{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T13:57:29Z","timestamp":1790517449935,"version":"4.1.0"},"reference-count":21,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T00:00:00Z","timestamp":1575331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003329","name":"Spanish Ministry of Economy and Competitiveness","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003329","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cghjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Gastroenterology and Hepatology"],"published-print":{"date-parts":[[2020,10]]},"DOI":"10.1016\/j.cgh.2019.11.048","type":"journal-article","created":{"date-parts":[[2019,12,4]],"date-time":"2019-12-04T11:50:33Z","timestamp":1575460233000},"page":"2463-2470.e1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Correction of Dyssynergic Defecation, but Not Fiber Supplementation, Reduces Symptoms of Functional Dyspepsia in Patients With Constipation in a Randomized Trial"],"prefix":"10.1016","volume":"18","author":[{"given":"Jose-Walter","family":"Huaman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianela","family":"Mego","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvaro","family":"Bendez\u00fa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4740-3945","authenticated-orcid":false,"given":"Hugo","family":"Monrroy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Samino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Accarino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esteban","family":"Saperas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7327-960X","authenticated-orcid":false,"given":"Fernando","family":"Azpiroz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.cgh.2019.11.048_bib1","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1053\/j.gastro.2016.02.011","article-title":"Gastroduodenal disorders","volume":"150","author":"Stanghellini","year":"2016","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2019.11.048_bib2","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1053\/j.gastro.2016.02.014","article-title":"Development and validation of the Rome IV Diagnostic Questionnaire for Adults","volume":"150","author":"Palsson","year":"2016","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2019.11.048_bib3","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1111\/nmo.12520","article-title":"ANMS-ESNM position paper and consensus guidelines on biofeedback therapy for anorectal disorders","volume":"27","author":"Rao","year":"2015","journal-title":"Neurogastroenterol Motil"},{"key":"10.1016\/j.cgh.2019.11.048_bib4","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1080\/00365520410009348","article-title":"Responses of anal constipation to biofeedback treatment","volume":"40","author":"Fern\u00e1ndez-Fraga","year":"2005","journal-title":"Scand J Gastroenterol"},{"key":"10.1016\/j.cgh.2019.11.048_bib5","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1016\/S0016-5085(99)70006-5","article-title":"Gastric wall tension determines perception of gastric distension","volume":"116","author":"Distrutti","year":"1999","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2019.11.048_bib6","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1111\/j.1469-7793.1998.579bw.x","article-title":"Modulation of gut perception by spatial summation phenomena","volume":"506","author":"Serra","year":"1998","journal-title":"J\u00a0Physiol"},{"key":"10.1016\/j.cgh.2019.11.048_bib7","doi-asserted-by":"crossref","first-page":"1742","DOI":"10.1016\/0016-5085(95)90739-4","article-title":"Perception and reflex responses to intestinal distention in humans are modified by simultaneous or previous stimulation","volume":"109","author":"Serra","year":"1995","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2019.11.048_bib8","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1007\/BF01295908","article-title":"Voluntary suppression of defecation delays gastric emptying","volume":"38","author":"Tjeerdsma","year":"1993","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.cgh.2019.11.048_bib9","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1053\/j.gastro.2016.02.031","article-title":"Bowel disorders","volume":"150","author":"Lacy","year":"2016","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2019.11.048_bib10","doi-asserted-by":"crossref","DOI":"10.1053\/j.gastro.2016.02.009","article-title":"Functional anorectal disorders","author":"Rao","year":"2016","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2019.11.048_bib11","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1136\/gutjnl-2012-303013","article-title":"Anal gas evacuation and colonic microbiota in patients with flatulence: effect of diet","volume":"63","author":"Manichanh","year":"2014","journal-title":"Gut"},{"key":"10.1016\/j.cgh.2019.11.048_bib12","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1053\/j.gastro.2018.06.045","article-title":"Effects of prebiotics vs a diet low in fodmaps in patients with functional gut disorder","volume":"155","author":"Huaman","year":"2018","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2019.11.048_bib13","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/S0016-5085(98)70133-7","article-title":"Intestinal gas dynamics and tolerance in humans","volume":"115","author":"Serra","year":"1998","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2019.11.048_bib14","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.cgh.2006.12.023","article-title":"Randomized controlled trial of biofeedback, sham feedback, and standard therapy for dyssynergic defecation","volume":"5","author":"Rao","year":"2007","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.cgh.2019.11.048_bib15","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1097\/MCG.0b013e31820c6001","article-title":"Outcome of biofeedback therapy in dyssynergic defecation patients with and without irritable bowel syndrome","volume":"45","author":"Patcharatrakul","year":"2011","journal-title":"J\u00a0Clin Gastroenterol"},{"key":"10.1016\/j.cgh.2019.11.048_bib16","doi-asserted-by":"crossref","first-page":"267","DOI":"10.5056\/jnm18206","article-title":"High prevalence of slow transit constipation in patients with gastroparesis","volume":"25","author":"Zikos","year":"2019","journal-title":"J\u00a0Neurogastroenterol Motil"},{"key":"10.1016\/j.cgh.2019.11.048_bib17","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1053\/j.gastro.2005.11.014","article-title":"Biofeedback is superior to laxatives for normal transit constipation due to pelvic floor dyssynergia","volume":"130","author":"Chiarioni","year":"2006","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2019.11.048_bib18","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1080\/00365520410009348","article-title":"Responses of anal constipation to biofeedback treatment","volume":"40","author":"Fern\u00e1ndez-Fraga","year":"2005","journal-title":"Scand J Gastroenterol"},{"key":"10.1016\/j.cgh.2019.11.048_bib19","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1111\/nmo.12520","article-title":"ANMS-ESNM position paper and consensus guidelines on biofeedback therapy for anorectal disorders","volume":"27","author":"Rao","year":"2015","journal-title":"Neurogastroenterol Motil"},{"key":"10.1016\/j.cgh.2019.11.048_bib20","article-title":"Colonic content: effect of diet, meals, and defecation","volume":"29","author":"Bendezu","year":"2016","journal-title":"Neurogastroenterol Motil"},{"key":"10.1016\/j.cgh.2019.11.048_bib21","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1111\/nmo.12782","article-title":"Colonic content in health and its relation to functional gut symptoms","volume":"28","author":"Bendezu","year":"2016","journal-title":"Neurogastroenterol Motil"}],"container-title":["Clinical Gastroenterology and Hepatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1542356519313886?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1542356519313886?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T05:33:00Z","timestamp":1761543180000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1542356519313886"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":21,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["S1542356519313886"],"URL":"https:\/\/doi.org\/10.1016\/j.cgh.2019.11.048","relation":{},"ISSN":["1542-3565"],"issn-type":[{"value":"1542-3565","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Correction of Dyssynergic Defecation, but Not Fiber Supplementation, Reduces Symptoms of Functional Dyspepsia in Patients With Constipation in a Randomized Trial","name":"articletitle","label":"Article Title"},{"value":"Clinical Gastroenterology and Hepatology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cgh.2019.11.048","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 by the AGA Institute. Published by Elsevier, Inc.","name":"copyright","label":"Copyright"}]}}