S4507 Sustained Efficacy and Tolerability of Vibrant Capsule Therapy in a 77-Year-Old Woman With Chronic Constipation: A 24-Month Case Study

Introduction: Chronic idiopathic constipation (CIC) is a common condition frequently complicated by intolerance to conventional therapies. This case study describes the long-term use of Vibrant, a novel non-pharmacological, vibration-based capsule therapy, in a patient with treatment-refractory CIC. Case Description: A 77-year-old woman with a >5-year history of CIC presented with an average of 0-1 complete spontaneous bowel movements (CSBMs) per week prior to Vibrant therapy. Previous treatments included linaclotide, plecanatide, and magnesium-based products, which provided only partial relief and were associated with adverse effects including bloating and diarrhea. The patient reported: “I had bloating and was not going to the bathroom without taking large amounts of magnesium citrate, had 2 BMs per week, and diarrhea.” In February 2023, she initiated Vibrant capsule therapy. Initially, she used it in combination with Chinese herbal remedies, averaging 4.6 capsules per week. She also actively engaged with the Vibrant companion app, noting: “The reports have been a good way to help me track my progress.” Six-month follow-up (November 2023): Patient reported 5 complete spontaneous bowel movements (CSBMs)/week and a shift from diarrhea with medications or hard stool without medications to normal stool consistency. She described her progress as satisfactory and attributed improvement to Vibrant and lifestyle changes. Twenty-four-month follow-up (March 2025): Now using Vibrant as monotherapy, the patient maintained bowel regularity and noted further improvement: “My constipation is non-existent now. It is also partially due to me changing the timing of my calcium vitamin intake.” The patient reported no adverse events with Vibrant, decreased use of additional constipation therapies and healthcare resources, and temporary treatment interruption due to a magnetic resonance imaging (April 2024), requiring X-rays and bowel prep for capsule clearance. She resumed Vibrant without issue. Discussion: This case demonstrates that Vibrant capsule therapy can be safely and effectively used for long-term management of CIC in older adults. The patient reported sustained symptom relief, reduced treatment burden, and high satisfaction over 24 months of use. Vibrant may offer a well-tolerated, non-pharmacologic alternative in elderly patients with refractory constipation.