Solitary Rectal Ulcer Syndrome: Aetiology, Investigation and Management

Mackle, E. J.; Parks, T. G.

doi:10.1159/000171261

Cited by 9 publications

(1 citation statement)

References 15 publications

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“…Dynamic assessment of the pelvic floor and rectal emptying shows an association of solitary rectal ulcer syndrome with occult prolapse [43]. In addition, there is often a nonrelaxing puborectalis and/or fail ure of the anal sphincter to relax on straining [41,44], Treatment is directed toward stopping the bleeding in acute situations by local measures, but the underlying defect is corrected by di etary manipulation and pelvic floor retraining to avoid straining. If patients continue to bleed and discharge mucus despite optimal medical management, rarely, a colo-anal anastomosis may be necessary.…”

Section: Solitary Rectal Ulcer Syndromementioning

confidence: 99%

Current Advances and Controversies in the Surgical Therapy for Anorectal Motility Disorders

Nyam

Pembérton²

1997

Dig Dis

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It is the goal of this review to discuss the increasingly common problem of anorectal motility disorders and their potential surgical management. Perhaps the most important goal in patients with anorectal motility disorders is to categorize them accurately into etiologic groups. The reason is that approaches to medical and surgical therapy are highly dependent on accurate categorization of these patients with motility disorders. This review is written from the perspective of a surgical practice which sees a high volume of patients with anorectal motility disorders and has a very logical, nearly algorithmic approach to the evaluation and management of these patients. The review is not exhaustive, nor does it include all possible alternatives. It is meant to be a relatively practical guide to physicians and surgeons who deal with patients with anorectal motility disorders and is based on the experience of surgeons and gastroenterologists who see large numbers of these patients.

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Section: Solitary Rectal Ulcer Syndromementioning

confidence: 99%