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| 1 | Consensus statement AIGO/SICCR diagnosis and treatment of chronic constipation and obstructed defecation(Part Ⅱ:Treatment)显示文摘The second part of the Consensus Statement of the Italian Association of Hospital Gastroenterologists and Italian Society of Colo-Rectal Surgery reports on the treatment of chronic constipation and obstructed defecation.There is no evidence that increasing fluid intake and physical activity can relieve the symptoms of chronic constipation.Patients with normal-transit constipation should increase their fibre intake through their diet or with commercial fibre.Osmotic laxatives may be effective in patients who do not respond to fibre supplements.Stimulant laxatives should be reserved for patients who do not respond to osmotic laxatives.Controlled trials have shown that serotoninergic enterokinetic agents,such as prucalopride,and prosecretory agents,such as lubiprostone,are effective in the treatment of patients with chronic constipation.Surgery is sometimes necessary.Total colectomy with ileorectostomy may be considered in patients with slow-transit constipation and inertia coli who are resistant to medical therapy and who do not have defecatory disorders,generalised motility disorders or psychological disorders.Randomised controlled trials have established the efficacy of rehabilitative treatment in dys-synergic defecation.Many surgical procedures may be used to treat obstructed defecation in patients with acquired anatomical defects,but none is considered to be the gold standard.Surgery should be reserved for selected patients with an impaired quality of life.Obstructed defecation is often associated with pelvic organ prolapse.Surgery with the placement of prostheses is replacing fascial surgery in the treatment of pelvic organ prolapse,but the efficacy and safety of such procedures have not yet been established. | Antonio Bove Massimo Bellini Edda Battaglia Renato Bocchini Dario Gambaccini Vincenzo Bove Filippo Pucciani Donato Francesco Altomare Giuseppe Dodi Guido Sciaudone Ezio Falletto Vittorio Piloni | 2012 | World Journal of Gastroenterology2012，18，36： | 33 |
| 2 | Consensus statement AIGO/SICCR:Diagnosis and treatment of chronic constipation and obstructed defecation(partⅠ:Diagnosis)显示文摘Chronic constipation is a common and extremely troublesome disorder that significantly reduces the quality of life,and this fact is consistent with the high rate at which health care is sought for this condition.The aim of this project was to develop a consensus for the diagnosis and treatment of chronic constipation and obstructed defecation.The commission presents its results in a 'Question-Answer' format,including a set of graded recommendations based on a systematic review of the literature and evidence-based medicine.This section represents the consensus for the diagnosis.The history includes information relating to the onset and duration of symptoms and may reveal secondary causes of constipation.The presence of alarm symptoms and risk factors requires investigation.The physical examination should assess the presence of lesions in the anal and perianal region.The evidence does not support the routine use of blood testing and colonoscopy or barium enema for constipation.Various scoring systems are available to quantify the severity of constipation;the Constipation Severity Instrument for constipation and the obstructed defecation syndrome score for obstructed defecation are the most reliable.The Constipation-Related Quality of Life is an excellent tool for evaluating the patient's quality of life.No single test provides a pathophysiological basis for constipation.Colonic transit and anorectal manometry define the pathophysiologic subtypes.Balloon expulsion is a simple screening test for defecatory disorders,but it does not define the mechanisms.Defecography detects structural