Multidisciplinary laparoscopic treatment for bowel endometriosis

Albert M Wolthuis, Albert Wolthuis, Wolthuis AM, Carla Tomassetti
Best practice & research. Clinical gastroenterology · 2013 · vol. 28(1) , pp. 53–67 · doi:10.1016/j.bpg.2013.11.008 · PMID:24485255 · W2045135260
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This paper describes the multidisciplinary laparoscopic surgical approach for treating bowel endometriosis.

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Abstract

Endometriosis is a handicapping disease affecting young females in the reproductive period. It mainly occurs in the pelvis and affects the bowel in 3-37%. Endometriosis can cause menstrual and non-menstrual pelvic pain and infertility. Colorectal involvement results in alterations of bowel habit such as constipation, diarrhoea, tenesmus, and rarely rectal bleeding. A precise diagnosis about the presence, location and extent is necessary. Based on clinical examination, the diagnosis of bowel endometriosis can be made by transvaginal ultrasound, barium enema examination and magnetic resonance imaging. Multidisciplinary laparoscopic treatment has become the standard of care and depending on size of the lesion and site of involvement full-thickness disc excision or bowel resection is performed by an experienced colorectal surgeon. Anastomotic complications occur around 1%. Long-term outcome after bowel resection for severe endometriosis is good with a pregnancy rate of 50%.

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Condition tags

endometriosischronic_pelvic_painbowel_endometriosis

MeSH descriptors

Digestive System Surgical Procedures Endometriosis Intestinal Diseases Laparoscopy Laparoscopy Laparoscopy Patient Care Team Patient Care Team Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Endometriosis Endometriosis Endometriosis Female Fertility Humans Infertility, Female Infertility, Female Infertility, Female

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.

References (100)

Cited by (18)

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