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Massachusetts General Hospital, Stanford Medicine, Cleveland Clinic, Mayo Clinic
Chronic constipation (CC) affects a significant portion of the US population, with many patients seeking clinical evaluation. While most respond to medical therapy, a subset experiences refractory constipation, necessitating a thorough evaluation to exclude secondary causes and confirm slow colonic transit. This document aims to guide clinicians in managing RC effectively, emphasizing the importance of psychological evaluations and the consideration of surgical options when appropriate.
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