What is the prognosis of constipation?

Updated: Jul 05, 2019
  • Author: Marc D Basson, MD, PhD, MBA, FACS; Chief Editor: BS Anand, MD  more...
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Answer

Most active patients do well with medical management and appropriate dietary management. Recurrence depends on the patient’s long-term compliance with therapy. A small percentage of patients are quite debilitated as a result of constipation. Some patients with functional (primary or idiopathic) constipation (ie, colonic inertia) require total abdominal colectomy with ileorectal anastomosis.

After a careful preoperative workup that includes physical and psychological assessment, patients with outlet obstruction generally respond well to surgical correction and have a good prognosis.


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