Patient with constipation syndrome at the ambulatory-polyclinic reception: actual aspects of diagnosis and treatment
https://doi.org/10.21518/1995-1477-2020-1-2-46-56
Abstract
An actual problem in surgical practice is paresis of the gastrointestinal tract, the main manifestation of which is constipation after surgical treatment. Treatment of postoperative gastrointestinal paresis, which is manifested primarily by constipation, should be comprehensive and, if necessary, patients are shown taking laxatives to stimulate bowel function.
Sodium picosulfate is one of the most commonly used and effective drugs, belongs to the group of synthetic stimulant laxatives. The above review noted the safety and effectiveness of sodium picosulfate for atonic constipation, for regulating stool (hemorrhoids, proctitis, anus cracks), for preparing for surgical operations, instrumental and radiological examinations.
The presence of picosulfate in the clinic and hospital surgeon’s arsenal makes it possible to optimize the drug therapy in surgical patients with constipation syndrome at the hospital and outpatient treatment stage.
About the Authors
E. N. Degovtsov
Omsk State Medical University
Russian Federation
Russian Federation
Evgeny N. Degovtsov, Dr. of Sci. (Med.), Associate Professor, Head of Chair for Hospital Surgery
12, Lenin St., Omsk, 644043, Russia
D. I. Trukhan
Omsk State Medical University
Russian Federation
Russian Federation
Dmitry I. Trukhan, Dr. of Sci. (Med.), Associate Professor, Professor of Chair for Internal Diseases and Outpatient Therapy
12, Lenin St., Omsk, 644043, Russia
V. A. Nikonenko
Regional Clinical Hospital
Russian Federation
Russian Federation
Vladimir A. Nikonenko, Head of Coloproctology Department, Honoured Doctor of the Russian Federation
3, Berezovaya St., Omsk, 644111, Russia
V. K. Kosenok
Omsk State Medical University
Russian Federation
Russian Federation
Victor K. Kosenok, Dr. of Sci. (Med.), Professor, Head of Chair for Oncology with Radiation Therapy Module
12, Lenin St., Omsk, 644043, Russia
References
1. Parfenov A.I. Constipation is an ongoing gastroenterological problem. Consilium medicum. Gastrojenterologija. 2011;(1): 64–68. (In Russ.) Available at: https://con-med.ru/magazines/gastroenterology/gastroenterology-01-2011/zapory_neprekhodyashchaya_gastroenterologicheskaya_problema/
2. Shemerovskii K.А. Issue of constipation: a chronophysiological approach. Vrach = The Doctor. 2011;(10):19–24. (In Russ.) Available at: https://elibrary.ru/item.asp?id = 16757899.
3. Trukhan D.I., Filimonov S.N. Differential diagnosis of major gastroenterological syndromes and symptoms. Moscow: Praktich- eskaja medicina; 2016. 168 p. (In Russ.) Available at: https://lettercan.at.ua/news/differencialnyj_diagnoz_osnovnykh_gastroehnterologicheskikh_sindromov_i_simptomov_trukhan_filimonov/2017-09-10-306.
4. Drossman D.A., Hasler W.L. Rome IV – Functional GI disorders: disorders of Gut-Brain interaction. Gastroenterology. 2016;150(6):1257–1261. doi: 10.1053/j.gastro.2016.03.035.
5. Lacy B.E., Patel N.K. Rome Criteria and a Diagnostic Approach to Irritable Bowel Syndrome. J Clin Med. 2017;6(11). pii: E99. doi: 10.3390/jcm6110099.
6. Tarasova L.V., Trukhan D.I. Bowel disease. Clinic manifestations, diagnosis and treatment. Saint Petersburg: SpetsLit; 2013. 144 p. (In Russ.) Available at: https://www.razym.ru/nauchmed/vnutri/321103-truhan-d-bolezni-kishechnika-klinika-diagnostika-i-lechenie-uchebnoe-posobie.html.
7. Trukhan D.I., Filimonov S.N. Bowel disease. Clinic manifestations, diagnosis and treatment. Novokuznetsk: Poligrafist; 2017. 223 p. (In Russ.) Available at: https://search.rsl.ru/ru/record/01009383746.
8. Tarasova L.V., Trukhan D.I. Acute abdomen in the general practitioner’s practice. Spravochnik poliklinicheskogo vracha = Outpatient doctor’s reference. 2014;(2):51-55. (In Russ.) Available at: https://con-med.ru/magazines/physician/physician-02-2014/ostryy_zhivot_v_praktike_vracha_terapevta/.
