RT Journal Article
SR Electronic
T1 Constipation in ulcerative colitis: pathophysiology and practical management
JF Frontline Gastroenterology
JO Frontline Gastroenterol
FD BMJ Publishing Group Ltd
SP 493
OP 499
DO 10.1136/flgastro-2020-101566
VO 12
IS 6
A1 Charles Miller
A1 Anton Emmanuel
A1 Natalia Zarate-Lopez
A1 Stuart Taylor
A1 Stuart Bloom
YR 2021
UL http://fg.bmj.com/content/12/6/493.abstract
AB Clinical experience suggests that there is a cohort of patients with refractory colitis who do have faecal stasis that contributes to symptoms. The underlying physiology is poorly understood, partly because until recently the technology to examine segmental colonic motility has not existed. Patients are given little information on how proximal faecal stasis can complicate colitis. Treatment guidelines are scanty and many patients are offered little apart from laxatives and advice on increasing fibre intake, which often makes symptoms worse. This article aims to review the history, pathology and management, and create impetus for future research on this underappreciated condition.