Management of solitary rectal ulcer syndome: Results of a french national survey: Société Nationale Française de Coloproctologie SNFCP, France. Issue 8 (August 2020)

• Record Type: Journal Article
• Authors: Gouriou, Claire; Chambaz, Marion; Ropert, Alain; Bouguen, Guillaume; Venara, Aurélien; Meurette, Guillaume; Siproudhis, Laurent; Brochard, Charlène
• Is Part Of: Digestive and liver disease. Volume 52:Issue 8(2020)
• Page Start: 885
• Page End: 888
• Publication Date: 2020-08
• Subjects: Consensus -- Solitary rectal ulcer syndrome -- Therapeutic management; Digestive organs -- Diseases -- Periodicals; Liver -- Diseases -- Periodicals; 616.33005
• DOI: 10.1016/j.dld.2020.05.013
• Languages: English
• ISSNs: 1590-8658

Abstract

Abstract: There is no consensus on the treatment for solitary rectal ulcer syndrome (SRUS). This study aimed to obtain information from physicians treating patients with SRUS in a French medical surgical society to facilitate management plans and to develop a support algorithm. Members of the French National Society of Coloproctology (SNFCP) were invited to complete a survey that included twenty items about therapeutic management and healing criteria. Overall, 91 practitioners (median age: 52 [42-59] years) responded to the questionnaire; 64/91 (70.3%) were proctologists, and 27/91 (29.7%) were colorectal surgeons. Only 15 members (16.5%) followed more than 5 patients with SRUS per year. The therapeutic objectives were to improve both patient symptoms (100%) and quality of life (98.9%). Laxative treatment and first-line rehabilitation were agreed upon by 83.5% and 73% of the respondents, respectively. Surgery, mainly rectopexy, was offered after failed medical treatment by 81.1% of the practitioners (79.1%). The first-line strategy preferred by the professionals included laxatives and biofeedback rehabilitation. Surgical treatment, preferably rectopexy, was proposed as a second intervention. No consensus was reached regarding other therapeutic alternatives, and additional studies are required to clarify their indications.