Review Article: GuidelinesClinical practice guidelines from the French National Society of Coloproctology in treating chronic constipationVitton, Veroniquea; Damon, Henric; Benezech, Albana; Bouchard, Dominiqued; Brardjanian, Sarahb; Brochard, Charlènee; Coffin, Benoitg,h; Fathallah, Nadiai; Higuero, Thierryl; Jouët, Paulinej; Leroi, Anne-Mariem; Luciano, Laureb; Meurette, Guillaumen; Piche, Thierryo; Ropert, Alainf; Sabate, Jean-Marck; Siproudhis, Laurente Author Information aGastroenterology Unit, North Hospital, AP-HM, Clinical Interface Unit CRN2M, UMR 7286, Aix-Marseille University bGastroenterology Unit, Military Hospital of Laveran, Marseille cPhysiological Digestive Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon dMedical and Surgical Unit of Coloproctology, Bagatelle Hospital, Talence eGastroenterology Unit, Pontchaillou Hospital, Rennes 1 University fPhysiological Digestive Unit, Rennes gAP-HP, Gastroenterology Unit, Louis Mourier Hospital, Colombes hDenis Diderot–Paris 7 University iProctological Unit, Hospital Group Paris Saint-Joseph, Léopold Bellan Institute jGastroenterology Unit Ambroise Paré Hospital kGastroenterology Service, Avicenne Hospital, Paris lGastroenterological Office, Beausoleil mPhysiological Digestive Unit, Charles Nicolle Hospital, Rouen nSurgical Digestive Clinic, CHU Nantes, Nantes oGastroenterology Unit, Nice, France Correspondence to Veronique Vitton, MD, Gastroenterology Unit, North Hospital, AP-HM, Clinical Interface Unit CRN2M, UMR 7286, Aix-Marseille University, Marseille 13915, France Tel: +33 491 965 598; fax: +33 491 965 108; e-mail: [email protected] European Journal of Gastroenterology & Hepatology 30(4):p 357-363, April 2018. | DOI: 10.1097/MEG.0000000000001080 Buy SDC Metrics Abstract Chronic constipation is a common symptom that regularly affects the quality of life of adult patients. Its treatment is mainly based on dietary rules, laxative drugs, perineal rehabilitation and surgical treatment. The French National Society of Coloproctology offers clinical practice recommendations on the basis of the data in the current literature, including those on recently developed treatments. Most are noninvasive, and the main concepts include the following: stimulant laxatives are now considered safe drugs and can be more easily prescribed as a second-line treatment; biofeedback therapy remains the gold standard for the treatment of anorectal dyssynergia that is resistant to medical treatment; transanal irrigation is the second-line treatment of choice in patients with neurological diseases, but it may also be proposed for patients without neurological diseases; and although interferential therapy may be a new promising treatment, it needs further evaluation. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.