The Mexican consensus on chronic constipation

Remes-Troche, José María; Coss‐Adame, Enrique; López‐Colombo, Aurelio; Amieva-Balmori, Mercedes; Sánchez, Ramón Carmona; Guindic, Luis Charúa; Rendon, Ricardo Flores; Escudero, Octavio Gómez; Martínez, Melissa A.; Chávez, Mario Andrés González; Arámbula, M. Morales; Schmulson, Max; Cuesta, José Luis Tamayo de la; Valdovinos, Miguel A.; Elizondo, G. Vázquez

doi:10.1016/j.rgmxen.2018.05.012

Cited by 24 publications

(46 citation statements)

References 168 publications

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“…Similarly, patients with dyspepsia may report symptoms of constipation. This overlap is not as common as IBS, despite the fact that the prevalence of chronic idiopathic constipation in Latin America is approximately 14% 16 . Although less well studied than in IBS populations, patients with dyspepsia more commonly report symptoms of interstitial cystitis and fibromyalgia 17,18 .…”

Section: Step 3: Ask About Comorbid Conditionsmentioning

confidence: 99%

Making the diagnosis of functional dyspepsia

Lacy¹,

Cangemi²

2019

NGL

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Dyspepsia is a highly prevalent disorder of the upper gastrointestinal tract that affects up to 20% of the world's population over the course of the year. Risk factors for the development of dyspepsia include tobacco use, medications (e.g., anti-inflammatory agents), a previous gastrointestinal infection, and female gender. The pathophysiology of dyspepsia is complex, incompletely understood and likely varies from patient to patient. Patients with dyspepsia commonly report symptoms of epigastric pain, burning or discomfort, in addition to symptoms of early satiety, postprandial fullness, bloating, and nausea. Unfortunately, the classic symptoms of dyspepsia are quite non-specific, which means that clinicians need to be thorough, thoughtful, and logical in their diagnostic approach. Common etiologies of dyspepsia include Helicobacter pylori infection, gastritis, esophagitis, undiagnosed gastroesophageal reflux disease, peptic ulcer disease, and medication use/abuse. These etiologies account for approximately 20-25% of all cases of dyspepsia. However, the majority of dyspeptic patients, once investigated, do not have any evidence of an organic disorder and can be properly classified as having functional dyspepsia (FD). FD is defined by symptoms that have been present for at least 6 months and active within the past 3 months. The Rome IV criteria, in conjunction with a careful history and physical examination, can be used to accurately diagnose patients with FD. This review will use a case-based approach with a series of sequential key steps that will enable clinicians to accurately diagnose FD in a cost-effective manner.

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Section: Step 3: Ask About Comorbid Conditionsmentioning

confidence: 99%

Making the diagnosis of functional dyspepsia

Lacy¹,

Cangemi²

2019

NGL

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“…Although sufficient international evidence of the use of magnesium oxide in adults only recently became available, the experience gained from prescribing magnesium oxide to more than 10 million patients annually was only acknowledged in the Japanese guidelines. Magnesium salts, including magnesium hydroxide, are recommended in the guidelines of the American Gastroenterological Association, the Asian Neurogastroenterology and Motility Association, the Korean Society of Neurogastroenterology and Motility, the Mexican Association of Gastroenterology, the Italian Association of Hospital Gastroenterologists and the Italian Society of Colorectal Surgery, and the French Society of Gastroenterology [ 38 , 39 , 40 , 41 , 42 , 43 ]. However, due to low levels of evidence, the recommendation level in these guidelines is weak.…”

Section: Evidence Underpinning the Use Of Magnesium Oxidementioning

confidence: 99%

Magnesium Oxide in Constipation

2021

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Magnesium oxide has been widely used as a laxative for many years in East Asia, yet its prescription has largely been based on empirical knowledge. In recent years, several new laxatives have been developed, which has led to a resurgence in interest and increased scientific evidence surrounding the use of magnesium oxide, which is convenient to administer, of low cost, and safe. Despite these advantages, emerging clinical evidence indicates that the use of magnesium oxide should take account of the most appropriate dose, the serum concentration, drug–drug interactions, and the potential for side effects, especially in the elderly and in patients with renal impairment. The aim of this review is to evaluate the evidence base for the clinical use of magnesium oxide for treating constipation and provide a pragmatic guide to its advantages and disadvantages.

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“…The pathophysiological mechanisms of functional chronic constipation are multiple (they include motor and sensory alterations, dysbiosis, and structural and functional alterations of the pelvic floor) and frequently over-La "constipación" o estreñimiento crónico (CC o EC) es una de las patologías gastrointestinales más frecuentes a nivel mundial, y tiene un impacto negativo en la calidad de vida de los pacientes. 1 La prevalencia de EC puede variar de acuerdo con la etnia, el estilo de vida, la dieta, el uso de fármacos y los factores genéticos. La prevalencia media en adultos en la población general es del 16% y hasta 33,5% en adultos mayores.…”

Section: Chronic Constipation Current Concepts From Pathophysiology To Treatmentunclassified

“…10 Según su tiempo de presentación el estreñimiento puede considerarse de inicio "agudo" cuando tiene una evolución menor a una semana y "crónico" cuando los síntomas persisten por más de cuatro semanas. 1,8,9 De acuerdo con su origen el EC puede ser primario o secundario. 1,8 El estreñimiento "primario" es consecuencia de múltiples alteraciones fisiopatológicas (véase la siguiente sección), siendo las más importantes la alteración de la regulación colónica del movimiento de las heces, junto con la falta de coordinación del aparato neuromuscular anorrectal y la disfunción del eje cerebro-intestino.…”

Section: Chronic Constipation Current Concepts From Pathophysiology To Treatmentunclassified

Constipación crónica. Conceptos actuales desde la fisiopatología hasta el tratamiento

García-Zermeño¹

2021

Acta gastroenterol. latinoam.

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Chronic constipation is one of the most frequent gastrointestinal pathologies worldwide, and it negatively impacts the quality of life of patients. The objective of this narrative review is to present the most innovative and relevant information in relation to chronic constipation, from its pathophysiology to treatment. It is recognized that there are at least three subtypes of primary chronic constipation that are functional, that associated with irritable bowel and that related to evacuation disorders. It is considered that there are multiple causes of secondary chronic constipation, especially drugs and the entity called opioid-induced constipation is specifically detailed. The pathophysiological mechanisms of functional chronic constipation are multiple (they include motor and sensory alterations, dysbiosis, and structural and functional alterations of the pelvic floor) and frequently overlap. No test provides a complete description of defecation; therefore in general, a combination of these is generally used to assess motor and sensory structure and function. Advanced diagnostic studies of the function of the colon, rectum, and anus are recommended in patients with chronic constipation in whom the first-line treatment have failed. Regarding treatment, the usefulness of hygienic-dietary measures, exercise, fiber, the laxatives, the new drugs (such as prucalopride, lubiprostone, linaclotide, plecanatide), biofeedback therapy, probiotics, and other therapies fecal microbiota transplantation and surgery.

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The Mexican consensus on chronic constipation

Cited by 24 publications

References 168 publications

Making the diagnosis of functional dyspepsia

Making the diagnosis of functional dyspepsia

Magnesium Oxide in Constipation

Constipación crónica. Conceptos actuales desde la fisiopatología hasta el tratamiento

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