Surgery for deep infiltrating rectal endometriosis-Selecting the right approach

Jeyabalan T, Tamyenthini Jeyabalan, Theiyallen Ambikapathi, Sentilnathan Subramaniam, Ratha Krishnan Sriram, Nornazirah Azizan, Firdaus Hayati
Journal of Obstetrics and Gynaecology Research · 2022 · vol. 48(8) , pp. 2219–2223 · doi:10.1111/jog.15322 · PMID:35661344 · W4281661006
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This paper discusses surgical management of rectal endometriosis, highlighting that the choice between conservative and radical approaches depends on disease extent, patient factors, and logistical considerations.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-21 · read from full text ⓘ

This paper reviews the surgical management of deep infiltrating endometriosis involving the rectum, a condition where lesions can mimic malignancy. The authors present their experience with two patients treated via either conservative or radical approaches to demonstrate short- and long-term outcomes. They emphasize that surgery remains the primary treatment modality, often combined with adjuvant hormonal therapy, and highlight the need to tailor the surgical approach based on disease extent, patient fitness, and available resources. This paper is centrally about endometriosis — specifically the surgical selection for deep infiltrating rectal disease.

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Abstract

Endometriosis involving the bowel is a form of deep infiltrating endometriosis (DIE). The endometriotic lesions can infiltrate the bowel layers mimicking a malignancy. The majority of bowel involvement happens in the colon and rectum. We report our experience in surgically managing rectal endometriosis in two patients, one via a conservative approach and the other with a more radical approach and their associated short-term and long-term outcomes are observed. In principle, surgery remains the mainstay of treatment in managing rectal DIE with adjuvant hormonal therapy. The selection of surgical approach should be based on disease factors such as the size of the lesions and extent of the disease, patient factors including fitness for surgery and expectations as well as logistics and resource limitations.
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Surgery for deep infiltrating rectal endometriosis— Selecting the right approach ABSTRACT Endometriosis involving the bowel is a form of deep infiltrating endometriosis (DIE). The endometriotic lesions can infiltrate the bowel laye rs mimicking a malignancy. The majority of bowel involvement happens in the colon and rectum. We report our experience in surgically managing rectal endometriosis in two patients, one via a conservative approach and the other with a more radical approach and their associated short-term and long -term outcomes are observed. In principle, surgery remains the mainstay of treatment in managing rectal DIE with adjuvant hormonal therapy. The selection of surgical approach should be based on disease factors such as the size of the lesions and extent of the disease, patient factors including fitness for surgery and expectations as well as logistics and resource limitations.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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