Laser therapy of solitary rectal ulcers: a new concept
Rau, B.K.; Harikrishnan, K.M.; Krishna, S.
Annals of the Academy of Medicine Singapore 23(1): 27-28
1994
ISSN/ISBN: 0304-4602 PMID: 8185265 Document Number: 3478
Fourteen cases of histologically proven benign solitary rectal ulcer were managed with Neodymium: Yttrium-Aluminium-Garnet (Nd:YAG) laser (contact mode) over a three-year period. All patients were symptomatic at presentation (bleeding, mucus or pus discharge per rectum, with or without diarrhoea). Thirteen of the 14 (93%) were relieved of symptoms after a mean of 2.3 sittings of laser (range 1-8). None of the patients had associated rectal prolapse. Successfully treated patients have been followed up for a mean of 14.2 months (two to 25 months) and are symptom free. There was minimal morbidity and no death. Nd:YAG laser excision of benign solitary rectal ulcers is a safe, new and patient-friendly technique.
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