| One patient did not respond due to faecal impaction but subsequently experienced laxation after manual disimpaction. |
| In extreme circumstances, enemas or manual disimpaction may be needed. |
| There were no statistically significant differences between methylnaltrexone and placebo in the use of rescue therapies, enemas or disimpaction. |
| This study confirms that PEG-based agents are also effective for faecal disimpaction. |
| Management involves prevention of constipation, aggressive fecal disimpaction, and occasionally surgical intervention. |
| Endoscopic disimpaction is the treatment of choice for food impaction. |
