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.
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Madigan MR, Morson BC: Solitary ulcer of the rectum. Gut 10:871–881, 1969
Rutter KRP, Riddell RH: The solitary ulcer syndrome of the rectum. Clin Gastroenterol 4:505–530, 1975
Ford MJ, Anderson JR, Gilmour HM, Holt S, Sircus W, Heading RC: Clinical spectrum of “solitary ulcer” of the rectum. Gastroenterology 84:1533–1540, 1983
Allen MS: Hamartomatous inverted polyps of the rectum. Cancer 19: 257–265, 1966
Rutter KRP: Solitary rectal ulcer syndrome. Proc R Soc Med 68:22–26, 1975
Rutter KRP: Electromyographic chances in certain pelvic flood abnormalities. Proc R Soc Med 67:53–56, 1974
Schweiger M, Alexander-Williams J: Solitary ulcer syndrome of the rectum: Its association with occult rectal prolapse. Lancet 1:70–71, 1977
Martin CJ, Parks TG, Biggart JD: Solitary rectal ulcer syndrome in Northern Ireland 1971–1980. Br J Surg 68:744–747, 1981
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van den Brandt-Grädel, V., Huibregtse, K. & Tytgat, G.N.J. Treatment of solitary rectal ulcer syndrome with high-fiber diet and abstention of straining at defecation. Digest Dis Sci 29, 1005–1008 (1984). https://doi.org/10.1007/BF01311251
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DOI: https://doi.org/10.1007/BF01311251