关键词: 便秘, 评估, 外科治疗, 指南

Abstract:

Understanding and thinking of Clinical Practice Guideline for the Evaluation and Management of Constipation(2016 edition) of the American Society of Colon and Rectal Surgeons        ZHENG Hui-chao, TIAN Yue, WANG Li，et al. Department of Gastric & Colorectal Division, General Surgery,Daping Hospital, Third Military Medical University ,Chongqing 400042, China
Corresponding author:TONG Weidong，E-mail: vdtong@163.com
Abstract    The American Society of colon and rectal surgeons (ASCRS) issued Clinical Practice Guideline for the Evaluation and Management of Constipation in 2016, this guideline is supplemented and updated on the basis of the clinical practice parameters for treatment of constipation published in 2007. Evaluation of constipation: the importance of medical history collection and physical examination was emphasized.  It was 1 types of recommended for the anorectal physiology ,colon transit investigations, defecography and other traditional inspection items. Nonoperative management of constipation: short term use of irritant laxatives and biofeedback therapy was recommended for 1 types of evidence. But for the application of stimulant laxatives ,we still maintain a cautious attitude. Surgical management of constipation:It was 1 types of recommendations for total abdominal colectomy with ileorectal anastomosis (TAC-IRA). An objective evaluation was also given for the subtotal total colectomy with cecorectal anastomosis and other anastomosis way. Treatment of rectocele surgery was 1B types of recommended. What is worth paying attention to is 1 types of recommendations for permanent colostomy as a final option for patients with intractable constipation who were ineffective in current treatments, In general, the guidelines focus on the universality and inclusiveness of the content, providing useful information for clinical decision-making, rather than focusing on specific treatment methods.

Key words: constipation, evaluation, surgical treatment, guidelines