Rectal Ulcer Syndrome (SRUS) скачать в хорошем качестве

Rectal Ulcer Syndrome (SRUS)

Solitary rectal ulcer syndrome can also be another associated manifestation of obstructed defecation syndrome. Classically, Solitary rectal ulcer syndrome takes the form of an ulcer, located on the anterior wall of the rectum, and is situated 6 to 8 cm from the anal verge. In this form, it can be mistaken for rectal carcinoma or inflammatory bowel disease, particularly Crohn’s disease. This solitary rectal ulcer may heal, leaving a polypoid appearance. Proctographic studies may indicate accompanying rectal intussusception or anterior rectal wall prolapse. Histology will confirm the diagnosis. The condition is difficult to treat. Symptomatic relief from bleeding and discharge may sometimes be achieved by controlling any associated straining with re-coordination of defecation using biofeedback therapy. Trans-anal stapled resection of the intussusception commonly known as STARR procedure or re-suspension of the rectum by abdominal rectopexy may be beneficial, but the results are not as good as for internal or external rectal prolapse. In rare cases, rectal excision may be required with or without stoma.