary fiber of up to 25-30 g/day (grade C). No evidence was found to recommend measures such as exercise, increased water intake, or frequent visits to the toilet. Fiber supplements such as Psyllium received a grade B and pharmacological treatments such as tegaserod and polyethylene glycol, both grade A. There was insufficient evidence to recommend lactulose, but the consensus did not disadvise its use when necessary. Complementary investigations such as colonic transit followed by anorectal manometry and defecography were only recommended to rule out colonic inertia and/or obstructive defecation in patients not responding to treatment. Biofeedback was recommended (grade B) for those with pelvic dyssynergia (AU)
Assuntos
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Coleções: 06-national / ES Base de dados: IBECS Assunto principal: Constipação Intestinal Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Humans Idioma: Es Revista: Gastroenterol. hepatol. (Ed. impr.) Ano de publicação: 2008 Tipo de documento: Article
Buscar no Google
Coleções: 06-national / ES Base de dados: IBECS Assunto principal: Constipação Intestinal Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Humans Idioma: Es Revista: Gastroenterol. hepatol. (Ed. impr.) Ano de publicação: 2008 Tipo de documento: Article