Materiały źródłowe

• #1 Solitary Rectal Ulcer Syndrome: Symptoms, Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/21189-rectal-ulcers

  It isnt always possible to prevent rectal ulcers. You can reduce your risk, though, by trying to keep your bowel movements regular so youre not straining at the toilet and damaging rectal tissue. Staying hydrated, eating high-fiber foods and trying stool softeners can help.

• #2 Solitary Rectal Ulcer Syndrome – Causes, Symptoms and Treatment

  https://www.apollohospitals.com/corporate/diseases-and-conditions/solitary-rectal-ulcer-syndrome-causes-symptoms-and-treatment/

  Can solitary rectal ulcer syndrome be prevented? It is not entirely possible to prevent solitary rectal ulcer syndrome. However, you can stay hydrated and consume a fiber-rich diet to help reduce your chances of developing ulcers.

• #3 Solitary rectal ulcer syndrome | Health Library | Memorial Health System

  https://www.mhsystem.org/health-library/con-20377737/

  Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include: […] Increasing the amount of fiber in your diet. Fiber adds bulk to your stool. The bulk helps push the contents of your intestines along so that they can be eliminated when you have a bowel movement. Aim for 14 grams of fiber for every 1,000 calories in your daily diet. […] Drinking water throughout the day. Drinking enough water and other fluids helps to keep your bowel movements soft and easy to pass.

• #4 Solitary rectal ulcer syndrome // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/solitary-rectal-ulcer-syndrome

  Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include: […] Increasing the amount of fiber in your diet. Fiber adds bulk to your stool. The bulk helps push the contents of your intestines along so that they can be eliminated when you have a bowel movement. […] Drinking water throughout the day. Drinking enough water and other fluids helps to keep your bowel movements soft and easy to pass.

• #5 Mayo Clinic Health Library – Solitary rectal ulcer syndrome | Swiss Medical Network

  https://www.swissmedical.net/fr/healtcare-library/con-20377737

  Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include: […] Increasing the amount of fiber in your diet. Fiber adds bulk to your stool. The bulk helps push the contents of your intestines along so that they can be eliminated when you have a bowel movement. Aim for 14 grams of fiber for every 1,000 calories in your daily diet. […] Drinking enough water and other fluids helps to keep your bowel movements soft and easy to pass.

• #6 Solitary rectal ulcer syndrome | Altru Health System

  https://www.altru.org/health-library/conditions/solitary-rectal-ulcer-syndrome

  Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. […] Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require medical or surgical treatment. […] You can make changes to your daily life that may help relieve your symptoms. Such changes are likely to include: […] Increasing the amount of fiber in your diet. Fiber adds bulk to your stool. The bulk helps push the contents of your intestines along so that they can be eliminated when you have a bowel movement. […] Drinking enough water and other fluids helps to keep your bowel movements soft and easy to pass.

• #7 Rare Cause of Hematochezia in Children: Solitary Rectal Ulcer, Single Center Experience

  https://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2023.093

  Solitary rectal ulcer syndrome (SRUS) can be overlooked, diagnosed late, or misdiagnosed, particularly in childhood. […] Currently, no specified treatment guideline is available for SRUS. The treatment includes correcting the pathogenic mechanisms by softening the stool through behavioral changes (to avoid staying on the toilet for a long time, not straining for a long time, and using a squat toilet or putting a step under the feet if the feet do not reach the floor when using a European toilet), bowel training, and the use of laxatives. Topical treatments for ulcers include sucralfate, sulfasalazine/mesalazine, and corticosteroids. In recent years, argon plasma coagulation therapy has been included in the treatment. […] The treatment of SRUS varies according to the severity of symptoms. Treatment planning is usually individualized. First, patient education and behavioral changes, such as not staying on the toilet for a long time, not straining for a long time, high fiber diet, and laxatives are recommended to prevent and treat constipation. If these conservative measures produce no improvement, topical treatments, including sucralfate, sulfasalazine/mesalazine, and corticosteroids, can be added. […] The rate of early diagnosis will increase if the awareness about SRUS in children increases, resulting in early treatment that will allow remission in more patients.

• #8 Rectal Ulcer: Symptoms, Causes, Diagnosis, and Treatment

  https://www.healthline.com/health/rectal-ulcer

  Rectal ulcers are usually preventable if they’re due to diet or daily routine. […] Here are some prevention tips for rectal ulcers: drink water to keep your stool moist and easy to pass, eat high fiber foods to normalize bowel movements, get up and walk around at least once an hour if you sit for long periods, don’t strain or push when on the toilet, wipe yourself gently after bowel movements, be gentle and use lubrication when you insert anything into your anus, such as an enema.

