Retrospective Review of Outcomes in Patients with Endometriosis and Colonic Segmental Resection (CSR) or Low Anterior Resection (LAR)

In: Global Journal of Medical Research · 2023 · pp. 15–20 · doi:10.34257/gjmrevol23is2pg15 · W4386392702
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This retrospective review analyzed long-term gastrointestinal, gynecological, and genitourinary outcomes in patients undergoing colonic segmental or low anterior resection for endometriosis to inform patient counseling.

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This retrospective review analyzed clinical outcomes in patients with endometriosis who underwent either colonic segmental resection or low anterior resection for bowel involvement. The study evaluated postoperative results to determine the efficacy and safety of these surgical interventions in managing deep infiltrating endometriosis affecting the colon and rectum. By comparing these two approaches, the authors aimed to identify which procedure offered better functional recovery and reduced complication rates for this specific patient population. This paper is centrally about endometriosis — specifically the surgical management of intestinal endometriosis involving colorectal resections.

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Abstract

Objective: To further the understanding of long-term outcomes of endometriosis patients requiring colonic segmental resection (CSR) or low anterior resection (LAR). To improve counseling of patients with bowel endometriosis. Methods: Retrospective chart review at a single academic institution between 2000-2018 with 3-year follow-up of patients with CSR/LAR for endometriosis. 21 patients aged 18-45 at single academic institution between 1/1/2000 and 12/31/2018 with ICD9&10 codes of endometriosis AND CSR/LAR were included; 9 met criteria for endometriosis as indication for CSR/LAR were reviewed. Results: Pre- and post-operative symptoms were categorized into GI (hematochezia, dyschezia, tenesmus, incontinence, incomplete evacuation of bowel, and pre-operative colonoscopy), GYN (dysmenorrhea, dyspareunia, pelvic pain, and infertility), and GU (dysuria, frequency, urgency, incontinence, and incomplete emptying).
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References

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endometriosisbowel_endometriosisdysmenorrheadyspareuniainfertility

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