Constipation in cancer patients – the management recommendations of the Expert Group of the Polish Association for Palliative Medicine

Wojciech Leppert; Tomasz Dzierżanowski; Andrzej Stachowiak; Aleksandra Ciałkowska-Rysz; Jadwiga Pyszkowska

eISSN: 2081-2833
ISSN: 2081-0016

Medycyna Paliatywna/Palliative Medicine

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3/2014
vol. 6

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abstract:

Review paper

Constipation in cancer patients – the management recommendations of the Expert Group of the Polish Association for Palliative Medicine

Wojciech Leppert

,

Tomasz Dzierżanowski

,

Andrzej Stachowiak

,

Aleksandra Ciałkowska-Rysz

,

Jadwiga Pyszkowska

Medycyna Paliatywna 2014; 6(3): 117–126

Online publish date: 2014/11/05

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In this article recommendations on the management of constipation in adult cancer patients were submitted based on the available literature review after search of PubMed and Medline databases with the following subheadings: “constipation”, “opioid-induced constipation”, “laxatives”, “opioid receptor antagonists”, “cancer” and “palliative care”. Authors’ own experience and drugs’ availability in Poland was taken into consideration in these recommendations. All authors expressed their own views on each recommendation using a 5-step scale: A – total approval, B – approval with any exception, C – approval with serious exception, D – disapproval with any exception, E – total disapproval. It should be emphasized that these recommendations are general and in each case they should be adjusted to a clinical condition and individual patients’ needs.

keywords:

Constipation in cancer patients – the management recommendations of the Expert Group of the Polish Association for Palliative Medicine

Wojciech Leppert , Tomasz Dzierżanowski , Andrzej Stachowiak , Aleksandra Ciałkowska-Rysz , Jadwiga Pyszkowska

constipation, laxatives, opioid-induced bowel dysfunction, opioid-induced constipation, opioid receptor antagonists

Wojciech Leppert

,

Tomasz Dzierżanowski

,

Andrzej Stachowiak

,

Aleksandra Ciałkowska-Rysz

,

Jadwiga Pyszkowska