AGA cautions against surgery-first for refractory constipation

An expert review on refractory constipation established 14 best practice statements addressing key clinical issues for the condition, including a “much more detailed and cautious framework for surgical decision-making.”
Commissioned by AGA and published in Clinical Gastroenterology and Hepatology, the review was “prompted by a persistent and important gap in clinical guidance,” according to lead author Kyle Staller, MD, MPH, gastroenterologist and director of the Gastrointestinal Motility Laboratory at Massachusetts General Hospital.
“While chronic constipation is common and well covered in








