Irritable bowel syndrome and chronic constipation in patients with endometriosis
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This study found that 29% of endometriosis patients have concomitant IBS or constipation, and gastroenterological consultation improved defecation and pain in these patients.
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Abstract
AIM: The aim of this study was to evaluate how many patients with endometriosis have concomitant irritable bowel syndrome (IBS) and/or constipation according to the Rome III criteria. Furthermore, the value of an additional gastroenterological consultation with therapeutic advice was evaluated. METHOD: Patients with proven endometriosis were included in a prospective, single-centre study. A questionnaire was undertaken regarding IBS and chronic constipation. Patients with symptoms consistent with the Rome III criteria for IBS were referred to our gastroenterological outpatient clinic. RESULTS: In total 101 patients were included. Endometriosis was diagnosed surgically in 97% and visually in the vagina in 3%. Fifteen per cent of the patients with endometriosis also had IBS and 14% of the patients with endometriosis had functional constipation without IBS. Of the 22 patients finally presenting to the gastroenterologist, five had a significant stenotic rectosigmoid lesion and were treated surgically. The remaining 17 patients were treated conservatively. Defecation symptoms improved in 86% and pain was reduced in 64%. CONCLUSION: In patients with endometriosis, 29% also had IBS or constipation. Referral to a gastroenterologist resulted in improvement of defaecation in 86%, and 64% reported a reduction in the degree of pain.
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Cited by (23)
- The association between body mass index (BMI) and the severity of endometriosis, pelvic pain, and frequency of gastrointestinal symptoms in patients with endometriosis 2025
- Supervised exercise and pelvic floor muscle training eases current pelvic and genital pain but not worst pelvic and genital pain in women with endometriosis: a randomised trial 2025
- Sigmoid colon endometriosis as an uncommon cause of large bowel obstruction: A case report 2025
- Prevalence of irritable bowel syndrome in endometriosis patients: A cross-sectional study 2024
- Love Thy Neighbor? Exploring Gastroenterology Attitudes Towards Endometriosis Screening 2024
- Gastroenterologist Primer: Endometriosis for Gastroenterologists 2023
- Evidence of shared genetic factors in the etiology of gastrointestinal disorders and endometriosis and clinical implications for disease management 2023
- Pelvic floor dysfunction at transperineal ultrasound and chronic constipation in women with endometriosis 2022
- Evidence of shared genetic factors in the aetiology of gastrointestinal disorders and endometriosis and clinical implications for disease management 2022
- Clinical Aspects and Quality of Life among Women with Endometriosis in Port Said City 2022
- Endometriosis and irritable bowel syndrome: A systematic review and meta-analyses 2022
- Glycemic Index, Glycemic Load, Fiber, and Gluten Intake and Risk of Laparoscopically Confirmed Endometriosis in Premenopausal Women 2022
- Chronic pelvic pain in children and adolescents 2021
- ASSESSMENT THE HEALTH- RELATED QUALITY OF LIFE AMONG ENDOMETRIOSIS WOMEN IN MATERNAL AND CHILD HEALTH CENTERS IN DAMIETTA 2020
- Endometriosis and irritable bowel syndrome: a systematic review and meta-analysis 2020
- The association between ultrasound-based ‘soft markers’ and endometriosis type/location: A prospective observational study 2019
- Surgical challenges in the treatment of perimenopausal and postmenopausal endometriosis 2018
- ROLE OF COMORBID PATHOLOGY FOR PATIENTS WITH THE �PROLIFERATIVE� DISEASES OF GENITALIA AND �HRONIC PELVIC PAIN 2018
- Endometriosis in patients with irritable bowel syndrome: Specific symptomatic and demographic profile, and response to the low FODMAP diet 2017
- Gastrointestinal symptoms among endometriosis patients—A case-cohort study 2015
- Bowel endometriosis 2014
- Does colorectal endometriosis alter intestinal functions? A prospective manometric and questionnaire-based study 2012
- Visceral hypersensitivity in endometriosis: a new target for treatment? 2011
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