Endorectal ultrasound accuracy in the diagnosis of rectal endometriosis infiltration depth
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This study evaluated the accuracy of endorectal ultrasound in determining the depth of rectal endometriosis infiltration.
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Abstract
ObjectiveTo evaluate the accuracy of endorectal ultrasound examination to ascertain the deepest rectal layer involved in rectal endometriosis.DesignRetrospective study.SettingDepartment of obstetrics and gynecology at a university hospital in France.Patient(s)Women presenting with rectal endometriosis who had undergone rectal resection during a 22-month period.Intervention(s)Endorectal ultrasonography.Main outcome measure(s)The predicted rectal infiltration depth by using endorectal examination was compared with histological findings. The level of agreement was evaluated by using the coefficients of concordance kappa and weighted kappa.Result(s)Sixteen women were included in the study. Rectal resection was segmental in 14 cases and was limited in 2 cases. The agreement between 2 examinations was considered good in 9 cases (56%). Endorectal ultrasound overestimated the depth of infiltration in 5 cases and underestimated it in 2 cases. The coefficients of concordance kappa (95% confidence interval) and weighted kappa (95% confidence interval) were, respectively, 0.17 (0-0.34) and 0.22 (0.04-0.4), corresponding to poor concordance between the endorectal ultrasonography and histological examination.Conclusion(s)Accuracy in the prediction of rectal-layer involvement in endorectal ultrasonography appears to be limited. This information should not be considered sufficient when selecting the type of rectal-resection procedure.
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Cited by (18)
- Imaging Diagnosis in Colorectal Endometriosis 2021
- Standardization of endometriosis surgery – the coloproctologist's vision 2019
- Performances et place de l’échographie dans le diagnostic de l’endométriose, RPC Endométriose CNGOF–HAS 2018
- Magnetic Resonance Imaging Compared with Rectal Endoscopic Sonography for the Prediction of Infiltration Depth in Colorectal Endometriosis 2017
- Imaging modalities for the non-invasive diagnosis of endometriosis 2016
- Maternal and neonatal outcomes in women with colorectal endometriosis 2016
- Correlation of the three-dimensional ultrasound findings with pathology in patients with deep pelvic infiltrating endometriosis submitted to surgery 2016
- Can rectal endoscopic sonography be used to predict infiltration depth in patients with deep infiltrating endometriosis of the rectum? 2013
- Apports des techniques d’imagerie en cas de suspicion d’endométriose digestive 2012
- Ultrasound Diagnosis of Pelvic Endometriosis 2011
- Histopathologic Analysis of Intestinal Endometriosis after Laparoscopic Low Anterior Resection 2010
- Ultrasonographic Aspects of Endometriosis 2010
- Ultrasonographic aspects of endometriosis 2010
- Surgical management of deep infiltrating endometriosis of the rectum: pleading for a symptom-guided approach 2010
- Endométriose colorectale : diagnostic et traitements, certitudes et interrogations 2010
- Transvaginal ultrasonography with bowel preparation is able to predict the number of lesions and rectosigmoid layers affected in cases of deep endometriosis, defining surgical strategy 2009
- Résection rectosigmoïdienne pour endométriose profonde : résultats chirurgicaux et fonctionnels 2008
- 10.1016/s1879-8543(19)60537-9 2000
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