Transcription of The American Society of Colon and Rectal Surgeons ...
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The American Society of Colon and Rectal Surgeons ...
CLINICAL PRACTICE GUIDELINES. The American Society of Colon and Rectal Surgeons '. Clinical Practice Guideline for the Evaluation and Management of Constipation Ian M. Paquette, Madhulika Varma, Charles Ternent, Genevieve Melton-Meaux, Janice F. Rafferty, Daniel Feingold, Scott R. Steele, T. he American Society of Colon and Rectal Surgeons for functional constipation include at least 2 of the fol- is dedicated to assuring high-quality patient care lowing symptoms during 25% of defecations: straining, by advancing the science, prevention, and manage- lumpy or hard stools, sensation of incomplete evacuation, ment of disorders and diseases of the Colon , rectum, and sensation of anorectal obstruction or blockage, relying on anus.
Anorectal physiology and colon transit investigations may help identify the underlying etiology and are useful in patients with refractory constipation. Grade of Recom-mendation: Strong recommendation based on low-qual-ity evidence, 1C in those patients who do not respond to basic treatments involving fiber supplementation and osmotic laxatives
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