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Solitary rectal ulcer syndrome in children: a literature review

Seyed Mohsen Dehghani1, Abdorrasoul Malekpour, Mahmood Haghighat

  • 1Gastroenterohepatology Research Center, Shiraz Transplant Research Center, Nemazee Teaching Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz 71937-11351, Iran. dehghanism@sums.ac.ir

World Journal of Gastroenterology
|December 14, 2012
PubMed

Insights

Solitary rectal ulcer syndrome (SRUS) is a chronic rectal disorder often misdiagnosed in children. Current treatments for this benign condition are suboptimal, leading to persistent symptoms like rectal bleeding.

Area of Science:

  • Gastroenterology
  • Pediatric Gastroenterology

Background:

  • Solitary rectal ulcer syndrome (SRUS) is a chronic, benign disorder affecting the rectum.
  • It is commonly seen in young adults but less frequently diagnosed in children, often presenting with rectal bleeding, mucus discharge, and incomplete defecation.
  • SRUS is frequently associated with prolonged straining and abnormal defecation patterns.

Purpose of the Study:

  • To review the current diagnostic approaches for Solitary Rectal Ulcer Syndrome (SRUS).
  • To discuss the various treatment modalities available for SRUS, highlighting their effectiveness and limitations.
  • To emphasize the challenges in diagnosing and managing SRUS in pediatric populations.

Main Methods:

  • Literature review of existing studies on Solitary Rectal Ulcer Syndrome (SRUS).
  • Analysis of clinical presentations, diagnostic criteria (endoscopic and histological), and treatment outcomes.
  • Focus on pediatric cases and their unique diagnostic and therapeutic considerations.

Main Results:

  • SRUS diagnosis relies on clinical symptoms, endoscopic visualization, and histological examination.
  • Current treatment strategies, including conservative management and topical therapies, often yield suboptimal outcomes.
  • Pediatric SRUS, though uncommon, poses significant morbidity due to persistent symptoms, particularly rectal bleeding.

Conclusions:

  • Effective management of SRUS requires a thorough understanding of its pathophysiology and presentation.
  • There is a need for improved diagnostic accuracy and more effective treatment protocols, especially for pediatric patients.
  • Further research is warranted to optimize therapeutic strategies for Solitary Rectal Ulcer Syndrome to improve patient outcomes.

Keywords:
ChildrenDiagnosisRectal bleedingSolitary rectal ulcer syndromeTreatment

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