Rehabilitation and modern approaches to the tretment of solitary rectal ulcer syndrome

Smejkal, M

doi:10.14735/amgh2014451

Cited by 1 publication

(1 citation statement)

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“…The treatment of SRUS ranges from a conserva tive treatment such as topical enemas (5aminosalic ylate or steroid), oral 5aminosalicylate or sucralfate, biofeedback, followed by endoscopical steroid injec tions, to surgery (rectopexy, excision of ulcer) [9,11]. In a nonhealing SRUS, conservative treatment manage ment, laparoscopic resection rectopexy, and transanal endoscopic microsurgery were reported as safe, feasi ble, and effective treatment methods [12].…”

Section: Discussionmentioning

confidence: 99%

Gastric antral vascular ectasia and solitary rectal ulcer syndrome - two rare diagnoses as the cause of anemia in a single patient: case report

Kunovský¹,

Dastych²,

Kroupa³

et al. 2017

Vnitř Lék

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Gastric antral vascular ectasia (GAVE) and solitary rectal ulcer syndrome (SRUS) are both mentioned in the literature as rare causes of iron deficiency anemia and gastrointestinal (GI) bleeding. GAVE accounts for up to 4 % of upper nonvariceal GI bleeding; SRUS is a rare benign disorder that presents with rectal bleeding. We present the case of a 75yearold patient who was admitted to our facility with anemia. In the same patient, we encountered chronic bleeding from GAVE and SRUS. Both diagnoses were treated endoscopically: GAVE by argon plasma coagulation and a subsequent treatment with proton pump inhibitors and SRUS by adrenaline injection and clipping, consec utively treated with mesalazine enemas. The patient was successfully cured, resulting in a stable level of hemoglo bin and no recurrent GI bleeding. We report a unique case of chronic GI bleeding caused by two uncommon dia gnoses. The cooccurrence of GAVE and SRUS has not been previously described or published.

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Section: Discussionmentioning

confidence: 99%