Digestive Diseases and Sciences

, Volume 29, Issue 11, pp 1005–1008

Treatment of solitary rectal ulcer syndrome with high-fiber diet and abstention of straining at defecation

Authors

  • V. van den Brandt-Grädel
    • Department of Medicine, Division of Gastroenterology, Academic Medical CenterUniversity of Amsterdam
  • K. Huibregtse
    • Department of Medicine, Division of Gastroenterology, Academic Medical CenterUniversity of Amsterdam
  • G. N. J. Tytgat
    • Department of Medicine, Division of Gastroenterology, Academic Medical CenterUniversity of Amsterdam
Original Articles

DOI: 10.1007/BF01311251

Cite this article as:
van den Brandt-Grädel, V., Huibregtse, K. & Tytgat, G.N.J. Digest Dis Sci (1984) 29: 1005. doi:10.1007/BF01311251

Abstract

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. In 15 patients disappearance of symptoms and complete ulcer healing was obtained in an average period of 10.5 months (range 2.5–21 months). In the other six patients the lesions remained unchanged. The results demonstrate that softening of stools and normalization of defecation habits should be hhe mainstay in the treatment of this otherwise chronic disorder with poor healing tendency.

Copyright information

© Plenum Publishing Corporation 1984