ASGE guideline: Guideline on the use of endoscopy in the management of constipation

Waqar Qureshi, Douglas G. Adler, Raquel E. Davila, James Egan, William K. Hirota, Brian C. Jacobson, Jonathan A. Leighton, Elizabeth Rajan, Marc J. Zuckerman, Robert Fanelli, Jo Wheeler-Harbaugh, Todd H. Baron, Douglas O. Faigel

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

For the following points: (A), prospective controlled trials; (B), observational studies; (C), expert opinion. • Patients with constipation should undergo colonoscopy if they have rectal bleeding, heme-positive stool, iron deficiency anemia, weight loss, obstructive symptoms, recent onset of constipation, rectal prolapse, or change in stool caliber (C). • Chronic constipation may be a risk factor for colorectal cancer (B). For this reason, patients complaining of constipation who are over the age of 50 years and who have not previously had colon cancer screening should have a colonoscopy (C). • In younger patients flexible sigmoidoscopy may be adequate (C). • Colonoscopy allows dilation of benign colonic strictures in some patients (B).

Original languageEnglish (US)
Pages (from-to)199-201
Number of pages3
JournalGastrointestinal endoscopy
Volume62
Issue number2
DOIs
StatePublished - Aug 2005

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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