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Surgical removal of the colon may be an option for people with severe symptoms caused by colonic inertia.
The tests--colonic motility study, anorectal manometry, defecography, electromyography and pudendal nerve terminal motor latency--serve to differentiate a pelvic outlet obstruction, which is the problem in a majority of patients, from colonic inertia.
The delayed gastric emptying identified in patients with STC may be a component of pangastrointestinal tract abnormality in these patients or due to colonic inertia, as it has been shown in animals and humans.