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KMID : 0882420160910020114
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Korean Journal of Medicine
2016 Volume.91 No. 2 p.114 ~ p.130
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Guidelines for the Diagnosis and Treatment of Chronic Functional Constipation in Korea, 2015 Revised Edition
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Shin Jeong-Eun
Jung Hye-Kyung
Lee Tae-Hee
Jo Yun-Ju
Lee Hyuk
Song Kyung-Ho
Hong Sung-Noh
Lim Hyun-Chul
Lee Soon-Jin
Chung Soon-Sup
Lee Joon-Seong
Rhee Poong-Lyul
Lee Kwang-Jae
Choi Suck-Chei
Shin Ein-Soon
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Abstract
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The Korean Society of Neurogastroenterology and Motility first published guidelines for chronic constipation in 2005 and was updated in 2011. Although the guidelines were updated using evidence-based process, they lacked multidisciplinary participation and did not include a diagnostic approach for chronic constipation. This study includes guidelines for diagnosis and treatment of chronic constipation to realistically fit the situation in Korea and to be applicable to clinical practice. The guideline development was based upon the adaptation method because research evidence was limited in Korea, and an organized multidisciplinary group carried out systematical literature review and series of evidence-based evaluations. Six guidelines were selected using the Appraisal of Guidelines for Research & Evaluation II process. A total 37 recommendations were adopted, including 4 concerning the definition and risk factors of chronic constipation, 8 regarding diagnoses, and 25 regarding treatments. The guidelines are intended to help primary physicians and general health professionals in clinical practice in Korea, to provide the principles of medical treatment to medical students, residents, and other healthcare professionals, and to help patients for choosing medical services based on the information. These guidelines will be updated and revised periodically to reflect new diagnostic and therapeutic methods.
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KEYWORD
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Adaptation, Constipation, Diagnosis, Guideline, Treatment
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