Slow transit constipation

Slow transit constipation is a clinical syndrome characterized by constipat ion and delayed colonic transit and is probably attributable to ineffective colonic propulsion. This syndrome may be associated with pelvic floor dysf unction. Although the etiology is unclear, there are fewer colonic nerve fi bers and interstitial cells of Cajal in patients with slow transit constipa tion. The symptoms are managed medically; surgery is reserved for patients with colonic inertia who do not have pelvic floor dysfunction.