Chronic Constipation
Abstract
Chronic constipation is a common condition that can be debilitating and difficult to treat. This review explains the physiologic processes involved in colonic transit and defecation. The evaluation of patients is summarized along with current strategies for clinical management.
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Dietary advice and increased fiber and liquid intake make constipation manageable, but with varied results.
“dietary advice and more frequent use of fibers and sufficient intake of liquids, make it a manageable condition [22], nevertheless with varied results”
A reduced number of giant migrating contractions in the colon has been reported in slow-transit constipation.
“A reduced number of giant, migrating contractions in the colon has been reported in slow-transit constipation,21”
From Principles and clinical implications of the brain-gut-enteric microbiota axis (2009) · cites this paper as [21]
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- Authors
- Lembo, A., & Camilleri, M.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Mayo Clinic (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2003-10-02
- Volume
- 349
- Issue
- 14
- Pages
- 1360-1368
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2611380183
- Cited by
- 692
- References
- 51
- Citations by year
- 2026: 17 · 2025: 11 · 2024: 21 · 2023: 25 · 2022: 23 · 2021: 21 · 2020: 42 · 2019: 33 · 2018: 24 · 2017: 31 · 2016: 46 · 2015: 41 · 2014: 35 · 2013: 28 · 2012: 34
- FWCI
- 4.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K24 DK02638, R01 DK-54681, K24DK002638, R01DK054681)
- National Center for Complementary and Integrative Health (R01AT001414)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Surgery › Congenital gastrointestinal and neural anomalies
- Keywords
- chronic constipation, colonic transit, defecation, constipation treatment
- MeSH terms
- Biofeedback, Psychology, Cathartics, Chronic Disease, Constipation, Defecation, Dietary Fiber, Humans, Manometry, Defecography
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