Surgical therapy for colitis cystica profunda and solitary rectal ulcer syndrome

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FeltBersma RJ, Cuesta MA: Rectal prolapse, rectal intussusception, rectocele, and solitary rectal ulcer syndrome. Gastroenterol Clin North Am 2001, 30:199–222. A current, succinct review of SRUS.

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vanden BrandtGradel V, Huibregtse K, Tytgat GN: Treatment of solitary rectal ulcer syndrome with highfiber diet and abstention of straining at defecation. Dig Dis Sci 1984, 29:1005–1008.

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Malouf AJ, Vaizey CJ, Kamm MA: Results of behavioral treatment (biofeedback) for solitary rectal ulcer syndrome. Dis Colon Rectum 2001, 44:72–76. A report of the longterm results obtained using biofeedback therapy for SRUS. Documents some deterioration with time, but more than 50% of patients can be expected to have ongoing clinical benefit for a median of 3 years.

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Vaizey CJ, vanden Bogaerde JB, Emmanuel AV, et al.: Solitary rectal ulcer syndrome. Br J Surg 1998, 85:1617–1623. A literature review of all recent articles on SRUS that documents that most patients are helped with dietary and behavioral techniques. Rectopexy is the most common surgical procedure performed and helps approximately 50% of patients; however, it may increase symptoms in those not helped.

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