Biofeedback avoids surgery in patients with slow-transit constipation: report of four cases.

Abstract

Biofeedback is established treatment for intractable constipation in patients with an element of pelvic floor dysfunction. In those with intractable slow-transit constipation and normal pelvic floor function, colectomy is usually recommended. We report four patients with isolated slow-transit constipation who benefited from biofeedback and avoided surgery. All four patients were extensively investigated for pelvic floor dysfunction before undergoing a standard biofeedback course of four outpatient sessions. All improved in terms of bowel frequency, laxative use, bloating, straining, and lifestyle. Improvement has been maintained for a median of nine (range, 5-12) months without the requirement for further treatment. Biofeedback represents a safe and inexpensive treatment for these patients and may avoid surgery in a significant proportion.

• Authors: S R Brown, D Donati, F Seow-Choen, Y H Ho
• Journal: Diseases of the colon and rectum (Dis Colon Rectum) Vol. 44 Issue 5 Pg. 737-9; discussion 739-40 (May 2001) ISSN: 0012-3706 [Print] United States
• PMID: 11357038 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Biofeedback, Psychology
• Constipation (psychology, therapy)
• Defecation
• Female
• Gastrointestinal Transit
• Humans
• Male
• Middle Aged
• Pelvic Floor (innervation, physiology)
• Treatment Outcome