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Korean J Med > Volume 88(1); 2015 > Article
The Korean Journal of Medicine 2015;88(1): 15-21.
변비의 국소 치료: 관장과 좌약
김성은1, 신정은2, 홍경섭3, 이태희4, 이봉은5, 박선영6, 홍성노7, 정기욱8, 박경식9, 최석채10, 대한소화기기능성질환ㆍ운동학회 변비 및 항문직장기능 연구회
1이화여자대학교 의학전문대학원 내과학교실
2단국대학교 의과대학 내과학교실
3서울대학교 의과대학 내과학교실
4순천향대학교 의과대학 소화기연구소
5부산대학교 의과대학 내과학교실
6전남대학교 의과대학 내과학교실
7성균관대학교 의과대학 내과학교실
8울산대학교 의과대학 소화기내과학교실
9계명대학교 의과대학 내과학교실
10원광대학교 의과대학 내과학교실 및 소화기질환 연구소
Local Management of Constipation: Enemas, Suppositories
Seong-Eun Kim1, Jeong Eun Shin2, Kyoung Sup Hong3, Tae Hee Lee4, Bong Eun Lee5, Seon-Young Park6, Sung Noh Hong7, Kee Wook Jung8, Kyung Sik Park9, Suck Chei Choi10, Constipation Research Group of the Korean Society of Neurogastroenterology and Motility
1Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea
2Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea
3Department of Internal Medicine,Seoul National University College of Medicine, Seoul, Korea
4Institute for Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea
5Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
6Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
7Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea
8Department of Gastroenterology, University of Ulsan College of Medicine, Seoul, Korea
9Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
10Department of Internal Medicine and Digestive Disease Research Institute, Wonkwang University School of Medicine, Iksan, Korea
Corresponding Author: Jeong Eun Shin ,Tel: +82-41-556-3052, Fax: +82-41-556-3256, Email: dreun@dankook.ac.kr
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
The treatment for constipation should be individualized and dependent on the cause, coexisting morbidities, and patient’s cognitive status. Although most cases of constipation respond to conservative treatment, including dietary and life-style changes, or mild laxatives, some patients still complain of consistent symptoms and need an assessment of defecatory dysfunction. There is insufficient evidence to support the use of enemas in chronic constipation, although many clinicians and patients find them useful and effective for the treatment of fecal impaction when used with other modalities. In addition, suppositories can be considered as an initial trial for the treatment of defecatory dysfunction, since they help to initiate or facilitate rectal evacuation. The routine use of enemas is typically discouraged, especially sodium phosphate enemas, although tap-water enemas seem safe for more regular use. Soapsuds enemas are not recommended due to possible rectal mucosal damage.
Keywords: Constipation; Enema; Suppository
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