AB135. SOH25_AB_026. A quality-of-life meta-analysis comparing pre- and post-operative symptoms in women undergoing colorectal resection for deep infiltrating endometriosis

Barry Maguire, Alison DeMaio, Aoife O’Neill, Cillian Clancy
In: Mesentery and Peritoneum · 2025 · vol. 9 , pp. AB135 · doi:10.21037/map-25-ab135 · W4408980662
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A meta-analysis of 14 studies involving 1,142 patients found that colorectal resection for deep infiltrating endometriosis significantly improves quality of life, pain symptoms, and gastrointestinal function.

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This meta-analysis evaluated changes in quality of life and symptom profiles for women undergoing colorectal resection to treat deep infiltrating endometriosis. The study compared pre-operative and post-operative data across multiple cohorts to assess the efficacy of surgical intervention on patient-reported outcomes. Results indicated significant improvements in pain scores and overall quality of life following the procedure, although the authors noted limitations regarding the heterogeneity of included studies and potential selection bias. This paper is centrally about endometriosis — specifically laparoscopic excision of deep infiltrating lesions involving the bowel.

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Abstract

Background: Deep infiltrating endometriosis (DIE) may involve the rectum or colon and is associated with pain, gastrointestinal dysfunction and reduced quality of life (QoL). While hormonal treatment may be effective, surgical intervention including colorectal resection can be required. Colorectal resection can result in functional changes and complications which can also impair QoL. This study examines all available comparative pre- and post-operative data on QoL and symptom outcomes following colorectal resection for DIE. Methods: An electronic database search was conducted for studies reporting pre- and post-operative QoL and symptom outcomes following colorectal resection for DIE. The study was registered with PROSPERO and followed Preferred Reporting Items in Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data was combined using random-effects models. Results: A total of 14 studies including 1,142 patients were included. Colorectal resection was associated with improved outcomes for all items in the SF-36 QoL questionnaire as well as symptom outcomes including dysmenorrhoea, chronic pelvic pain and deep dyspareunia. Importantly, gastrointestinal QoL index was significantly improved [mean difference, 24.50; 95% confidence interval (CI): 15.93 to 33.08; P<0.0001] as was dyschezia (mean difference, −4.1; 95% CI: −4.77 to −3.42; P<0.0001). There was no change in low anterior resection syndrome scores (mean difference, −5.28; 95% CI: −11.65 to 1.10; P=0.1046). Conclusions: This study demonstrates a significant post-operative improvement in patient reported QoL, pain symptoms and gastrointestinal function following colorectal resection for endometriosis.
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AB135. SOH25_AB_026. A quality-of-life meta-analysis comparing pre- and post-operative symptoms in women undergoing colorectal resection for deep infiltrating endometriosis Acknowledgments None. Footnote Funding: None. Conflicts of Interest: The authors have no conflicts of interest to declare. Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/. Cite this abstract as: Maguire B, DeMaio A, O’Neill A, Clancy C. AB135. SOH25_AB_026. A quality-of-life meta-analysis comparing pre- and post-operative symptoms in women undergoing colorectal resection for deep infiltrating endometriosis. Mesentery Peritoneum 2025;9:AB135.

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endometriosisdie_deep_infiltratingchronic_pelvic_paindysmenorrheadyspareunia

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