Preoperative assessment of intestinal endometriosis: a comparison of Transvaginal Sonography with Water-Contrast in the Rectum, Transrectal Sonography, and Barium Enema
Transvaginal sonography with rectal water contrast accurately diagnoses rectosigmoid endometriosis and intestinal stenosis, performing comparably to transrectal sonography and barium enema.
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This paper studied the diagnostic accuracy of transrectal sonography (TRS) and a new technique, transvaginal sonography with water-contrast in the rectum (RWC-TVS), for rectosigmoid endometriosis, and the accuracy of barium enema (BE) and RWC-TVS for detecting intestinal stenosis due to endometriosis. In a prospective study of 61 consecutive patients undergoing laparoscopy or laparotomy for suspected rectosigmoid endometriosis, preoperative imaging results were compared with operative and pathologic findings. RWC-TVS achieved the same diagnostic accuracy as TRS for rectosigmoid endometriosis and was equally efficient as BE for detecting significant intestinal lumen stenosis, with reported sensitivities/specificities showing strong performance for both tasks. This paper does not explicitly discuss limitations in the provided text, but it evaluates only rectosigmoid disease in a single prospective surgical cohort, which may constrain generalizability. This paper is centrally about endometriosis — it compares RWC-TVS, TRS, and BE for preoperative assessment of rectosigmoid intestinal endometriosis and related stenosis.
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References (14)
- Aggressive surgical management for advanced colorectal endometriosis via openalex
- Different types of extragenital endometriosis: A review via openalex
- Does transvaginal ultrasonography combined with water-contrast in the rectum aid in the diagnosis of rectovaginal endometriosis infiltrating the bowel? via openalex
- Endometriosis of the bowel. via openalex
- Fibrosis and smooth muscle metaplasia in rectovaginal endometriosis via openalex
- Gastrointestinal Endometriosis via openalex
- Results and role of rectal endoscopic ultrasonography for patients with deep pelvic endometriosis via openalex
- Surgical treatment of symptomatic colorectal endometriosis via openalex
- Transvaginal sonography and rectal endoscopic sonography for the assessment of pelvic endometriosis: a preliminary comparison via openalex
- Treatment of bowel endometriosis: a report of six cases of colorectal endometriosis and a survey of the literature via openalex
- W1574921289 via openalex
- W2059334925 via openalex
- W2136748184 via openalex
- W2064107649 via openalex
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- Transvaginal Ultrasound in the Diagnosis and Assessment of Endometriosis—An Overview: How, Why, and When 2022
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- <p>Bowel Endometriosis: Current Perspectives on Diagnosis and Treatment</p> 2020
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- Current Status of Transvaginal Ultrasound Accuracy in the Diagnosis of Deep Infiltrating Endometriosis Before Surgery 2020
- Comparison of physical examination, ultrasound techniques and magnetic resonance imaging for the diagnosis of deep infiltrating endometriosis: A systematic review and meta‑analysis of diagnostic accuracy studies 2020
- Comparison of three-dimensional rectosonography, rectal endoscopic sonography and magnetic resonance imaging performances in the diagnosis of rectosigmoid endometriosis 2019
- Diagnostic Performances of Tridimensional Rectosonography and Magnetic Resonance Imaging in Rectosigmoid Endometriosis: A Prospective Cohort Study on 101 Patients 2019
- Imaging Modalities for Diagnosis of Deep Pelvic Endometriosis: Comparison between Trans-Vaginal Sonography, Rectal Endoscopy Sonography and Magnetic Resonance Imaging. A Head-to-Head Meta-Analysis 2019
- Performances et place de l’échographie dans le diagnostic de l’endométriose, RPC Endométriose CNGOF–HAS 2018
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- Does Bowel Preparation Improve the Performance of Rectal Water Contrast Transvaginal Ultrasonography in Diagnosing Rectosigmoid Endometriosis? 2018
- Gastrointestinal and Urinary Tract Endometriosis: A Review on the Commonest Locations of Extrapelvic Endometriosis 2018
- Ultrasound findings in extragenital endometriosis 2018
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- Diagnosis of deep endometriosis: clinical examination, ultrasonography, magnetic resonance imaging, and other techniques 2017
- Magnetic Resonance Colonography May Predict the Need for Bowel Resection in Colorectal Endometriosis 2017
- Rectal water contrast transvaginal ultrasound versus double-contrast barium enema in the diagnosis of bowel endometriosis 2017
- Computed tomographic colonography <i>vs</i> rectal water‐ contrast transvaginal sonography in diagnosis of rectosigmoid endometriosis: a pilot study 2016
- Imaging modalities for the non-invasive diagnosis of endometriosis 2016
- Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group 2016
- Magnetic resonance enema <i>vs</i> rectal water‐contrast transvaginal sonography in diagnosis of rectosigmoid endometriosis 2016
- How to Manage Bowel Endometriosis: The ETIC Approach 2015
- Correlation between three-dimensional rectosonography and magnetic resonance imaging in the diagnosis of rectosigmoid endometriosis: a preliminary study on the first fifty cases 2015
- Endometriosis: A review of the diagnosis and pain management 2015
- Office gel sonovaginography for the prediction of posterior deep infiltrating endometriosis: a multicenter prospective observational study 2014
- Employing Laparoscopic Surgery for Endometriosis 2014
- How to improve MRI accuracy in detecting deep infiltrating colorectal endometriosis: MRI findings vs. laparoscopy and histopathology 2013
- Multislice computed tomography with colon water distension (MSCT-c) in the study of intestinal and ureteral endometriosis 2013
- Multidisciplinary laparoscopic treatment for bowel endometriosis 2013
- Transrectal ultrasound – Techniques and outcomes in the management of intestinal endometriosis 2012
- Continuous low‐dose oral contraceptive in the treatment of colorectal endometriosis evaluated by rectal endoscopic ultrasonography 2012
- Comparison between transvaginal sonography, saline contrast sonovaginography and magnetic resonance imaging in the diagnosis of posterior deep infiltrating endometriosis 2012
- Comparison of transvaginal sonography and double‐contrast barium enema for diagnosing deep infiltrating endometriosis of the posterior compartment 2011
- Ultrasound Diagnosis of Pelvic Endometriosis 2011
- Symptomatic Intestinal Endometriosis Requiring Surgical Resection: Clinical Presentation and Preoperative Diagnosis 2011
- Multidetector computerized tomography enteroclysis vs. rectal water contrast transvaginal ultrasonography in determining the presence and extent of bowel endometriosis 2011
- 10.1016/s0246-1064(20)82932-6 2000
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