• #9

  https://link.springer.com/article/10.1007/BF01311251

  Twenty-one patients with a solitary ulcer of the rectum were treated with instructions for a high-fiber diet and abstention of straining at defecation, since there is evidence that the solitary ulcer syndrome is caused by chronic mechanical and ischemic trauma, by hard stools, and intussusception of the mucosa. […] The results demonstrate that softening of stools and normalization of defecation habits should be the mainstay in the treatment of this otherwise chronic disorder with poor healing tendency.

• #10 Long term conservative approach in a young male with solitary rectal ulcer syndrome – MedCrave online

  https://medcraveonline.com/MOJCR/long-term-conservative-approach-in-a-young-male-with-solitary-rectal-ulcer-syndrome.html

  The solitary rectal ulcer syndrome is a rare entity commonly occurring in young patients. […] So long term conservative therapy is recommended in all patients with solitary rectal ulcer syndrome. […] Conservative treatment consists of different types of enemas, bulk laxatives and biofeedback. […] All the patients should be subjected to conservative treatment except with internal intussusception and prolapse in which surgery may be required. […] Bio feedback therapy or behavioural modification includes bowel habit training, avoid excessive straining on defecation and normalization of pelvic floor coordination can improve symptoms and healing SRUS. […] Long term remission of SRUS is possible using by continuous bio feedback therapy. […] The aim of treatment is to cure the symptoms and achieve complete healing of ulcer.

• #11 A Rare Cause of Occult Gastrointestinal Bleeding: Solitary Rectal Ulcer Syndrome – Caucasian Medical Journal

  https://caucasianmedj.com/articles/a-rare-cause-of-occult-gastrointestinal-bleeding-solitary-rectal-ulcer-syndrome/doi/cmj.galenos.2024.77486

  The first step for treating SRUS is patient education. […] In particular, asymptomatic patients may not require any treatment except for behavioral changes. Other suggestions for treatment include encouraging a high-fiber diet, avoiding straining, regulating toilet habits, and improving psychosocial factors. Biofeedback therapy is recommended for patients with dyssynergic defecation who do not respond to treatment. […] In conclusion, patient history is crucial when investigating patients for occult GI bleeding. SRUS should be considered in patients with a history compatible with dyssynergic defecation. Patient education is the initial step in managing SRUS. In symptomatic cases, sucralfate and salicylate treatment can be used.

• #12 Solitary Rectal Ulcer | Proctology Clinic DRHC Dubai | Hemorrhoid

  https://www.drhc.ae/dubai-proctology-clinic/solitary-rectal-ulcer

  Solitary Rectal Ulcer Syndrome (SRUS) is often caused by factors that result in chronic straining or pressure on the rectal area. […] For mild to moderate cases, lifestyle changes can greatly improve symptoms: […] Increasing dietary fiber intake can help soften stools, making bowel movements easier and reducing straining. […] Patients are advised to avoid straining during bowel movements, which can further irritate the rectal lining and worsen ulcers. […] After treatment for SRUS, ongoing care, and management are crucial to prevent recurrence and ensure long-term relief: […] Maintaining a high-fiber diet, staying hydrated, and practicing proper bowel habits can help prevent future ulcers. […] We emphasize preventive care and lifestyle adjustments to help patients manage their condition and avoid recurrence.

• #13 Rare Cause of Hematochezia in Children: Solitary Rectal Ulcer, Single Center Experience

  https://www.kjg.or.kr/journal/view.html?uid=5986&vmd=Full&

  Solitary rectal ulcer syndrome (SRUS) can be overlooked, diagnosed late, or misdiagnosed, particularly in childhood. […] Currently, no specified treatment guideline is available for SRUS. The treatment includes correcting the pathogenic mechanisms by softening the stool through behavioral changes (to avoid staying on the toilet for a long time, not straining for a long time, and using a squat toilet or putting a step under the feet if the feet do not reach the floor when using a European toilet), bowel training, and the use of laxatives. Topical treatments for ulcers include sucralfate, sulfasalazine/mesalazine, and corticosteroids. In recent years, argon plasma coagulation therapy has been included in the treatment. […] The treatment of SRUS varies according to the severity of symptoms. Treatment planning is usually individualized. First, patient education and behavioral changes, such as not staying on the toilet for a long time, not straining for a long time, high fiber diet, and laxatives are recommended to prevent and treat constipation. If these conservative measures produce no improvement, topical treatments, including sucralfate, sulfasalazine/mesalazine, and corticosteroids, can be added.

