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colonic diseases https://www.rpr.lib.ok.us/taxonomy/term/2190/all en Management of Colonic Diverticulitis https://www.rpr.lib.ok.us/resource/management-colonic-diverticulitis <div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Date Added:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2020-10-21T00:00:00-05:00">October 21, 2020</span></div> </div> </div> <div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix"> <div class="field-label">Journal/Publication:&nbsp;</div> <div class="field-items"> <div class="field-item even">AHRQ Comparative Effectiveness Reviews</div> </div> </div> <div class="field field-name-field-artifact-publisher field-type-text field-label-inline clearfix"> <div class="field-label">Publisher:&nbsp;</div> <div class="field-items"> <div class="field-item even">AHRQ</div> </div> </div> <div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Publication Date:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2020-10-12T00:00:00-05:00">October 12, 2020</span></div> </div> </div> <div class="field field-name-field-artifact-volume field-type-text field-label-inline clearfix"> <div class="field-label">Volume:&nbsp;</div> <div class="field-items"> <div class="field-item even">233</div> </div> </div> <div class="field field-name-field-artifact-pages field-type-text field-label-inline clearfix"> <div class="field-label">Pages:&nbsp;</div> <div class="field-items"> <div class="field-item even">1-5</div> </div> </div> <div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix"> <div class="field-label">URL:&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="https://effectivehealthcare.ahrq.gov/system/files/cer-233-diverticulitis-evidence-summary.pdf" target="_blank">Management of Colonic Diverticulitis</a></div> </div> </div> <div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Type:&nbsp;</div> <div class="field-items"> <div class="field-item even">Meta-analyses, Reviews, and Guidelines</div> </div> </div> <div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Format:&nbsp;</div> <div class="field-items"> <div class="field-item even">Article</div> </div> </div> <div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix"> <div class="field-label">DOI (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">https://doi.org/10.23970/AHRQEPCCER233</div> </div> </div> <div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above"> <div class="field-label">Keywords&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/tags/diverticulitis" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Diverticulitis</a></div> <div class="field-item odd"><a href="/tags/colonic-diseases" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Colonic diseases</a></div> <div class="field-item even"><a href="/tags/treatment" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">treatment</a></div> <div class="field-item odd"><a href="/tags/diagnosis" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">diagnosis</a></div> </div> </div> <div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above"> <div class="field-label">MeSH&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/mesh/diverticulitis" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Diverticulitis</a></div> <div class="field-item odd"><a href="/mesh/colonic-diseases" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">colonic diseases</a></div> <div class="field-item even"><a href="/mesh/treatment" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Treatment</a></div> <div class="field-item odd"><a href="/mesh/diagnosis" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Diagnosis</a></div> </div> </div> <div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden"> <div class="field-items"> <div class="field-item even"><p>A concise summary of the evidence to date on the diagnosis and management of diverticulitis in adults.  James W. Mold, MD, MPH</p> </div> </div> </div> <div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden"> <div class="field-items"> <div class="field-item even">Free full text</div> </div> </div> <div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden"> <div class="field-items"> <div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-57e00d6c9707d4aebddf84532f3ea079"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <a href="https://effectivehealthcare.ahrq.gov/system/files/cer-233-diverticulitis-evidence-summary.pdf" class="btn btn-primary" target="_blank">View</a> </div> </div> </div></div> </div> </div> <div class="field field-name-body field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item even" property="content:encoded"><p>Not available</p> </div> </div> </div> <div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Author/s:&nbsp;</div> <div class="field-items"> <div class="field-item even">Balk, E.M., Adam, G.P., Cao, W., Bhuma, M.R., Mehta, S., Saldanha, Saldanha, I.J., Beland, M.D., Shah, N.</div> </div> </div> Wed, 21 Oct 2020 14:15:03 +0000 Carly Hughes 1344 at https://www.rpr.lib.ok.us Chronic Constipation https://www.rpr.lib.ok.us/resource/chronic-constipation-0 <div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Date Added:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-11-02T00:00:00-05:00">November 2, 2019</span></div> </div> </div> <div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix"> <div class="field-label">Journal/Publication:&nbsp;</div> <div class="field-items"> <div class="field-item even">Mayo Clinic Proceedings</div> </div> </div> <div class="field field-name-field-artifact-publisher field-type-text field-label-inline clearfix"> <div class="field-label">Publisher:&nbsp;</div> <div class="field-items"> <div class="field-item even">Mayo Foundation for Medical Education and Research</div> </div> </div> <div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Publication Date:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-11-01T00:00:00-05:00">November 1, 2019</span></div> </div> </div> <div class="field