Author/Authors :
El-Hemaly, Mohamad Mansoura University - Gastroenterology Surgical Center, Egypt , El Geidie, Ahmed Mansoura University - Gastroenterology Surgical Center, Egypt , Hamdy, Emad Mansoura University - Gastroenterology Surgical Center, Egypt , El-Nakeeb, Aymen Mansoura University - Gastroenterology Surgical Center, Egypt , El Hanafy, Ehab Mansoura University - Gastroenterology Surgical Center, Egypt , Atef, Ehab Mansoura University - Gastroenterology Surgical Center, Egypt , Sultan, Ahmad Mansoura University - Gastroenterology Surgical Center, Egypt , Kandil, Tharwat Mansoura University - Gastroenterology Surgical Center, Egypt
Abstract :
Aim: To present the value of investigative tools especially physiological tests to match the suitable patient for the suitable treatment hoping for cure. Methods: 30 patients with SRUS (20 males 10 females, mean age of 22 years) were followed up in Gastroenterology Surgical Center, Mansoura University in the period between 2006-2011. Diagnosis was based on endoscopy and biopsy. Anorectal manometry and defecography with colon transit were done to assess the functional status of the anorectum and the defecation disorders upon which we can decide the best treatment option. Results: Bleeding per rectum was the most common symptom. 10 patients (33.3%) treated by excision of the ulcer area but 2 (20%) of them showed recurrent ulcer with follow-up. 10 patients (33.3%) had spastic pelvic floor gained much benefit from biofeedback therapy with symptomatic improvement. Conservative treatment was provided to 5 patients (16.7%) but the results were unsatisfactory on the long run. In 3 patients (10%) 3rd degree intussussception was found for whom abdominal rectopexy done with fairly good results. Finally 2 patients (6.7%) had polypoidal growth for whom low anterior resection was done the results were good. Conclusion: SRUS is difficult to treat but endoscopic, proctographic manometric findings help choose the most suitable line of treatment for the suitable patient
