SOLITARY RECTAL ULCER - THE PLACE OF BIOFEEDBACK AND SURGERY IN THE TREATMENT OF THE SYNDROME

被引:36
作者
BINNIE, NR [1 ]
PAPACHRYSOSTOMOU, M [1 ]
CLARE, N [1 ]
SMITH, AN [1 ]
机构
[1] UNIV EDINBURGH,WESTERN GEN HOSP,DEPT SURG,EDINBURGH EH4 2XU,MIDLOTHIAN,SCOTLAND
关键词
D O I
10.1007/BF02066979
中图分类号
R61 [外科手术学];
学科分类号
摘要
Thirty-one patients with the solitary rectal ulcer syndrome were studied, the majority of whom presented with fresh blood per rectum and a rectal ulcer, mucorrhoea, or a varying degree of rectal prolapse. Fourteen patients were treated conservatively or with surgery and had a high rate of recurrence of the solitary rectal ulcer syndrome. Seventeen patients were treated with biofeedback for the associated obstructed defecation (anismus) either before or immediately after surgery with a lower recurrence rate. The final symptomatic cure rate was similar in both groups but 15 episodes of recurrence requiring further surgery were encountered in the non-biofeedback group compared to 4 recurrences in the biofeedback group.
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页码:836 / 840
页数:5
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