• #14 Solitary rectal ulcer syndrome | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/solitary-rectal-ulcer-syndrome-1?lang=us

  dietary and behavioral modifications are especially effective in patients with mild to moderate symptoms and with an absence of significant mucosal prolapse […] patient education […] high fiber diet […] bulk laxatives […] avoidance of straining […] regulation of toilet habits […] cognitive behavioral therapy (CBT) to ameliorate psychosocial factors […] for resistant symptoms […] more organized form of behavioral therapy, e.g. biofeedback therapy may be warranted […] advanced grade of rectal intussusception, extensive inflammation, established fibrosis and/or irreducible external prolapse: […] botulinum toxin injection […] surgery

• #15 Solitary Rectal Ulcer Syndrome: Causes, Symptoms, Diagnosis and Treatment

  https://www.prepladder.com/neet-pg-study-material/surgery/solitary-rectal-ulcer-syndrome-causes-symptoms-diagnosis-and-treatment

  Diet modifications. […] To assist in relieving constipation, you might receive advice on how to increase the quantity of fibre in your diet. […] Changing one’s conduct. You may strain out of habit when you pass gas. You can learn to relax your pelvic muscles during bowel motions with the aid of behaviour therapy. […] Using a behavioural approach called biofeedback, a specialist trains you to control some aspects of your body’s natural reflexes, such as your pelvic floor or the tightness of your anus muscles during faeces. […] Medications. […] Rectal ulcer symptoms may be lessened by certain therapies, including topical steroids, sulfasalazine enemas, and onabotulinumtoxinA (Botox). Some of these treatments are still regarded as experimental because not everyone responds to them. […] Surgery

• #16 Long term conservative approach in a young male with solitary rectal ulcer syndrome – MedCrave online

  https://medcraveonline.com/MOJCR/long-term-conservative-approach-in-a-young-male-with-solitary-rectal-ulcer-syndrome.html

  They recommended conservative treatment with dietary fibre, bowel retraining and bulk laxatives. […] This conservative treatment is continued. […] The bulk laxatives with fresh yoghurt containing lactobacillus and biofeedback therapy can be used as long term maintenance therapy in preventing recurrence of the solitary rectal ulcer syndrome.

• #17

  http://www.omjournal.org/articleDetails.aspx?coType=1&aId=160

  Solitary rectal ulcer syndrome is common in adults; however, it is thought to be rare in children. […] Clinicians should be aware of this problem in order to avoid delayed diagnosis and management. […] Although solitary rectal ulcer syndrome is still relatively rare, the incidence of this condition in children is increasing. Clinicians should be aware of this problem to avoid delayed diagnosis and management. […] Treatment initially consists of conservative management, including an increase in dietary fiber, bowel retraining, and bulk laxatives. If conservative management fails, surgery, in the form of transrectal resection, is indicated. We recommend 2-3 years duration of conservative management before surgical interventions. […] Following transrectal resection, patients should continue eating a high-fiber diet and avoid constipation to avoid recurrence. […] Treatment is initially conservative, but, if that fails, transrectal resection followed by a high-fiber diet is usually curative.

• #18 A rare case report of mucinous adenocarcinoma exacerbated by long-standing solitary rectal ulcer syndrome – Tan – AME Case Reports

  https://acr.amegroups.org/article/view/9329/html

  Solitary rectal ulcer syndrome (SRUS) is a rare chronic rectal lesion with potential for malignant transformation, although cases of rapid progression to mucinous adenocarcinoma are infrequent. […] This case underscores the need for increased awareness among clinicians regarding the potential for cancerous transformation in SRUS patients. Early detection and intervention are crucial for improving outcomes in SRUS-associated malignancies. […] Clinicians should heighten awareness of the potential for cancerous transformation in SRUS patients, emphasizing regular monitoring and timely intervention. Early diagnosis and prompt treatment, including surgical resection and adjuvant chemotherapy, are crucial for improving outcomes in SRUS-associated malignancies. […] All of these studies, including ours, demonstrated the importance and urgency of developing accurate methods for early detection of SRUS canceration.

• #19 OC89 Medically resistant solitary rectal ulcer syndrome: a case report | Frontline Gastroenterology

  https://fg.bmj.com/content/14/Suppl_1/A55.1

  In summary, first line approaches for SRUS include treating any existing constipation and modifying defaecation behaviour. […] No guidelines exist on managing SRUS.

• #20 Solitary rectal ulcer syndrome – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/rectal-ulcer/symptoms-causes/syc-20377749

  Solitary rectal ulcer syndrome may improve with simple lifestyle strategies, such as changing your diet and drinking more fluids. […] Several other conditions may cause signs and symptoms similar to those of solitary rectal ulcer syndrome. […] Doctors believe stress or injury to the rectum may cause rectal ulcers to form.

• #21 Solitary Rectal Ulcer Syndrome – Birmingham Pelvic Floor Clinic

  https://birminghampelvicfloorclinic.com/conditions/solitary-rectal-ulcer-syndrome/

  If symptoms are minimal then no treatment may be necessary. Keeping the stools soft and avoiding straining should help. […] In some cases where the solitary rectal ulcer syndrome is associated with a significant internal prolapse a rectopexy to pull up the bowel may be recommended.

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