field-name-field-artifact-issue field-type-text field-label-inline clearfix"> <div class="field-label">Issue:&nbsp;</div> <div class="field-items"> <div class="field-item even">11</div> </div> </div> <div class="field field-name-field-artifact-volume field-type-text field-label-inline clearfix"> <div class="field-label">Volume:&nbsp;</div> <div class="field-items"> <div class="field-item even">94</div> </div> </div> <div class="field field-name-field-artifact-pages field-type-text field-label-inline clearfix"> <div class="field-label">Pages:&nbsp;</div> <div class="field-items"> <div class="field-item even">2340-2357</div> </div> </div> <div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix"> <div class="field-label">URL:&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="https://doi.org/10.1016/j.mayocp.2019.01.031" target="_blank">Chronic Constipation</a></div> </div> </div> <div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Type:&nbsp;</div> <div class="field-items"> <div class="field-item even">Meta-analyses, Reviews, and Guidelines</div> </div> </div> <div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Format:&nbsp;</div> <div class="field-items"> <div class="field-item even">Article</div> </div> </div> <div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix"> <div class="field-label">DOI (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">10.1016/j.mayocp.2019.01.031</div> </div> </div> <div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above"> <div class="field-label">Keywords&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/tags/chronic-constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">chronic constipation</a></div> <div class="field-item odd"><a href="/tags/constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">constipation</a></div> <div class="field-item even"><a href="/tags/laxatives" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">laxatives</a></div> <div class="field-item odd"><a href="/tags/opiod-induced-consitpation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">opiod-induced consitpation</a></div> </div> </div> <div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above"> <div class="field-label">MeSH&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/mesh/humans" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Humans</a></div> <div class="field-item odd"><a href="/mesh/laxatives" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">laxatives</a></div> <div class="field-item even"><a href="/mesh/constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">constipation</a></div> <div class="field-item odd"><a href="/mesh/physicians-primary-care" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">physicians, primary care</a></div> <div class="field-item even"><a href="/mesh/health-expenditures" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Health Expenditures</a></div> <div class="field-item odd"><a href="/mesh/gastroenterologists" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">gastroenterologists</a></div> <div class="field-item even"><a href="/mesh/narcotic-antagonists" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">narcotic antagonists</a></div> <div class="field-item odd"><a href="/mesh/analgesics-opioid" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">analgesics, opioid</a></div> <div class="field-item even"><a href="/mesh/colonic-diseases" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">colonic diseases</a></div> <div class="field-item odd"><a href="/mesh/biofeedback-psychology" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Biofeedback, Psychology</a></div> <div class="field-item even"><a href="/mesh/opiate-alkaloids" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Opiate Alkaloids</a></div> </div> </div> <div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden"> <div class="field-items"> <div class="field-item even"><p>This is a comprehensive review of the causes, evaluation, and treatment of chronic constipation.  James W. Mold, MD, MPH</p> </div> </div> </div> <div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden"> <div class="field-items"> <div class="field-item even">Commercial full text (fees may apply)</div> </div> </div> <div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden"> <div class="field-items"> <div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-98d2ea69494d73908031f0a8f2554b34"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <a href="https://doi.org/10.1016/j.mayocp.2019.01.031" class="btn btn-primary" target="_blank">View</a> </div> </div> </div></div> </div> </div> <div class="field field-name-body field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item even" property="content:encoded"><p>Constipation is a common symptom that may be primary (idiopathic or functional) or associated with a number of disorders or medications. Although most constipation is self-managed by patients, 22% seek health care, mostly to primary care physicians (&gt;50%) and gastroenterologists (14%), resulting in large expenditures for diagnostic testing and treatments. There is strong evidence that stimulant and osmotic laxatives, intestinal secretagogues, and peripherally restricted μ-opiate antagonists are effective and safe; the lattermost drugs are a major advance for managing opioid-induced constipation. Constipation that is refractory to available laxatives should be evaluated for defecatory disorders and slow-transit constipation using studies of anorectal function and colonic transit. Defecatory disorders are often responsive to biofeedback therapies, whereas slow-transit constipation may require surgical intervention in selected patients. Both efficacy and cost should guide the choice of treatment for functional constipation and opiate-induced constipation. Currently, no studies have compared inexpensive laxatives with newer drugs that work by other mechanisms.