Constipation

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Irritable bowel syndrome (IBS) is a common, chronic disorder that leads to decreased health-related quality of life and work productivity. Evidence-based treatment guidelines have not been able to give guidance on the effects of homeopathic treatment for IBS because no systematic reviews have been carried out to assess the effectiveness of homeopathic treatment for IBS. Two types of homeopathic treatment were evaluated in this systematic review. In clinical homeopathy a specific remedy is prescribed for a specific condition.

Author(s): 
Peckham, Emily J.
Nelson, E. Andrea
Greenhalgh, Joanne
Cooper, Katy
Roberts, E. Rachel
Agrawal, Anurag
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVES: The aim of this systematic review was to critically appraise published clinical trials designed to assess the effect of Traditional Chinese Medicine (TCM) on the management of constipation. METHODS: Databases searched included both English and non-English articles published in the Cochrane library, MEDLINE, CINAHL, AMED, EMBASE, China National Knowledge Infrastructure (CNKI), and the Chinese Electronic Periodical Services (CEPS). Studies reviewed included randomized controlled trials and controlled clinical trials.

Author(s): 
Lin, Li-Wei
Fu, Yuan-Tsung
Dunning, Trisha
Zhang, Anthony Lin
Ho, Tien-Hui
Duke, Maxine
Lo, Sing Kai
Publication Title: 
The American Journal of Chinese Medicine

This study was to evaluate the efficacy and safety of acupuncture for chronic functional constipation. Randomized controlled trials were searched in several databases. The primary outcome was a change in the number of weekly spontaneous bowel movements. The secondary outcomes included colonic transit activity, effective rate, Cleveland Clinic Score, and health-related quality of life score. Meta-analysis was done by using RevMan 5.1. After strict screening, 15 RCTs were included, containing 1256 participants. All of them were conducted in China and published in Chinese journals.

Author(s): 
Zhang, Tao
Chon, Tony Y.
Liu, Baoyan
Do, Alexander
Li, Guangxi
Bauer, Brent
Wang, Linpeng
Liu, Zhishun
Publication Title: 
Acupuncture in Medicine: Journal of the British Medical Acupuncture Society

OBJECTIVES: To assess the effectiveness of electroacupuncture (EA) relative to conventional medication in functional constipation (FC). DESIGN: Systematic review and meta-analysis. SETTING: To be included, studies needed to: (1) have been randomised controlled trials; (2) have recruited adult patients diagnosed with FC according to the Rome II/III criteria or the American Gastroenterological Association guideline for chronic FC; and (3) have randomised patients to be treated with EA or anti-constipation medication.

Author(s): 
Zhou, Sheng-Li
Zhang, Xiu-Lai
Wang, Jing-Hua
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Antipsychotic-related constipation is a common and serious adverse effect, especially for people taking clozapine. Clozapine has been shown to impede gastrointestinal motility, leading to constipation, and has been reported in up to 60% of patients receiving clozapine. In rare cases, complications can be fatal. Appropriate laxatives should be prescribed to treat constipation in people taking antipsychotics, but there is a lack of guidance on the comparative effectiveness and harms of different agents in this population.

Author(s): 
Every-Palmer, Susanna
Newton-Howes, Giles
Clarke, Mike J.
Publication Title: 
Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion

The clinical efficacy of acupuncture and moxibustion for post-stroke constipation was systematically reviewed. By computerized and manual retrieval of clinical research literature regarding acupuncture and moxibustion for post-stroke constipation, the randomized control trials (RCTs) that met the inclusive criteria were collected. Cochrane systematic review method was used and Revmen 5.2 software was adopted to perform this Meta analysis. Totally 8 articles were included, involving 610 cases of post-stroke constipation.

Author(s): 
Yang, Ji-Peng
Liu, Jing-Ying
Gu, Hong-Yan
Lv, Wen-Liang
Zhao, Hong
Li, Gui-Ping
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Postpartum constipation, with symptoms such as pain or discomfort, straining, and hard stool, is a common condition affecting mothers. Haemorrhoids, pain at the episiotomy site, effects of pregnancy hormones and haematinics used in pregnancy can increase the risk of postpartum constipation. Eating a high-fibre diet and increasing fluid intake is usually encouraged, although laxatives are commonly used in relieving constipation. The effectiveness and safety of available interventions for preventing postpartum constipation needs to be ascertained.

Author(s): 
Turawa, Eunice B.
Musekiwa, Alfred
Rohwer, Anke C.
Publication Title: 
BMJ open

INTRODUCTION: Functional constipation (FC) is a common gastrointestinal disease. Systematic reviews indicate that acupuncture may be effective for patients with FC. However, this conclusion is not convincing due to the quality, sample size and methodological heterogeneity of the studies included by these systematic reviews. Therefore, it is necessary for us to conduct a meta-analysis of individual patient data (IPD) from high-quality clinical trials to determine whether acupuncture is effective for patients with FC.

Author(s): 
Zheng, Qianhua
Zheng, Hui
Lu, Lingyun
Leng, Jincheng
Zhou, Siyuan
Zheng, Huabin
Huang, Wenjing
Liu, Zhishun
Zhu, Bing
Li, Ying
Publication Title: 
Schmerz (Berlin, Germany)

MATERIALS AND METHODS: To evaluate the evidence for clinically established pharmacological therapies for constipation in palliative care, a systematic literature review was performed in different databases (Cochrane Library, Embase, PubMed, Ovid MEDLINE, CINAHL), textbooks, and publications.

Author(s): 
Bader, S.
Weber, M.
Becker, G.
Publication Title: 
Journal of Psychosomatic Research
Author(s): 
Hall, W. H.
Herb, R. W.
Brady, J. P.
Brooks, F. P.

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