Rectal prolapse other diagnostic studies
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
Other Diagnostic Studies
If rectal prolapse is suspected but cannot be detected during physical examination, fluoroscopic defecography, MRI defecography, or balloon expulsion testing may be helpful for diagnosis.[1]
Pre-operatively, all patients should undergo anoscopy to rule out prolapsed internal hemorrhoids as the cause of the patient’s symptoms and colonoscopy to assure that there is no other colonic pathology that would take priority.
Biopsy can be considered to rule out dysplasia or other pathology, but histopathology most commonly shows features of “solitary rectal ulcer syndrome”[2]
References
- ↑ Bordeianou L, Paquette I, Johnson E, Holubar SD, Gaertner W, Feingold DL, Steele SR (2017). "Clinical Practice Guidelines for the Treatment of Rectal Prolapse". Dis. Colon Rectum. 60 (11): 1121–1131. doi:10.1097/DCR.0000000000000889. PMID 28991074.
- ↑ Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE (2014). "Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies". J. Gastrointest. Surg. 18 (5): 1059–69. doi:10.1007/s11605-013-2427-7. PMID 24352613.