Epidemiology and management of chronic constipation in elderly patients

Maria Vazquez Roque, Ernest P Bouras Gastroenterology and Hepatology Department, Mayo Clinic, Jacksonville, FL, USA Abstract: Constipation is a common functional gastrointestinal disorder, with prevalence in the general population of approximately 20%. In the elderly population the incidence of co...

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Autores principales:	Vazquez Roque M, Bouras EP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	constipation elderly pelvic floor dysfunction Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/ed75f9fa140a456e8fa061b702ffa6f7
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spelling	oai:doaj.org-article:ed75f9fa140a456e8fa061b702ffa6f72021-12-02T07:45:26ZEpidemiology and management of chronic constipation in elderly patients1178-1998https://doaj.org/article/ed75f9fa140a456e8fa061b702ffa6f72015-06-01T00:00:00Zhttps://www.dovepress.com/epidemiology-and-management-of-chronic-constipation-in-elderly-patient-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Maria Vazquez Roque, Ernest P Bouras Gastroenterology and Hepatology Department, Mayo Clinic, Jacksonville, FL, USA Abstract: Constipation is a common functional gastrointestinal disorder, with prevalence in the general population of approximately 20%. In the elderly population the incidence of constipation is higher compared to the younger population, with elderly females suffering more often from severe constipation. Treatment options for chronic constipation (CC) include stool softeners, fiber supplements, osmotic and stimulant laxatives, and the secretagogues lubiprostone and linaclotide. Understanding the underlying etiology of CC is necessary to determine the most appropriate therapeutic option. Therefore, it is important to distinguish from pelvic floor dysfunction (PFD), slow and normal transit constipation. Evaluation of a patient with CC includes basic blood work, rectal examination, and appropriate testing to evaluate for PFD and slow transit constipation when indicated. Pelvic floor rehabilitation or biofeedback is the treatment of choice for PFD, and its efficacy has been proven in clinical trials. Surgery is rarely indicated in CC and can only be considered in cases of slow transit constipation when PFD has been properly excluded. Other treatment options such as sacral nerve stimulation seem to be helpful in patients with urinary dysfunction. Botulinum toxin injection for PFD cannot be recommended at this time with the available evidence. CC in the elderly is common, and it has a significant impact on quality of life and the use of health care resources. In the elderly, it is imperative to identify the etiology of CC, and treatment should be based on the patient’s overall clinical status and capabilities. Keywords: pelvic floor dysfunction, constipation, elderly Vazquez Roque MBouras EPDove Medical Pressarticleconstipationelderlypelvic floor dysfunctionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 919-930 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	constipation elderly pelvic floor dysfunction Geriatrics RC952-954.6
spellingShingle	constipation elderly pelvic floor dysfunction Geriatrics RC952-954.6 Vazquez Roque M Bouras EP Epidemiology and management of chronic constipation in elderly patients
description	Maria Vazquez Roque, Ernest P Bouras Gastroenterology and Hepatology Department, Mayo Clinic, Jacksonville, FL, USA Abstract: Constipation is a common functional gastrointestinal disorder, with prevalence in the general population of approximately 20%. In the elderly population the incidence of constipation is higher compared to the younger population, with elderly females suffering more often from severe constipation. Treatment options for chronic constipation (CC) include stool softeners, fiber supplements, osmotic and stimulant laxatives, and the secretagogues lubiprostone and linaclotide. Understanding the underlying etiology of CC is necessary to determine the most appropriate therapeutic option. Therefore, it is important to distinguish from pelvic floor dysfunction (PFD), slow and normal transit constipation. Evaluation of a patient with CC includes basic blood work, rectal examination, and appropriate testing to evaluate for PFD and slow transit constipation when indicated. Pelvic floor rehabilitation or biofeedback is the treatment of choice for PFD, and its efficacy has been proven in clinical trials. Surgery is rarely indicated in CC and can only be considered in cases of slow transit constipation when PFD has been properly excluded. Other treatment options such as sacral nerve stimulation seem to be helpful in patients with urinary dysfunction. Botulinum toxin injection for PFD cannot be recommended at this time with the available evidence. CC in the elderly is common, and it has a significant impact on quality of life and the use of health care resources. In the elderly, it is imperative to identify the etiology of CC, and treatment should be based on the patient’s overall clinical status and capabilities. Keywords: pelvic floor dysfunction, constipation, elderly
format	article
author	Vazquez Roque M Bouras EP
author_facet	Vazquez Roque M Bouras EP
author_sort	Vazquez Roque M
title	Epidemiology and management of chronic constipation in elderly patients
title_short	Epidemiology and management of chronic constipation in elderly patients
title_full	Epidemiology and management of chronic constipation in elderly patients
title_fullStr	Epidemiology and management of chronic constipation in elderly patients
title_full_unstemmed	Epidemiology and management of chronic constipation in elderly patients
title_sort	epidemiology and management of chronic constipation in elderly patients
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/ed75f9fa140a456e8fa061b702ffa6f7
work_keys_str_mv	AT vazquezroquem epidemiologyandmanagementofchronicconstipationinelderlypatients AT bourasep epidemiologyandmanagementofchronicconstipationinelderlypatients
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Epidemiology and management of chronic constipation in elderly patients

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