[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-456416-105":59,"doc-detail-456416-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","bali-chronic-constipation-roundtable-report-chronic-constipation-management-in-asia","Bali Chronic Constipation Roundtable Report - Chronic Constipation Management in Asia","","Chronic constipation is common yet frequently underdiagnosed across Asia, leading to reduced quality of life and increased pressure on healthcare systems. Barriers include cultural stigma, dietary diversity, and limited access to standardized diagnostic tools, resulting in delayed care and persistent under-reporting driven by taboos and self-treatment. A November 2024 Bali roundtable reviewed epidemiologic evidence, assessed multinational practice patterns via questionnaires, and discussed consensus recommendations. Key gaps include diagnostic criteria alignment, limited motility testing, uneven access to newer medications and biofeedback, and the need for education, region-specific research, and equitable implementation of guideline-based care.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/bali-chronic-constipation-roundtable-report-chronic-constipation-management-in-asia/456416/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/bali-chronic-constipation-roundtable-report-chronic-constipation-management-in-asia/456416.png","ImageObject",300,407,{"name":92,"@type":93},"Blue Pony","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is chronic constipation underdiagnosed across Asia?","Question",{"text":112,"@type":113},"Cultural stigma, varied diets, and limited access to standardized diagnostic tools delay timely care. Under-reporting is also reinforced by cultural taboos and frequent self-treatment.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What did the Bali Chronic Constipation Roundtable do?",{"text":117,"@type":113},"Held in November 2024, it gathered experts from 11 Asian countries to review epidemiological data, analyze multinational questionnaire results on clinical practice patterns, and conduct structured discussions to identify barriers and propose region-specific recommendations.",{"name":119,"@type":110,"acceptedAnswer":120},"What management gaps were highlighted for Asia?",{"text":121,"@type":113},"Diagnosis may be limited by scarce motility laboratories and Rome IV criteria not fully reflecting Asian symptom profiles. First-line options are broadly available, but second-line and novel therapies are costly and unevenly accessible, and biofeedback for dyssynergic defecation is underutilized due to limited availability.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},456416,1790820229,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":46,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":31,"preview_page_count":4},962090760266,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Original Article  \nJ Neurogastroenterol Motil 2026 January 32(1):109-128  \n[https://doi.org/10.5056/jnm25076](https://doi.org/10.5056/jnm25076)[ ](https://doi.org/10.5056/jnm25076)pISSN 2093-0879 eISSN 2093-0887  \nJNM  \nJournal of Neurogastroenterology and Motility  \nBali Chronic Constipation Roundtable Report: Chronic Constipation Management in Asia  \nYi Ping Ren,1 Wah Loong Chan,2,3 Kee Huat Chuah,2,3* Yong Sung Kim,4 Atsushi Nakajima,5 Sanjiv Mahadeva,3 Yeong Yeh Lee,6,7  \nAndrew S B Chua,8 Tao Bai,9 Ari Fahrial Syam,10 Chien-Lin Chen,11 Ching-Liang Lu,12,13 M. Masudur Rahman,14 Tanisa Patcharatrakul,15,16 Victoria Ping Y Tan,17 Dao Viet Hang,18 Xiaohua Hou,19 Yinglian Xiao,20 Justin Wu,21 Uday C Ghoshal,22 Hidekazu Suzuki,23  \nSutep Gonlachanvit,15,16 and Kewin T H Siah1,24*  \n1Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore; 2University Malaya Medical Centre, Pantai Dalam, Kuala Lumpur, Malaysia; 3Gastroenterology and Hepatology unit, Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia; 4Digestive Disease Research Institute, School of Medicine, Wonkwang University, Iksan, Jeonlabuk-do, Korea; 5Department of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Kanagawa, Japan; 6School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia; 7GI Function and Motility Unit, Hospital Pakar Universiti Sains Malaysia, Kota Bharu, Ipoh, Perak, Malaysia; 8Gastro Centre Ipoh, Ipoh, Perak, Malaysia; 9Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China; 10Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital, Jakarta, Indonesia; 11Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan; 12Endoscopy Center in Diagnosis and Treatment, Taipei Veterans General Hospital, Taipei City, Taiwan; 13Institute of Brain Science, National Yang Ming Chiao Tung University, Hsinchu, Taiwan; 14National Gastroliver Institute and Hospital, Dhaka, Bangladesh; 15Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand; 16Center of Excellence in Neurogastroenterology and Motility, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; 17Department of Medicine, The University of Hong Kong, Hong Kong SAR; 18Hanoi Medical University, Hanoi, Vietnam; 19Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China; 20First affiliated hospital, Sun Yat-sen University, Guangzhou, China; 21Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR; 22Institute of Gastrosciences & Liver Transplantation, Apollo Multispecialty Hospitals, Kolkata, India; 23Division of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan; and 24Yong Loo Lin School of Medicine, National University of Singapore, Singapore  \nBackground/Aims: Chronic constipation is prevalent yet under-diagnosed across Asia, compromising quality of life and burdening healthcare systems. Cultural stigma, varied diets, and limited access to standardized diagnostic tools delay timely care. Methods: The Bali Chronic Constipation Roundtable in November 2024, brought together experts from 11 Asian countries. The group reviewed epidemiological data, analyzed multinational questionnaire on clinical practice pattern, and conducted structured discussions to identify key barriers and propose region-specific recommendations.  \nResults: Chronic constipation prevalence varies across Asia, ranging from 1.8% in India to 16.6% in Japan, with women and the","cbCaiuirBAI5fBAQ","https://ap.wps.com/l/cbCaiuirBAI5fBAQ","pdf",1547867,"English","# Background/Aims\n# Methods\n# Results\n# Conclusions\n# Keywords","[{\"question\":\"Why is chronic constipation underdiagnosed across Asia?\",\"answer\":\"Cultural stigma, varied diets, and limited access to standardized diagnostic tools delay timely care. Under-reporting is also reinforced by cultural taboos and frequent self-treatment.\"},{\"question\":\"What did the Bali Chronic Constipation Roundtable do?\",\"answer\":\"Held in November 2024, it gathered experts from 11 Asian countries to review epidemiological data, analyze multinational questionnaire results on clinical practice patterns, and conduct structured discussions to identify barriers and propose region-specific recommendations.\"},{\"question\":\"What management gaps were highlighted for Asia?\",\"answer\":\"Diagnosis may be limited by scarce motility laboratories and Rome IV criteria not fully reflecting Asian symptom profiles. First-line options are broadly available, but second-line and novel therapies are costly and unevenly accessible, and biofeedback for dyssynergic defecation is underutilized due to limited availability.\"}]","Bali Chronic Constipation Roundtable Report - Chronic Constipation Management in Asia | PDF",1790745968]