9. Trukhan D.I. Acute abdomen syndrome. Diagnostic algorithm. Meditsinskiy vestnik = Medical Herald. 2014;(26):18. (In Russ.) Available at: https://lib.medvestnik.ru/articles/Sindrom-ostryi-jivot-Algoritm-diagnostiki.html.
10. Levchenko S.V. Etiology and pathogenesis of diverticular disease of the colon. Ehksperimentalʹnaya i klinicheskaya gastroehnterologiya = Experimental & clinical gastroenterology. 2011;(2):93–96. (In Russ.) Available at: https://elibrary.ru/item.asp?id=15587878.
11. Trukhan D.I. Differential diagnosis of constipation. Spravochnik poliklinicheskogo vracha = Outpatient doctor’s reference. 2016;(2):4–7. (In Russ.) Available at: https://con-med.ru/magazines/physician/physician-2-2016/differentsialnaya_diagnostika_zapora/.
12. Rivkin V.L. Spravochnik poliklinicheskogo vracha = Outpatient doctor’s reference. 2009;(11):71–73. (In Russ.) Available at: https://con-med.ru/magazines/physician/physician-11-2009/ambulatornoe_obsledovanie_proktologicheskogo_bolnogo_/.
13. Rivkin V.L. Proctitis and paraproctitis. Spravochnik poliklinicheskogo vracha = Outpatient doctor’s reference. 2011;(11):54–56. (In Russ.) Available at: https://con-med.ru/magazines/physician/physician-11-2011/proktit_i_paraproktit/.
14. Wester T., Granström A.L. Hirschsprung disease-Bowel function beyond childhood. Semin Pediatr Surg. 2017;26(5):322–327. doi: 10.1053/j.sempedsurg.2017.09.008.
15. Kuznetsova I.V., Uspenskaya Yu.B. Bowel diseases and constipation in practice of the obstetrician and gynecologist. Rossiyskiy zhurnal gastroehnterologii, gepatologii, koloproktologii = Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2015;(1):30–36. (In Russ.) Available at: http://www.m-vesti.ru/arch/arch.html.
16. Titov A.Yu., Mudrov A.A. Features of the clinical picture and character of the functional disorders in patients with rectocele. Consilium Medicum. 2008;(8):143-147. (In Russ.) Available at: https://con-med.ru/magazines/consilium_medicum/consilium_medicum-08-2008/osobennosti_klinicheskoy_kartiny_i_kharakter_funktsionalnykh_narusheniy_u_bolnykh_rektotsele/.
17. Rivkin V.L. Colorectal surgery: traditions and innovations. Gastroehnterologiya. Khirurgiya. Intensivnaya terapiya/Consilium Medicum. = Gastroenterology. Surgery. Intensive care. Consilium Medicum. 2019;(1):70–73. doi: 10.26442/26583739.2019.1.180167.
18. Trukhan D.I., Tarasova L.V. The clinical symptoms, diagnostics and treatment of chronic duodenitis. Ehksperimentalʹnaya i klinicheskaya gastroehnterologiya = Experimental & clinical gastroenterology. 2012;(11):104–114. (In Russ.) Available at: https://elibrary.ru/item.asp?id=21589957.
19. Trukhan D.I., Viktorova I.A., Lyalyukova E.A. Diseases of the gallbladder and biliary tract. Saint Petersburg: SpetsLit; 2011. 127 p. (In Russ.) Available at: http://kingmed.info/knigi/Gastroenterologiya/book_4195/Bolezni_jelchnogo_puzirya_i_jelchevivodyashchih_putey-Truhan_DI_Viktorova_IA_Lyalyukova_EA-2016-fb2.
20. Trukhan D.I., Filimonov S.N., Tarasova L.V. Clinic manifestations, diagnosis and treatment of major diseases of liver and pancreas. Novokuznetsk: Poligrafist; 2013. 111 p. (In Russ.) Available at: https://elibrary.ru/item.asp?id=25762612.
21. Trukhan D.I., Filimonov S.N., Tarasova L.V. Clinic manifestations, diagnosis and treatment of major diseases of liver and pancreas. Novokuznetsk: Poligrafist; 2013. 111 p. (In Russ.) Available at: https://elibrary.ru/item.asp?id=25890388.
