SOLITARY RECTAL ULCER SYNDROME: NEW HOPE FOR THE PATIENTS

Document Type : Original Article

Authors

Gastroenterology Surgical Center, Mansoura University, Egypt

Abstract

Aim: To present the value of investigative tools especially physiological tests to match the suitable patient
for the suitable treatment hoping for cure.
Methods: 30 patients with SRUS (20 males & 10 females, mean age of 22 years) were followed up in 
Gastroenterology Surgical Center, Mansoura University in the period between 2006–2011. Diagnosis was 
based on endoscopy and biopsy. Anorectal manometry and defecography with colon transit were done to 
assess the functional status of the anorectum and the defecation disorders upon which we can decide the 
best treatment option.
Results: Bleeding per rectum was the most common symptom. 10 patients (33.3%) treated by excision of the 
ulcer area but 2 (20%) of them showed recurrent ulcer with follow-up. 10 patients (33.3%) had spastic pelvic 
floor & gained much benefit from biofeedback therapy with symptomatic improvement. Conservative 
treatment was provided to 5 patients (16.7%) but the results were unsatisfactory on the long run. In 3 
patients (10%) 3rd degree intussussception was found & for whom abdominal rectopexy done with fairly
good results. Finally 2 patients (6.7%) had polypoidal growth for whom low anterior resection was done & 
the results were good.
Conclusion: SRUS is difficult to treat but endoscopic, proctographic & manometric findings help choose the 
most suitable line of treatment for the suitable patient. 

Keywords

The Egyptian Journal of Surgery
Volume 31, Issue 1
January 2012
Pages 36-41

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