American Gastroenterological Association technical review on constipation.
American Gastroenterological Association technical review on constipation.
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DOI：
10.1053/j.gastro.2012.10.028
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发表时间：
2013-01
期刊：
影响因子：
29.4
通讯作者：
Locke GR 3rd
中科院分区：
文献类型：
--
作者：
Bharucha AE;Pemberton JH;Locke GR 3rd
便秘是一种非常常见的症状。受 15 年前上次技术审查以来多项进展的推动，1 本次更新将为便秘患者找到一种合理、有效且具有成本效益的治疗方法。为了实现这些目标，我们将主要从执业胃肠病学家的角度讨论便秘的流行病学、临床评估、诊断测试和治疗。儿童便秘和成人继发性便秘（例如，由于脊髓损伤）不会得到具体解决。本综述是通过更新之前的技术综述而编写的，材料来自最近关于慢性便秘的综述，2-4，并辅以同行评审、已发表研究的精选和重点文献检索。尽管建议是根据美国预防服务工作组 (USPSTF) 的评级进行分级，但尚未进行正式的成本效益分析。诊断方法的比较以及特异性和敏感性的精确估计也尚未发表。事实上，在某些情况下，个体诊断技术甚至还没有标准化。
Constipation is a very common symptom. Prompted by several advances since the last technical review 15 years ago, 1 this update will identify a rational, efficacious, and ideally cost-effective approach to patients with constipation. Toward those objectives, the epidemiology, clinical assessment, diagnostic testing, and management of constipation will be discussed, primarily from the perspective of a practicing gastroenterologist. Constipation in children and secondary constipation (eg, due to spinal cord injury) in adults will not be specifically addressed. This review was prepared by updating the previous technical review with material sourced from recent reviews on chronic constipation, 2–4 supplemented by selected and focused literature searches of peer-reviewed, published studies. Although recommendations are graded based on US Preventive Services Task Force (USPSTF) ratings, formal cost-effectiveness analyses have not been performed. Comparisons of diagnostic approaches, with precise estimates of specificity and sensitivities, also have not been published. Indeed, in some instances, individual diagnostic techniques have not even been standardized.
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影响因子：
3.9
作者：
Agachan, F;Pfeifer, J;Wexner, SD
通讯作者：
Wexner, SD
DOI：
10.1007/bf01889028
发表时间：
1988-01-01
期刊：
GASTROINTESTINAL RADIOLOGY
影响因子：
--
作者：
BARTRAM, CI;TURNBULL, GK;LENNARDJONES, JE
通讯作者：
LENNARDJONES, JE
影响因子：
9.8
作者：
Bharucha, Adil E.;Seide, Barbara M.;Melton, L. Joseph, III
通讯作者：
Melton, L. Joseph, III
影响因子：
29.4
作者：
Bharucha, AE;Fletcher, JG;Zinsmeister, AR
通讯作者：
Zinsmeister, AR
影响因子：
29.4
作者：
Andresen, Viola;Camilleri, Michael;Zinsmeister, Alan R.
通讯作者：
Zinsmeister, Alan R.