Long‐term outcome of laparoscopic mesh rectopexy for solitary rectal ulcer syndrome

Tweedie, D.J.; Varma, J. S.

doi:10.1111/j.1463-1318.2004.00729.x

Cited by 19 publications

(14 citation statements)

References 23 publications

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“…Treatment can be aimed at resolving the behavioural disorder using biofeedback 18 or correcting the result of altered defaecation. Surgical treatments for MPSRUS include laparoscopic mesh rectopexy 19 or local excision of the ulcer 20 . The latter is, however, associated with a high recurrence rate.…”

Section: Clinical Diagnosis and Managementmentioning

confidence: 99%

Histopathological mimicry in mucosal prolapse

Singh¹,

Mortensen²,

Warren

2006

Histopathology

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Mucosal prolapse solitary rectal ulcer syndrome is a condition which has frequently confused both pathologists and surgeons alike. Despite its recognition in the nineteenth century, it continues to be a diagnostic challenge. The significance of correctly diagnosing this condition is that it avoids the morbidity and mortality associated with major surgery or the side-effects of long-term medical treatment. This review considers the histological features of mucosal prolapse and how it may mimic other pathological conditions.

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Section: Clinical Diagnosis and Managementmentioning

confidence: 99%

Histopathological mimicry in mucosal prolapse

Singh¹,

Mortensen²,

Warren

2006

Histopathology

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“…However, open rectopexy and mucosal resection (Delorme's procedure) seems popular with a success rate of 42-100%. 84 …”

Section: Treatmentmentioning

confidence: 97%

Anorectal motor disorders

Troche

Rao

2007

Best Practice & Research Clinical Gastroenterology

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“…Surgical treatments include rectal prolapse correction, ulcer excision, and, rarely, colostomy [2,5] . In paediatric patients rectopexy seems to be effective in cases in which rectal prolapse is implicated [3,8,16,17] . Resection proctectomy may be reserved for patients with intractable rectal pain and bleeding who do not respond to other surgical treatments [2] .…”

Section: Discussionmentioning

confidence: 99%

Solitary Rectal Ulcer Syndrome: A Paediatric Case Report

Abreu¹,

Alves²,

Pinto

et al. 2017

GE Port J Gastroenterol

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Síndrome da Úlcera Retal Solitária: Relato de um Caso PediátricoPalavras Chave Criança · Doenças do recto · Hemorragia gastrointestinal · Síndrome · Úlcera Resumo Introdução: O Síndrome da Úlcera Retal Solitária (SRUS) é uma doença benigna incomum que afeta predominantemente jovens adultos, sendo rara na população pediátri-ca. Caso Clínico: Rapariga de 12 anos com história de 6 meses de evolução de tenesmo, aumento da frequência defecatória e retorragias com muco. Sem antecedentes de obstipação ou outras queixas. Na observação inicial, o exame físico e o estudo analítico eram normais. O exame bacteriológico e virológico das fezes foi negativo. A colonoscopia realizada revelou uma úlcera única no reto distal, a 6 cm da margem anal. As biópsias confirmaram o diagnóstico de SRUS. Apesar do tratamento conservador, os sintomas persistiram. A defecografia mostrou um pequeno retocelo, sem prolapso da mucosa. Devido à proximidade com o esfíncter anal, não foi efectuado tratamen- KeywordsChild · Gastrointestinal haemorrhage · Rectal diseases · Syndrome · Ulcer Abstract Introduction: Solitary rectal ulcer syndrome (SRUS) is an uncommon benign rectal disease. Mostly young adults are affected, and it is rare in paediatric populations. Clinical Case: We present a 12-year-old girl with a 6-month history of tenesmus, frequent defaecation, and bloody stools with mucus. There was no previous history of constipation or other symptoms. At the first visit, physical examination and routine laboratory test results were normal. A stool examination for bacteria and parasites was negative. Colonoscopy revealed a single ulcer in the distal rectum 6 cm from the anal margin. SRUS was confirmed by biopsy. Despite conservative measures, the symptoms persisted. A defaecation proctography showed a small rectocele with no rectal mucosal prolapse. Because of its proximity to the anal sphincter, no surgical intervention was performed. Conclusion: The present case illustrates how difficult the management of SRUS is. Multicentre studies are needed to establish treatment protocols for children. to cirúrgico. Conclusão: O presente caso ilustra o quão difícil é a abordagem do SRUS. São necessários estudos multicêntricos para estabelecer protocolos de tratamento na idade pediátrica.

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Long‐term outcome of laparoscopic mesh rectopexy for solitary rectal ulcer syndrome

Cited by 19 publications

References 23 publications

Histopathological mimicry in mucosal prolapse

Histopathological mimicry in mucosal prolapse

Anorectal motor disorders

Solitary Rectal Ulcer Syndrome: A Paediatric Case Report

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