This article has been reviewed according to Science X's editorial process and policies. Editors have highlighted the following attributes while ensuring the content's credibility:

fact-checked

peer-reviewed publication

reputable news agency

proofread

Guidelines developed for treating chronic idiopathic constipation

Guidelines developed for treating chronic idiopathic constipation

In a clinical practice guideline issued by the American Gastroenterological Association and the American College of Gastroenterology, and published online May 19 in the American Journal of Gastroenterology and Gastroenterology, recommendations are presented for the pharmacologic treatment of chronic idiopathic constipation (CIC) in adults.

Lin Chang, M.D., from the David Geffen School of Medicine at the University of California in Los Angeles, and colleagues conducted systematic reviews relating to use of fiber, osmotic laxatives, stimulant laxatives, secretagogues, and serotonin type 4 agonists to provide evidence-based practice recommendations for treatment of CIC in adults.

The multidisciplinary guideline panel agreed on 10 recommendations for pharmacological management of CIC. These included strong recommendations for use of polyethylene glycol, sodium picosulfate, linaclotide, plecanatide, and prucalopride, based on moderate certainty of evidence. Conditional recommendations, based on low or very low certainty of evidence, were made for fiber supplementation, lactulose, senna, , and lubiprostone.

"The guidelines are meant to provide a framework for approaching the management of CIC," the authors write. "Clinical providers should engage in shared decision-making based on patient preferences as well as medication cost and availability."

Several authors disclosed ties to the pharmaceutical, , and other industries. Several authors hold patents, including for a rectal expulsion device.

More information: Lin Chang et al, American Gastroenterological Association-American College of Gastroenterology Clinical Practice Guideline: Pharmacological Management of Chronic Idiopathic Constipation, American Journal of Gastroenterology (2023). DOI: 10.14309/ajg.0000000000002227

Copyright © 2023 HealthDay. All rights reserved.

Citation: Guidelines developed for treating chronic idiopathic constipation (2023, May 25) retrieved 14 June 2024 from https://medicalxpress.com/news/2023-05-guidelines-chronic-idiopathic-constipation.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

Updated guideline recommends CBT or second-generation antidepressants for adults with major depressive disorder

4 shares

Feedback to editors