Solitary rectal ulcer syndrome: exploring possible management options.

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 (Botox). 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.

• Authors: Turker Bulut, Emel Canbay, Sumer Yamaner, Mine Gulluoglu, Dursun Bugra
• Journal: International surgery (Int Surg) 2011 Jan-Mar Vol. 96 Issue 1 Pg. 45-50 ISSN: 0020-8868 [Print] Italy
• PMID: 21675619 (Publication Type: Journal Article)

Chemical References

• Botulinum Toxins

Topics

• Adolescent
• Adult
• Aged
• Biofeedback, Psychology
• Botulinum Toxins (therapeutic use)
• Diagnosis, Differential
• Female
• Humans
• Male
• Manometry
• Microsurgery (methods)
• Middle Aged
• Rectal Diseases (diagnosis, therapy)
• Retrospective Studies
• Syndrome
• Treatment Outcome
• Ulcer (diagnosis, therapy)