Skip to main content
  • 1253 Accesses

Zusammenfassung

Der Begriff »Obstipation« bezeichnet verschiedene Symptome und ist insofern unscharf. In Umfragen bezeichnen sich 10–20% der Bevölkerung als verstopft, aber nur ¼ von ihnen hat eine niedrige Stuhlfrequenz [Everhart 1989]. Einige Patienten befürchten schädliche Folgen durch die lange Verweildauer des Stuhls im Körper und sind tatsächlich durch die niedrige Stuhlfrequenz beunruhigt. Die meisten aber geben als Hauptbeschwerde ein abdominelles Unwohlsein an Tagen ohne Stuhlentleerung und/oder die Notwendigkeit zum heftigen Pressen zur Stuhlentleerung an.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Attar A, Lémann M, Ferguson A et al. (1999) Comparison of a low dose polyethylene glycol electrolyte solution with lactulose for treatment of chronic constipation. Gut 44: 226–230

    PubMed  Google Scholar 

  • Bleijenberg G, Kuijpers HC (1987) Treatment of the spastic pelvic floor syndrome with biofeedback. Dis Colon Rectum 30: 108–111

    PubMed  Google Scholar 

  • Bleijenberg G, Kuijpers HC (1994) Biofeedback treatment of constipation: a comparison of two methods. Am J Gastroenterol 89: 21–26

    Google Scholar 

  • Ekberg O, Mahieu PHG, Bartram CI, Piloni V (1990) Defaecography: dynamic radiological imaging in proctology. Gastroenterol Intl 3: 63–69

    Google Scholar 

  • Everhart JE, Go VLW, Johannes RS et al. (1989) A longitudinal survey of self-reported bowel habits in the United States. Dig Dis Sci 34: 1153–1162

    Article  PubMed  Google Scholar 

  • Francis CY, Whorwell P (1994) Bran and irritable bowel syndrome: time for reappraisal. Lancet 344: 39–40

    Article  PubMed  Google Scholar 

  • Gattuso JM, Kamm MA, Talbot IC (1997) Pathology of idiopathic megarectum and megacolon. Gut 41: 252–257

    PubMed  Google Scholar 

  • Gattuso JM, Kamm MA (1997A) Clinical features of idiopathic megarectum and idiopathic megacolon. Gut 41: 93–99

    PubMed  Google Scholar 

  • Kang YS, Kamm MA, Engel AF, Talbot IC (1996) Pathology of the rectal wall in solitary rectal ulcer syndrome and complete rectal prolapse. Gut 38: 587–590

    PubMed  Google Scholar 

  • Kawimbe BM, Papachrysostomou M, Binnie MR, Clare N, Smith AN (1991) Outlet obstruction constipation (anismus) managed by biofeedback. Gut 32: 1175–1179

    PubMed  Google Scholar 

  • Keck JO, Staniunas RJ, Coller JA et al (1994) Biofeedback training is useful in fecal incontinence but disappointing in constipation. Dis Colon Rectum 37: 1271–1276

    Article  PubMed  Google Scholar 

  • Klauser AG, Peyerl C, Schindlbeck NE, Müller-Lissner SA (1992) Nutrition and physical activity in chronic constipation. Eur J Gastroent Hepatol 4: 227–233

    Google Scholar 

  • Koch A, Voderholzer WA, Klauser AG, Müller-Lissner SA (1997) Symptoms in chronic constipation. Dis Colon Rectum 40: 902–906

    Article  PubMed  Google Scholar 

  • Levine DS (1987) »Solitary« rectal ulcer syndrome. Gastroenterology 92: 243–253

    PubMed  Google Scholar 

  • Koutsomanis D, Lennard-Jones JE, Kamm M (1994) Prospective study of biofeedback treatment for patients with slow transit and normal transit constipation. Eur J Gastroenterol Hepatol 6: 131–137

    Google Scholar 

  • Koutsomanis D, Lennard-Jones JE, Roy AJ, Kamm M (1995) Controlled randomised trial of visual biofeedback versus muscle training without a visual display for intractable constipation. Gut 37: 95–99

    PubMed  Google Scholar 

  • McKee RF, McEnroe L, Anderson JH, Finlay IG (1999) Identification of patients likely to benefit from biofeedback for outlet obstruction constipation. Brit J Surg 86: 355–359

    Article  PubMed  Google Scholar 

  • Müller-Lissner SA (1988) The effect of wheat bran on stool weight and gastrointestinal transit time. A metaanalysis. Br med J 296: 615–617

    Google Scholar 

  • Müller-Lissner SA (1992) Nebenwirkungen von Laxantien. Z Gastroenterol 30: 218–227

    Google Scholar 

  • Papachrysostomou M, Smith AN (1994) Effects of biofeedback on obstructive defecation — reconditioning of the defecation reflex? Gut 35: 252–256

    PubMed  Google Scholar 

  • Park UC, Choi SK, Piccirillo MF, Verzaro R, Wexner SD (1996) Patterns of anismus and the relation to biofeedback therapy. Dis Colon Rectum 39: 768–773

    Article  PubMed  Google Scholar 

  • Shorvon PJ, McHugh S, Diamant NE, Somers S, Stevenson GW (1989) Defecography in normal volunteers: results and implications. Gut 30: 1737–1749

    PubMed  Google Scholar 

  • Siproudhis L, Dautrème S, Ropert A et al. (1995) Anismus and biofeedback: who benefits? Eur J Gastroenterol Hepatol 7: 547–552

    PubMed  Google Scholar 

  • Thompson WG, Longstreth GF, Drossman DA et al. (1999) Functional bowel disorders and funtional abdominal pain. Gut: II43–II47

    Google Scholar 

  • Turnbull GK, Ritvo PG (1992) Anal sphincter biofeedback relaxation treatment for women with intractable constipation symptoms. Dis Colon Rectum 35: 530–536

    Article  PubMed  Google Scholar 

  • Voderholzer WA, Neuhaus DA, Klauser AG et al. (1997) Paradoxical sphincter contraction is rarely indicative of anismus. Gut 41: 258–262

    PubMed  Google Scholar 

  • Voderholzer WA, Schatke W, Mühldorfer BE et al. (1997A) Clinical response to dietary fiber treatment in chronic constipation. Am J Gastroenterol 92: 95–98

    PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

Müller-Lissner, S. (2005). Obstipation. In: Caspary, W.F., Mössner, J., Stein, J. (eds) Therapie gastroenterologischer Krankheiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-26660-7_46

Download citation

  • DOI: https://doi.org/10.1007/3-540-26660-7_46

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-44174-8

  • Online ISBN: 978-3-540-26660-0

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics