P. Velio et G. Bassotti, CHRONIC IDIOPATHIC CONSTIPATION - PATHOPHYSIOLOGY AND TREATMENT, Journal of clinical gastroenterology, 22(3), 1996, pp. 190-196
Chronic constipation is common-in the general population, especially i
n women, in its idiopathic form. However, confusion still surrounds it
s definition, despite recent efforts to standardize it. Constipation c
an be divided in two large subgroups - normal transit and slow transit
. They have different pathophysiological bases still not completely un
derstood. Most patients respond to simple therapeutic measures aimed a
t correcting dietary fiber intake and lifestyle. Others, however, need
more aggressive treatment, including laxatives, psychological therapy
, and biofeedback. In a few patients with intractable constipation, su
rgery might be indicated to give relief.