Solitary rectal ulcer syndrome

Abstract

The authors summarise the basic facts about and personal experience with a rare nosological disorder-solitary rectal ulcer syndrome (SRUS). In the first part, the pathophysiology and the diagnostics of SRUS are mentioned. The generally accepted theory of the development of SRUS is supported by the relevant citations. The symptoms and the endoscopic picture and in uncertain cases also the biopsy are the basis for the diagnosis of SRUS. In diagnostics, evacuation proctography is crucial especially with regard to SRUS therapy planning. In the second part, all the possible SRUS therapies are described. First in the line is conservative therapy. If conservative therapy fails, endoscopic therapy can be indicated but with limited options. The most causal is surgical therapy, which also offers the most options. Finally, the authors share their clinical experience with patients suffering from solitary rectal ulcer syndrome.