</p> </div> </div> </div> <div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Author/s:&nbsp;</div> <div class="field-items"> <div class="field-item even">Bharucha, AE, Wald, A</div> </div> </div> Sat, 02 Nov 2019 16:29:30 +0000 John Bayhi 821 at https://www.rpr.lib.ok.us Chronic Constipation https://www.rpr.lib.ok.us/resource/chronic-constipation <div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Date Added:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-05-13T00:00:00-05:00">May 13, 2019</span></div> </div> </div> <div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix"> <div class="field-label">Journal/Publication:&nbsp;</div> <div class="field-items"> <div class="field-item even">Mayo Clinic Proceedings</div> </div> </div> <div class="field field-name-field-artifact-publisher field-type-text field-label-inline clearfix"> <div class="field-label">Publisher:&nbsp;</div> <div class="field-items"> <div class="field-item even">Elsevier Inc.</div> </div> </div> <div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Publication Date:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-04-28T00:00:00-05:00">April 28, 2019</span></div> </div> </div> <div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix"> <div class="field-label">URL:&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=10.1016/j.mayocp.2019.01.031" target="_blank">Chronic Constipation</a></div> </div> </div> <div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Type:&nbsp;</div> <div class="field-items"> <div class="field-item even">Meta-analyses, Reviews, and Guidelines</div> </div> </div> <div class="field field-name-field-artifact-cme-credits field-type-text field-label-inline clearfix"> <div class="field-label">CME Credits:&nbsp;</div> <div class="field-items"> <div class="field-item even">1</div> </div> </div> <div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Format:&nbsp;</div> <div class="field-items"> <div class="field-item even">Article</div> </div> </div> <div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix"> <div class="field-label">DOI (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">10.1016/j.mayocp.2019.01.031</div> </div> </div> <div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above"> <div class="field-label">Keywords&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/tags/chronic-constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">chronic constipation</a></div> <div class="field-item odd"><a href="/tags/primary-care" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">primary care</a></div> </div> </div> <div class="field field-name-field-artifact-pmid-1 field-type-text field-label-inline clearfix"> <div class="field-label">PMID (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">31054770</div> </div> </div> <div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above"> <div class="field-label">MeSH&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/mesh/constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">constipation</a></div> <div class="field-item odd"><a href="/mesh/colonic-diseases" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">colonic diseases</a></div> <div class="field-item even"><a href="/mesh/physicians-primary-care" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">physicians, primary care</a></div> <div class="field-item odd"><a href="/mesh/laxatives" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">laxatives</a></div> <div class="field-item even"><a href="/mesh/gastroenterologists" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">gastroenterologists</a></div> </div> </div> <div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden"> <div class="field-items"> <div class="field-item even"><p>This is a comprehensive review of the diagnosis and management of chronic constipation from the Mayo Clinic. One hour of Category 1 CME credit is available for reading it and taking the online test.   James W. Mold, MD, MPH</p> </div> </div> </div> <div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden"> <div class="field-items"> <div class="field-item even">Commercial full text (fees may apply)</div> </div> </div> <div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden"> <div class="field-items"> <div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-e5d5ebe41c22eb76591aa9296f76a0b1"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <a href="https://www.mayoclinicproceedings.org/article/S0025-6196(19)30123-5/abstract" class="btn btn-primary" target="_blank">View</a> </div> </div> </div></div> </div> </div> <div class="field field-name-body field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item even" property="content:encoded"><p>Constipation is a common symptom that may be primary (idiopathic or functional) or associated with a number of disorders or medications. Although most constipation is self-managed by patients, 22% seek health care, mostly to primary care physicians (&gt;50%) and gastroenterologists (14%), resulting in large expenditures for diagnostic testing and treatments. There is strong evidence that stimulant and osmotic laxatives, intestinal secretagogues, and peripherally restricted μ-opiate antagonists are effective and safe; the lattermost drugs are a major advance for managing opioid-induced constipation. Constipation that is refractory to available laxatives should be evaluated for defecatory disorders and slow-transit constipation using studies of anorectal function and colonic transit. Defecatory disorders are often responsive to biofeedback therapies, whereas slow-transit constipation may require surgical intervention in selected patients. Both efficacy and cost should guide the choice of treatment for functional constipation and opiate-induced constipation. Currently, no studies have compared inexpensive laxatives with newer drugs that work by other mechanisms.</p> </div> </div> </div> <div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Author/s:&nbsp;</div> <div class="field-items"> <div class="field-item even">Bharucha, Adil E., Wald, Arnold</div> </div> </div> Mon, 13 May 2019 05:00:00 +0000 Tracy Ashby 544 at https://www.rpr.lib.ok.us