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Constipation and Functional Bowel Disorders

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Abstract

Constipation is one of the most common complaints voiced to primary care physicians, internists, gastroenterologists, and colorectal surgeons alike, with prevalence in North America estimated between 2 and 27%.1,2 This broad range reflects a lack of agreement between how patients and physicians perceive constipation because definitions are variable and may refer to infrequent or hard bowel movements, or to difficulty with evacuation. In addition, complaints of constipation are two to three times more common in women than men. Knowles et al. reported that of 2,004 patients evaluated by transit study at three European tertiary referral centers for intractable constipation, 92% were women.3 In a cohort of 2,000 women aged 40–69 years, 60% self-reported symptoms of difficult rectal evacuation over the last 12 months while 12% reported these symptoms weekly.4 This difference can be explained by the vast diversity of how women define normal female bowel habits. Zutshi et al.5 identified that women were more inclined to view their own habits as normal and perceive other habits unlike theirs as abnormal through self-reported questionnaires.

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Acknowledgment.

This chapter was authored by Amanda Metcalf and Howard Michael Ross in the previous edition of this textbook.

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Authors and Affiliations

  1. Department of Surgery, University of California, San Francisco, San Francisco, CA, USA

    Madhulika G. Varma MD

  2. Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA

    Brooke H. Gurland MD

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  1. Madhulika G. Varma MD
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Editors and Affiliations

  1. Department of Colon and Rectal Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA

    David E. Beck MD, FACS, FASCRS

  2. Department of Colorectal Surgery, Lahey Clinic, Tufts University School of Medicine, Burlington, Massachusetts, USA

    Patricia L. Roberts MD, FACS, FASCRS

  3. Section of Colon and Rectal Surgery, Rush Medical Center, Chicago, Illinois, USA

    Theodore J. Saclarides MD, FACS, FASCRS

  4. Department of Surgery, Spectrum Health, Grand Rapids, Michigan, USA

    Anthony J. Senagore MD, FACS, FASCRS

  5. Department of Surgery, UCI Medical Center, Orange, California, USA

    Michael J. Stamos MD, FACS, FASCRS

  6. Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA

    Steven D. Wexner MD, FACS, FASCRS, FRCS, FRCS(Ed)

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Varma, M.G., Gurland, B.H. (2011). Constipation and Functional Bowel Disorders. In: Beck, D.E., Roberts, P.L., Saclarides, T.J., Senagore, A.J., Stamos, M.J., Wexner, S.D. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1584-9_32

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