22. Stocchi F., Torti M. Constipation in Parkinson’s Disease. Int Rev Neurobiol. 2017;134:811–826. doi: 10.1016/bs.irn.2017.06.003.
23. Trukhan D.I., Goloshubina V.V., Trukhan L.Yu. Changes of the upper gastrointestinal tract in patients with diabetes mellitus: topical issues of diagnosis, treatment and management. Spravochnik poliklinicheskogo vracha = Outpatient doctor’s reference. 2014;(11):40–43. (In Russ.) Available at: https://con-med.ru/magazines/physician/physician-11-2014/izmeneniya_verkhnikh_otdelov_zheludochno_kishechnogo_trakta_u_patsientov_s_sakharnym_diabetom_aktual/.
24. Trukhan D.I., Viktorova I.A. Nephrology. Endocrinology. Hematology. Saint Petersburg: SpetsLit; 2017. 253 p. (In Russ.) Available at: https://fictionbook.ru/author/d_i_truhan/nefrologiya_yendokrinologiya_gematologiya/.
25. Uspenskaya J.B. A modern view on the problem of constipation during pregnancy. Ginekologiya = Gynaecology. 2012;(5):51–54. (In Russ.) Available at: https://con-med.ru/magazines/gynecology/gynecology-05-2012/sovremennyy_vzglyad_na_problemu_zapora_v_period_beremennosti/.
26. Mayev I., Andreev D., Dicheva D., Gurtovenko I. Risk of long-term use of laxatives. Vrach = The Doctor. 2014;(1):26–30. (In Russ.) Available at: https://elibrary.ru/item.asp?id=21238447.
27. Rao S.S., Rattanakovit K., Patcharatrakul T. Diagnosis and management of chronic constipation in adults. Nat Rev Gastroenterol Hepatol. 2016;13(5):295–305. doi: 10.1038/nrgastro.2016.53.
28. Ivashkin V.T., Mayev I.V., Sheptulin A.A., Trukhmanov A.S., Poluektova Y.A., Baranskaya Y.K., Shifrin O.S., Lapina T.L., Osipenko M.F., Simanenkov V.I., Khlynov I.B. Diagnostics and treatment of chronic constipation in adults: clinical guidelines of the Russian gastroenterological association. Rossiyskiy zhurnal gastroehnterologii, gepatologii, koloproktologii = Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2017;27(3):75–83. (In Russ.) doi: 10.22416/1382-4376-2017-27-3-75-83.
29. Barkun A., Chiba N., Enns R., Marcon M., Natsheh S., Pham C., Sadowski D., Vanner S. Commonly used preparations for colonoscopy: efficacy, tolerability, and safety – a Canadian Association of Gastroenterology position paper. Can J Gastroenterol. 2006;20(11):699–710. doi: 10.1155/2006/915368.
30. Atreja A., Nepal S., Lashner B.A. Making the most of currently available bowel preparations for colonoscopy. Cleve Clin J Med. 2010;77(5):317–326. doi: 10.3949/ccjm.77a.09122.
31. Skazyvaeva E.V., Lapinskiy I.V., Pushkina A.V., Avalueva E.B., Tkachenko E.I., Medvedeva O.I. Improving effectiveness of patients’ preparation to colonoscopy using combined scheme based on macrogol. Medicinskij alfavit = Medical alphabet. 2016;(5):10–14. (In Russ.) Available at: https://elibrary.ru/item.asp?id=28283227&.
32. Fomin V.S. Postoperative adynamic ileus: prevention and treatment. Farmateka = Pharmateca. 2018;(7):97–101. (In Russ.) doi: 10.18565/pharmateca.2018.7.97-101.
33. Trukhan D.I., Degovtsov E.N. Choice of analgesic in surgical practice: focus on ketorolac. Consilium Medicum. Khirurgiya = Consilium Medicum. Surgery. 2014;(2):51–54. (In Russ.) Available at: https://con-med.ru/magazines/surgery/surgery-02-2014/vybor_analgetika_v_khirurgicheskoy_praktike_vnimanie_na_ketorolak/
34. Müller-Lissner S. Constipation – pathophysiology, diagnostics, treatment. Dtsch Med Wochenschr. 2019;144(16):1145–1157. doi: 10.1055/a-0670-5209.
