Incidence of Solitary Rectal Ulcer Syndrome in Patients Undergoing Colonoscopy

Özet

Introduction: This study aimed to investigate the incidence of solitary rectal ulcer syndrome in patients who underwent colonoscopy or sigmoidoscopy and were ultimately diagnosed with solitary rectal ulcer syndrome at our center. Methods: Solitary rectal ulcer syndrome is a chronic benign condition that commonly presents with rectal bleeding, mucous discharge, and constipation. The diagnosis of this syndrome is based on clinical symptoms and endoscopic and histological features. The incidence rate of the syndrome has been noted to be 1 in 100.000 per year. Results: We performed a retrospective analysis of patients who underwent colonoscopy or sigmoidoscopy by the same gastroenterologist at our center between 2012 and 2017. Data retrieved included demographic details, comorbidities, clinical presentations, laboratory, endoscopic, and histopathological findings, treatment procedures, and clinical outcomes. Discussion and Conclusion: The incidence rate of solitary rectal ulcer syndrome in patients who underwent colonoscopy was 0.68%. The most common symptoms included rectal bleeding, mucous discharge, and constipation. The incidence rate observed here was significantly higher than that in the previous report. Although the syndrome was described as a benign disease, it can result in serious complications including rectovaginal fistula, which was observed in one patient.