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Practice Guideline
. 2025 Feb;80(2):353-373.
doi: 10.1002/jpn3.12390. Epub 2024 Dec 31.

Evaluation and management of pediatric refractory constipation: Recommendations from the NASPGHAN neurogastroenterology and motility committee

Alexandra L Kilgore  1   2 , Mary K Rogers Boruta  3 , Lusine Ambartsumyan  4 , Roberto Gomez Suarez  5 , Dhiren Patel  6 , Richard J Wood  7 , Anil Darbari  8 , Leonel Rodriguez  9
Affiliations
Practice Guideline

Evaluation and management of pediatric refractory constipation: Recommendations from the NASPGHAN neurogastroenterology and motility committee

Alexandra L Kilgore et al. J Pediatr Gastroenterol Nutr. 2025 Feb.

Abstract

Refractory constipation (RC) in pediatric patients should be recognized as a distinct condition with long-term impacts on patient and family quality of life. RC requires a more targeted diagnostic evaluation and complex management strategy that may involve management by pediatric neurogastroenterology and motility specialists and multidisciplinary teams including surgeons. Currently, there is a lack of a clear definition, evaluation, and management strategies for RC. This is the first North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition position paper to address pediatric RC regarding its definition, evaluation, and management.

Keywords: constipation evaluation; constipation management; motility studies for constipation; surgical interventions for constipation.

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References

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