Solitary Rectal Ulcer Syndrome: Exploring Possible Management Options

2011 ◽  
Vol 96 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Turker Bulut ◽  
Emel Canbay ◽  
Sumer Yamaner ◽  
Mine Gulluoglu ◽  
Dursun Bugra
Keyword(s):  
Surgical Treatment ◽  
Rare Condition ◽  
Clinical Findings ◽  
Rectal Ulcer ◽  
Management Options ◽  
Disease Treatment ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome ◽  
Biofeedback Treatment ◽  
Postoperative Improvement

Abstract Solitary rectal ulcer syndrome (SRUS) is a rare condition with various causes that results in ischemic injury. The aim of this study was to assess the clinical findings, diagnosis, and outcomes of treatment in patients with SRUS. Between 1992 and 2006, a retrospective review was undertaken for all patients diagnosed with SRUS. Fifty-eight patients were diagnosed with SRUS. Among patients with paradoxic rectal spasm (PRS), lesions disappeared in 1 of 3 given applied biofeedback treatment, and in 2 of 4 injected with Botulinum toxin (BotoxTM). Twenty-three patients underwent appropriate surgical treatment. Overall, postoperative improvement was seen in 18 patients (78.2%). In conclusion, every patient with SRUS must be assessed for causative disease. Treatment should include conservative approaches such as Botox injection; in patients with pelvic floor disorders, surgical treatment should be considered.

Solitary rectal ulcer syndrome: clinical findings, surgical treatment, and outcomes

2007 ◽  
Vol 22 (11) ◽  
pp. 1389-1393 ◽  
Author(s):  
Carlos Torres ◽  
Marat Khaikin ◽  
Jorge Bracho ◽  
Cheng Hua Luo ◽  
Eric G. Weiss ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Findings ◽  
Rectal Ulcer ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome

scholarly journals Prospective evaluation of the treatment of solitary rectal ulcer syndrome with biofeedback

Gut ◽  
1997 ◽  
Vol 41 (6) ◽  
pp. 817-820 ◽  
Author(s):  
C J Vaizey ◽  
A J Roy ◽  
M A Kamm
Keyword(s):  
Surgical Treatment ◽  
Symptom Improvement ◽  
Rectal Ulcer ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome ◽  
Duration Of Symptoms ◽  
Macroscopic Appearance ◽  
Laxative Use ◽  
Before And After

Background—Solitary rectal ulcer syndrome (SRUS) is often resistant to medical and surgical treatment.Aim—To determine whether biofeedback retraining is a useful treatment for this condition.Patients—Thirteen consecutive patients with SRUS (three men, median age 34 years, median duration of symptoms three years) underwent treatment. Previous surgical treatment had failed in five.Methods—Patients were evaluated prospectively. Anorectal physiological studies were performed in 11 patients before treatment. A standardised questionnaire was used before and after treatment, and all but two patients were examined after treatment.Results—Median follow up was nine months (range 3–22 months). After treatment four patients were asymptomatic, and four felt improved. Symptom improvement or elimination occurred in: need to strain (7/13 patients), digitation (7/11), laxative use (5/9). Time in the toilet (median 30 v 10 minutes, beforev after treatment) and number of visits to toilet (6v 3/day) were also improved. Three patients were able to maintain employment before treatment compared with eight after treatment. The solitary ulcer did not heal completely in any of the nine patients examined after treatment, but improved in four. Previous surgery, the macroscopic appearance of the ulcer, the presence of pelvic floor paradox, and other physiological parameters did not predict outcome.Conclusion—Biofeedback retraining is a useful treatment for this condition. Long term studies are now required.

scholarly journals The solitary rectal ulcer syndrome in children: a rare condition. A case report and review

2019 ◽  
Vol 6 (1) ◽  
pp. 65-67
Author(s):  
Karim AIT IDIR ◽  
◽  
Abdelghani TIBOUK ◽  
Slimane KORDJANI ◽  
Nouredine ZIDANE ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Condition ◽  
Rectal Ulcer ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome

