Rectal disc resection improves stool frequency in patients with deep infiltrating endometriosis: A prospective study

Julian C Y Ip, Julian Ip, Terence C. Chua, Shing Wai Wong, Shing W Wong, Surya Krishnan
The Australian & New Zealand journal of obstetrics & gynaecology · 2020 · vol. 60(3) , pp. 454–458 · doi:10.1111/ajo.13145 · PMID:32162322 · W3012318783
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Rectal disc resection for deep infiltrating endometriosis significantly improved stool frequency and reduced the prevalence of major Low Anterior Resection Syndrome symptoms in a prospective study of 36 patients.

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Abstract

BACKGROUND: Gastrointestinal symptoms occur with deeply infiltrating endometriosis (DIE) of the rectum. AIMS: To explore the medium-term gastrointestinal functional outcomes after rectal disc resection for endometriosis. METHODS: All women undergoing laparoscopy for stage IV endometriosis at a tertiary referral hospital between November 2016 and January 2018 and had evidence of DIE of the rectum were included. Low anterior resection syndrome (LARS) score was measured using a validated questionnaire. RESULTS: Thirty-six women formed the cohort of the study. The mean age was 37 years (range 20-72 years). All women underwent a laparoscopic anterior rectal disc resection for DIE. The response rate was 100%. There was an increase in the percentage of patients having no LARS postoperatively compared to preoperatively (an increase of 78-83%). There was a reduction in LARS scores postoperatively observed in 18 patients (50%) and the prevalence of major LARS decreased postoperatively from 10% to 1%. Comparison of individual symptoms revealed a significant improvement in postoperative stool frequency scores (P = 0.02). Multivariate analysis using logistic regression analysis demonstrated that reduction in postoperative stool frequency scores remained an independent factor (P = 0.008). CONCLUSION: Rectal disc resection is feasible and safe, achieving observable improvements in stool frequency in patients with rectal DIE.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Defecation Endometriosis Rectal Diseases Adult Aged Cohort Studies Endometriosis Female Humans Laparoscopy Middle Aged Prospective Studies Rectal Diseases Rectum Rectum Rectum Surveys and Questionnaires Treatment Outcome Young Adult

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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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