20172008[1,2]36[2,3,4,5,6,7,8,9]11[3]2212[10]3[11][3]4[12]5[13]6[6]731[14,15]2[16,17]1231[2,18,19,20]X3dX206244872hX172h80%slowtransitconstipationSTCoutletobstructiveconstipationOOC2[21,22][23]3[24][25,26]4[27,28,29]5[30][31]6[32]50ml57[33]24~48h[34]8[35]11123OOCirritablebowelsyndromewithconstipationIBS-C2STCOOCOOCSTCOOC1STCOOCbf1cde2OOCacde1bf3STCOOC412[36][37]32h[38]4[39][40][41][42][43][44][45][46]elobixibatplecanatide5STC[47]6[48]7[49][50]1STCSTC[51]STC1[52,53]2[53,54,55,56][57]3STC[58,59]4STC[60]STCSTC[61]STC1[62]2[52]233[54,63,64]4OCC52~3STC[65,66]123245672OOCstapledtransanalrectalresectionSTARRprocedureforprolapseandhemorrhoidsPPH[67,68]1OOC23[6]STARRBresler[69]13cm23OOC4[66]STARRSTARROOC[70]puborectalissyndromePRSA123STCOOC