Results with short-term and long-term fiber restricted diet in therapy-resistant constipation with severe pain

Background: The treatment of colonic inertia, when well documented and assuming failure of an aggressive and prolonged trial of laxatives, fiber, and prokinetics, is total colectomy with ileorectal anastomosis (Pemberton JH et al 1991). Surgical procedures are designed to treat difficult and infrequent evacuation and associating symptoms (e.g. abdominal pain and bloating) not necessarily being relieved by achieving regular defecation. Results with surgery of defecation abnormalities are relatively poor. Aim of this retrospective study was to investigate result of short-term (1 month) or long-term (6 month) very-…