abnormalities and assesses functional parameters.Magnetic resonance imaging and/or pelvic floor sonography can further complement defecography by providing information on the movement of the pelvic floor and the organs that it supports.All these investigations are indicated to differentiate between slow transit constipation and obstructed defecation because the treatments differ between these conditions. | Antonio Bove Filippo Pucciani Massimo Bellini Edda Battaglia Renato Bocchini Donato Francesco Altomare Giuseppe Dodi Guido Sciaudone Ezio Falletto Vittorio Piloni Dario Gambaccini Vincenzo Bove | 2012 | World Journal of Gastroenterology2012，18，14： | 20 |
| 3 | Lymph Node Recovery from Colorectal Tumor Specimens:Recommendation for a Minimum Number of Lymph Nodes to be Examined显示文摘 | Fabio Cianchi Annarita Palomba Vieri Boddi Luca Messerini Filippo Pucciani Giuliano Perigli Paolo Bechi Camillo Cortesini | 2002 | World Journal of Surgery2002，，3： | 2 |
| 4 | Preoperative Radiochemotherapy in T3 Operable Low Rectal Cancers: A Gold Standard?显示文摘 | Claudio Fucini Filippo Pucciani Claudio Elbetti Riccardo Gattai Antonio Russo | 2010 | World Journal of Surgery2010，，7： | 1 |
| 5 | Long-termambulatory enterogastric reflux monitoring validationof a new fiberoptic technique显示文摘 | BECHI P PUCCIANI F BALDINI F | 1993 | Dig Dis Sci1993，38，： | 1 |
| 6 | Lymph Node Recovery from Colorectal Tumor Specimens:Recommendation for a Minimum Number of Lymph Nodes to be Examined显示文摘 | Fabio Cianchi Annarita Palomba Vieri Boddi Luca Messerini Filippo Pucciani Giuliano Perigli Paolo Bechi Camillo Cortesini | 2002 | World Journal of Surgery2002，，： | 1 |
| 7 | Replica consistency in a data grid显示文摘 | Andrea Domenici Flavia Donno Gianni Pucciani | 2004 | Nuclear Instrument andMethods in Physics Research2004，534，： | 1 |
| 8 | Descending perineum syndrome:Are abdominal hysterectomy and bowel habits linked? 显示文摘 | Pucciani F Boni D Pema F | 2005 | Drs colon Rectum2005，48，11： | 1 |
| 9 | Long-term ambulatory enterogastric reflux monitoring显示文摘 | Bechi P Pucciani F Baldini F | 1993 | Dig Dis Sci1993，38，7： | 1 |
| 10 | Long term ambulatory enterogastric reflux monitoring-validation of a new fiberoptic tenichque显示文摘 | Bechi P Pucciani F Baldini F | 1993 | Dig Dis Sci1993，38，10： | 1 |
| 11 | Long-term results of Heller myotomy without an antireflux procedure in achalasic patients显示文摘 | Cortesini C Cianchi F Pucciani F | 2002 | Chir Ital2002，54，5： | 1 |
| 12 | Character of the invasive margin in colorectal cancer显示文摘 | Fabio Cianchi Luca Messerini Annarita Palomba Vieri Boddi Giuliano Perigli Filippo Pucciani Paolo Bechi Camillo Cortesini | 1997 | Diseases of the Colon & Rectum1997，，10： | 1 |
| 13 | A review on functional results of sphincter-saving surgery for rectal cancer: the anterior resection syndrome 显示文摘 | Pucciani F | 2013 | Updates Surg2013，65，： | 1 |
| 14 | Transverse loop colostomy and colonic motility显示文摘 | Pucciani F Ringressi MN Maltinti G | 2014 | Tech Coloproctol2014，18，11： | 1 |
| 15 | Obstructed defecation:the role of anorectal manometry显示文摘 | Pucciani F Ringressi MN | | 0，，01： | 1 |
| 16 | Faecal soiling: pathophysiology of postdefaecatory incontinence显示文摘 | Pucciani F | 2013 | Colorectal Dis2013，15，8： | 1 |
| 17 | Descending perineum syndrome:are abdominal hysterectomy and bowel habits linked? 显示文摘 | Pucciani F Boni D Perna F | 2005 | Dis Colon Rectum2005，48，11： | 1 |
| 18 | Appl Spectrosc显示文摘 | Bracci S Cosi F Bechi P Pucciani F | 1994 | 48:5491994，48，： | 1 |
| 19 | Replica consistency in a data grid 显示文摘 | Domenici A Donno F Pucciani G | 2004 | Nuclear Instruments and Methods in Physics Research2004，428，： | 1 |
| 20 | Pelvic floor dyssynergia and bimodal rehabilitation:results of combined pelviperineal kinesitherapy and biofeedback training显示文摘 | Pucciani F Rottoli ML Bologna A | 1998 | Int J Colorectal Dis1998，13，3： | 1 |
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