Evidence map›Paper›PMID 28643273›Full record

ReviewIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2017

Chronic constipation in Rome IV era: The Indian perspective.

Uday C Ghoshal

Abstract readReview
PubMed Publisher
In one paragraph

Review in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Trial
  3. High-resolution anorectal manometry profile in patients with chronic constipation versus control.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  4. Study of Types of Pathophysiologic Patterns of Chronic Constipation and Its Correlation With Clinical Features.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
  5. Article
  6. A simple four symptom-based BEDS score to predict dyssynergic defecation in patients with chronic constipation.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Observational
  7. Article
  8. Foods (Basel, Switzerland) · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Second Asian Consensus on Irritable Bowel Syndrome.Journal of neurogastroenterology and motility · 2019
    Review
  13. Clinical and anorectal manometry profile of patients with functional constipation and constipation-predominant irritable bowel syndrome.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019
    Article
  14. Article
  15. Lewy body constipation.Journal of the anus, rectum and colon · 2019
    Review
  16. Article
  17. Dyssynergic defecation: The not so hidden partner in constipation.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018
    Article
  18. Clinical predictors and gender-wise variations in dyssynergic defecation disorders.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018
    Article
  19. Dyssynergic defecation: Demographics, symptoms, colonoscopic findings in north Indian patients.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2017
    Article
  20. Clozapine-Related Constipation: A Retrospective Study.Indian journal of psychological medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Uday C GhoshalDepartment of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226 014, India. udayghoshal@gmail.com.
Sanjay Gandhi Post Graduate Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic constipation (CC) is a common problem in the community and in gastroenterology practice all over the world including India. After release of Rome IV guidelines in April 2016, there is increasing interest among gastroenterologists and physicians in India to look into special issues on CC in the Indian perspective. There are important differences in the bowel habit, definition, epidemiology, and pathophysiology including dietary factors and management of CC in India as compared to the West. As severity and frequency of abdominal pain, a symptom essential to diagnose constipation-predominant irritable bowel syndrome (IBS-C) rather than functional constipation (FC), is less common among Indian patients, FC is commoner than IBS-C in India. The pathophysiological mechanisms of CC may include slow colon transit, fecal evacuation disorder (FED), or a combination of these; though CC in a third to half of patients presenting to tertiary care facilities may result from these pathophysiological mechanisms, most patients presenting to primary care may have lifestyle and dietary issues. The current Rome IV algorithm dictates to explore the underlying physiological factors in the pathogenesis of functional gastrointestinal disorders including CC, which may translate to its personalized management. However, the availability of the methods to explore pathophysiological factors and manage CC caused by FED non-pharmacologically (using biofeedback) in India is limited. Though several pharmacological agents are available in India to manage CC, there are several unmet needs in its treatment. This review explores CC in India in relation to these issues, some of which are unique in the Indian perspective.

Indexed as

Practice Guidelines as TopicChronic DiseaseConstipationDefecationFeeding BehaviorGastrointestinal DiseasesGastrointestinal TransitHumansIndiaIrritable Bowel SyndromeLife StyleAsiaDefecationFunctional constipationFunctional gastrointestinal disordersIrritable bowel syndrome

Identifiers

PMID28643273
OpenAlexW2667854384

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.