Le syndrome de l’ulcère solitaire du rectum (SUSR) constitue une entité peu fréquente en pédiatrie ; c’est l’apanage de l’adulte jeune. C’est l’une des causes de rectorragie chez l’enfant. Son diagnostic repose sur un ensemble d’arguments surtout endoscopiques et histologiques. C’est une pathologie bénigne qui ne bénéficie d’aucun protocole thérapeutique précis. Son pronostic est généralement bon. Nous vous présentons le cas d’un garçon 7 ans, qui présente une SUSR révélé par des rectorragies et une encoprésie.

scholarly journals Solitary rectal ulcer syndrome: Is it really a rare condition in children?

2016 ◽  
Vol 5 (3) ◽  
pp. 343 ◽  
Author(s):  
Seyed Mohsen Dehghani ◽  
Maryam Bahmanyar ◽  
Bita Geramizadeh ◽  
Anahita Alizadeh ◽  
Mahmood Haghighat
Keyword(s):  
Rare Condition ◽  
Rectal Ulcer ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome

scholarly journals 5-ASA Therapy in Solitary Rectal Ulcer Syndrome. Report of Three Patients

1988 ◽  
Vol 2 (1) ◽  
pp. 18-21 ◽  
Author(s):  
D.A. Malatjalian ◽  
C.N. Williams
Keyword(s):  
Rectal Bleeding ◽  
Rare Condition ◽  
Complete Healing ◽  
Rectal Ulcer ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome ◽  
History Of ◽  
Recurrent Ulcers ◽  
Syndrome Report

Solitary rectal ulcer syndrome (SRUS) is a rare condition which presents typically with a long standing history of constipation, straining, rectal bleeding, mucus discharge and pain on defecation. Three cases of SRUS arc discussed which were all successfully treated with 5-ASA enemas. Complete healing occurred within a few weeks and recurrent ulcers healed just as readily with renewed therapy.

Solitary rectal ulcer syndrome: a series of 13 patients operated with a mean follow-up of 4.5 years

2001 ◽  
Vol 16 (4) ◽  
pp. 228-233 ◽  
Author(s):  
Frederic Marchal ◽  
Laurent Bresler ◽  
Laurent Brunaud ◽  
Stephane Collinet Adler ◽  
Hugues Sebbag ◽  
...  
Keyword(s):  
Rectal Ulcer ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome

scholarly journals Solitary Rectal Ulcer Syndrome: Uncommon Cause of Rectal Bleeding in Children

2008 ◽  
Vol 47 (172) ◽  
Author(s):  
Sudhamshu KC ◽  
D Sharma ◽  
B Bashnet ◽  
AK Mishra
Keyword(s):  
Rectal Bleeding ◽  
Adult Population ◽  
Rectal Polyp ◽  
Rectal Ulcer ◽  
Pediatric Age ◽  
Proctoscopic Examination ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome ◽  
Common Causes ◽  
Bleeding Per Rectum

Rectal polyp and hemorrhoids are common causes of bleeding per rectum in pediatric age group.However, there are some other causes which should be considered in differential diagnosis. We haveacquainted a case of rectal bleeding due to solitary rectal ulcer in a child of 10 year. Colonoscopicexamination was required for diagnosis as proctoscopic examination and digital rectal examinationmissed the diagnosis, probably due to poor co-operation by the patient and rare nature of the disease.Although well recognized in the adult population, the pediatric experience with this condition islimited.Key word: children, rectal bleeding, solitary rectal ulcer

scholarly journals Modified Tong Xie Yao Fang relieves solitary rectal ulcer syndrome: A case report

2019 ◽  
Vol 7 (15) ◽  
pp. 2058-2064 ◽  
Author(s):  
Li-Li Zhang ◽  
Wan-Shan Hao ◽  
Meng Xu ◽  
Chang Li ◽  
Yuan-Yuan Shi
Keyword(s):  
Case Report ◽  
Rectal Ulcer ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome
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