What is the prognosis of proctitis and anusitis?

Updated: Mar 27, 2020
  • Author: David E Stein, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

In the acute setting, most bouts of proctitis have a good outcome and prognosis. More specifically, once appropriately treated, infectious proctitis tends not to recur.

For the more chronic diseases, such as IBD, outcomes and prognoses vary. Clearly, in medically treated ulcerative colitis and proctitis, approximately 40-70% of cases do not require operation. If proctocolectomy is performed, the patient is cured of the disease. Crohn disease is another story. Because it can occur in all portions of the GI tract, even after a proctectomy, recurrence of Crohn disease ranges from 45-90%.

Diversion proctitis generally has a good outcome and prognosis once the diversion is reversed.

The outcome and prognosis of radiation proctitis vary with the severity of proctitis. Outcomes range from requiring a few medical treatments in the form of enemas to surgery. Complication rates for surgical treatment have been reported to be as high as 75%.


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