Evaluation of the relative frequency of solitary rectal ulcer syndrome and its etiology in children referred to children’s medical center Tehran from August 2011 to August 2021
عنوان اصلي
بررسی فراوانی نسبی سندرم زخم رکتوم منفرد و علت آن در کودکان مراجعه کننده به مرکز طبی کودکان تهران از مرداد 1390 تا مرداد 1400
نام عام مواد
[Dissertation]
نام نخستين پديدآور
Safoora Sadeq
نام نخستين پديدآور
صفورا صادق
وضعیت نشر و پخش و غیره
نام ناشر، پخش کننده و غيره
Tehran University of Medical Sciences, Faculty of Medicine
تاریخ نشرو بخش و غیره
2022
مشخصات ظاهری
نام خاص و کميت اثر
52p
یادداشتهای مربوط به مندرجات
متن يادداشت
Title - Evaluation of the relative frequency of solitary rectal ulcer syndrome and its etiology in children referred to children’s medical center, Tehran from August 2011 to August 2021.IntroductionSolitary rectal ulcer syndrome (SRUS) is an uncommon, benign disorder in children whose symptoms range from bloody stools, constipation, mucous discharge, prolonged straining, tenesmus, lower abdominal pain, and localized pain in the perineal area, to a sense of incomplete evacuation. This syndrome is diagnosed based on clinical symptoms, and endoscopic and histological findings, but it often goes unrecognized. Several earlier studies have been performed which are well recognized in the adult population, but the pediatric experience with this condition is limited. This present descriptive-analytical cross-sectional study is aimed to evaluate the relative frequency of solitary rectal ulcer syndrome and its etiology in children referred to Children’s Medical Center, Tehran, Iran from August 2011 to August 2021 to assess the prevalence of this disease in Children of Iran.METHODS: Data gathered was based on the available medical records of patients with solitary rectal ulcer syndrome. Questionnaires included demographic data and variables like age, ulcer type, history of constipation, abdominal pain, and underlying disease, were collected. Statistical analysis was performed with the SPSS version 22.RESULTS: As a result of this study, it has been observed that out of 50 patients suffering from SRUS, 32 (64%) were male and 18 (36%) were female. Most of the patients (90%) had bloody stools, other symptoms presented were constipation (18%), abdominal pain (38%), straining (12%), mucorrhea (14%), and cloacal polyp (24%). Overall Rectal prolapse as an initial symptom was rare as only 3 out of 50 (6%) patients presented with it. The most common ulcer type was a rectal ulcer, seen in 21 patients (42%) and some patients had no ulcer (9 patients). Conclusion –From this study, we concluded that Solitary rectal ulcer syndrome was more common among boys than girls. The most common symptom with which the patients presented was Bloody stools. Most patients showed without any type of ulcer. Furthermore, most of the patients were treated with Mesalazine and pidrolax. The mean total treatment duration of the Solitary rectal ulcer patients was 13.8476 months.Key WordsSolitary rectal ulcer, children, etiology
بدون عنوان
0
یادداشتهای مربوط به پایان نامه ها
جزئيات پايان نامه و نوع درجه آن
General Medicine
یادداشتهای مربوط به خلاصه یا چکیده
متن يادداشت
Introduction: Solitary rectal ulcer syndrome (SRUS) is an uncommon, benign disorder in children whose symptoms range from bloody stools, constipation, mucous discharge, prolonged straining, tenesmus, lower abdominal pain, and localized pain in the perineal area, to a sense of incomplete evacuation. This syndrome is diagnosed based on clinical symptoms, and endoscopic and histological findings, but it often goes unrecognized. Several earlier studies have been performed which are well recognized in the adult population, but the pediatric experience with this condition is limited. This present descriptive-analytical cross-sectional study is aimed to evaluate the relative frequency of solitary rectal ulcer syndrome and its etiology in children referred to Children’s Medical Center, Tehran, Iran from August 2011 to August 2021 to assess the prevalence of this disease in Children of Iran. METHODS: Data gathered was based on the available medical records of patients with solitary rectal ulcer syndrome. Questionnaires included demographic data and variables like age, ulcer type, history of constipation, abdominal pain, and underlying disease, were collected. Statistical analysis was performed with the SPSS version 22. RESULTS: As a result of this study, it has been observed that out of 50 patients suffering from SRUS, 32 (64%) were male and 18 (36%) were female. Most of the patients (90%) had bloody stools, other symptoms presented were constipation (18%), abdominal pain (38%), straining (12%), mucorrhea (14%), and cloacal polyp (24%). Overall Rectal prolapse as an initial symptom was rare as only 3 out of 50 (6%) patients presented with it. The most common ulcer type was a rectal ulcer, seen in 21 patients (42%) and some patients had no ulcer (9 patients). Conclusion: From this study, we concluded that Solitary rectal ulcer syndrome was more common among boys than girls. The most common symptom with which the patients presented was Bloody stools. Most patients showed without any type of ulcer. Furthermore, most of the patients were treated with Mesalazine and pidrolax. The mean total treatment duration of the Solitary rectal ulcer patients was 13.8476 months.
