Rectal prolapse, rectal intussusception, rectocele, solitary rectal ulcer syndrome, and enterocele

Rectal prolapse is best diagnosed by physical examination and by having the patient strain as if to defecate; a laparoscopic rectopexy is the preferred treatment approach. Intussusception is more an epiphenomena than a defecatory disorder and should be managed conservatively. Solitary rectal ulcer s...

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Bibliographic Details
Published inGastroenterology clinics of North America Vol. 37; no. 3; p. 645
Main Authors Felt-Bersma, Richelle J F, Tiersma, E Stella M, Stella, M Tiersma E, Cuesta, Miguel A
Format Journal Article
LanguageEnglish
Published United States 01.09.2008
Subjects
Female
Hernia - diagnosis
Hernia - etiology
Herniorrhaphy
Humans
Intussusception - diagnosis
Intussusception - etiology
Intussusception - surgery
Rectal Prolapse - diagnosis
Rectal Prolapse - etiology
Rectal Prolapse - surgery
Rectocele - diagnosis
Rectocele - etiology
Rectocele - surgery
Syndrome
Ulcer - diagnosis
Ulcer - etiology
Ulcer - surgery
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Summary:Rectal prolapse is best diagnosed by physical examination and by having the patient strain as if to defecate; a laparoscopic rectopexy is the preferred treatment approach. Intussusception is more an epiphenomena than a defecatory disorder and should be managed conservatively. Solitary rectal ulcer syndrome is a consequence of chronic straining and therapy should be aimed at restoring a normal bowel habit with behavioral approaches including biofeedback therapy. Rectocele correction may be considered if it can be definitively established that it is a cause of defecation disorder and only after conservative measures have failed. An enterocele should only be operated when pain and heaviness are predominant symptoms and it is refractory to conservative therapy.
ISSN:0889-8553
DOI:10.1016/j.gtc.2008.06.001