35. Gordon M., MacDonald J.K., Parker C.E., Akobeng A.K., Thomas A.G. Osmotic and stimulant laxatives for the management of childhood constipation. Cochrane Database Syst Rev. 2016;(8):CD009118. doi: 10.1002/14651858.CD009118.pub3.
36. Ford A.C., Suares N.C. Effect of laxatives and pharmacological therapies in chronic idiopathic constipation: systematic review and meta-analysis. Gut. 2011;60(2):209–218. doi: 10.1136/gut.2010.227132.
37. Cash B.D., Lacy B.E. Systematic review: FDA-approved prescription medications for adults with constipation. Gastroenterol Hepatol (NY). 2006;2(10):736–749. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358085/.
38. Plotnikova E.Y., Zolotukhina V.N., Gracheva T.Y. Place of stimulating laxatives in therapy of constipations. Meditsinskiy sovet = Medical Council. 2016;(17):100–105. (In Russ.) doi: 10.21518/2079-701X-2016-17-100-105.
39. Plotnikova E.Y., Krasnov K.A. Constipation needs to be treated. Meditsinskiy sovet = Medical Council. 2018;(14):61–66. (In Russ.) doi: 10.21518/2079-701X-2018-14-61-66.
40. Wulkow R., Vix J.M., Schuijt C., Peil H., Kamm M.A., Jordan C. Randomised, placebo-controlled, double-blind study to investigate the efficacy and safety of the acute use of sodium picosulphate in patients with chronic constipation. Int J Clin Pract. 2007;61(6):944–950. doi: 10.1111/j.1742-1241.2007.01374.x.
41. Mueller-Lissner S., Kamm M.A., Wald A., Hinkel U., Koehler U., Richter E., Bubeck J. Multicenter, 4-week, double-blind, randomized, placebo-controlled trial of sodium picosulfate in patients with chronic constipation. Am J Gastroenterol. 2010;105(4):897–903. doi: 10.1038/ajg.2010.41.
42. Kienzle-Horn S., Vix J.M., Schuijt C., Peil H., Jordan C.C., Kamm M.A. Comparison of bisacodyl and sodium picosulphate in the treatment of chronic constipation. Curr Med Res Opin. 2007;23(4):691–699. doi: 10.1185/030079907x178865.
43. Drozdov V.N., Karnouh K.I., Serebrova S.Y., Komissarenko I.A., Starodubtsev A.K. Possibilities of sodium picosulfate application in constipation pharmacotherapy in functional intestinal disorders. Meditsinskiy sovet = Medical Council. 2019;(3):92–97. (In Russ.) doi: 10.21518/2079701X-2019-3-92-97.
44. Bengtsson M., Ohlsson B. Retrospective study of long-term treatment with sodium picosulfate. Eur J Gastroenterol Hepatol. 2004;16(4):433–434. doi: 10.1097/00042737-200404000-00014.
45. Bengtsson M., Ohlsson B. Psychological well-being and symptoms in women with chronic constipation treated with sodium picosulphate. Gastroenterol Nurs. 2005;28(1):3–12. doi: 10.1097/00001610-200501000-00002.
46. Rossol S.Constipation in patients with diabetes mellitus. MMW Fortschr Med. 2007;149(44):39–42. doi: 10.1007/bf03365174.
47. Sas E.I., Grinevich V.B. Difficult patient. Management of resistant constipation. Meditsinskiy sovet = Medical Council. 2019;(14): 88–92. (In Russ.) doi: 10.21518/2079-701X-2019-14-88-92.
48. Friedrich C., Richter E., Trommeshauser D., de Kruif S., van Iersel T., Mandel K., Gessner U. Absence of excretion of the active moiety of bisacodyl and sodium picosulfate into human breast milk: an open-label, parallel-group, multiple-dose study in healthy lactating women. Drug Metab Pharmacokinet. 2011;26(5):458–464. doi: 10.2133/dmpk.dmpk-11-rg-007.
Review
For citations:
Degovtsov E.N., Trukhan D.I., Nikonenko V.A., Kosenok V.K. Patient with constipation syndrome at the ambulatory-polyclinic reception: actual aspects of diagnosis and treatment. Ambulatornaya khirurgiya = Ambulatory Surgery (Russia). 2020;(1-2):46-56. (In Russ.) https://doi.org/10.21518/1995-1477-2020-1-2-46-56
Views:
1785
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International.
Email this article 