متن يادداشت
مقدمه: سندرم زخم رکتوم انفرادی یک اختلال خوش خیم و غیرشایع در کودکان است که علائم آن از مدفوع خونی، یبوست، ترشحات مخاطی، کشیدگی طولانی مدت، تنسموس، درد زیر شکم و درد موضعی در ناحیه پرینه تا احساس تخلیه ناقص است. این سندرم بر اساس علائم بالینی و یافته های آندوسکوپی و بافت شناسی تشخیص داده می شود، اما اغلب ناشناخته می ماند. چندین مطالعه قبلی انجام شده است که به خوبی در جمعیت بزرگسال شناخته شده است، اما تجربه کودکان در مورد این بیماری محدود است. این مطالعه توصیفی- تحلیلی مقطعی حاضر با هدف بررسی فراوانی نسبی سندرم زخم رکتوم منفرد و علت آن در کودکان مراجعه کننده به مرکز طبی کودکان تهران از مرداد 1390 تا مرداد 1400 به منظور بررسی شیوع این بیماری در کودکان انجام شد روش کار: دادههای جمعآوریشده بر اساس سوابق پزشکی موجود بیماران مبتلا به سندرم زخم رکتوم منفرد بود. پرسشنامه ها شامل اطلاعات دموگرافیک و متغیرهایی مانند سن، نوع زخم، سابقه یبوست، درد شکم و بیماری زمینه ای بود. تجزیه و تحلیل آماری با نرم افزار SPSS نسخه 22 انجام شد.نتیجه گیری : از این مطالعه به این نتیجه رسیدیم که سندرم زخم رکتوم منفرد در پسران بیشتر از دختران است. شایع ترین علامتی که بیماران با آن مراجعه کردند مدفوع خونی بود. اکثر بیماران بدون هیچ نوع زخمی نشان دادند. همچنین اکثر بیماران با مسالازین و پیدرولاکس درمان شدند. میانگین کل مدت درمان بیماران مبتلا به زخم رکتوم منفرد ۱۳ ماه بود
موضوع (اسم عام یاعبارت اسمی عام)
موضوع مستند نشده
Solitary rectal ulcer
موضوع مستند نشده
زخم رکتوم منفرد
موضوع مستند نشده
Children
موضوع مستند نشده
کودکان
موضوع مستند نشده
etiology
موضوع مستند نشده
علت شناسی
نام شخص به منزله سر شناسه - (مسئولیت معنوی درجه اول )
کد نقش
, Author
کد نقش
, Author
مستند نام اشخاص تاييد نشده
Sadeq, Safoora
مستند نام اشخاص تاييد نشده
صادق، صفورا
نام شخص - ( مسئولیت معنوی درجه دوم )
کد نقش
, Thesis advisor
کد نقش
, Thesis advisor
کد نقش
, Thesis advisor
کد نقش
, Thesis advisor
کد نقش
, Consulting advisor
کد نقش
, Consulting advisor
کد نقش
, Consulting advisor
کد نقش
, Consulting advisor
مستند نام اشخاص تاييد نشده
Rahmani, Parisa
مستند نام اشخاص تاييد نشده
رحمانی، پریسا
مستند نام اشخاص تاييد نشده
Ghazizadeh Eslami, Golnaz
مستند نام اشخاص تاييد نشده
قاضی زاده اسلامی، گلناز
مستند نام اشخاص تاييد نشده
Alahverdi, Bahar
مستند نام اشخاص تاييد نشده
اله وردی، بهار
مستند نام اشخاص تاييد نشده
Rohani, Pejman
مستند نام اشخاص تاييد نشده
روحانی، پژمان
شناسه افزوده (تنالگان)
عنصر شناسه اي
Tehran University of Medical Sciences, Medicine school