Association Between Bowel Obstruction or Intussusception and Endometriosis

Sarah Aldhaheri, Eva Suarthana, Suarthana E, Perrine Capmas, P. Capmas, Ahmed Badeghiesh, Badeghiesh A, Gil Y, Yaron Gil, Togas Tulandi, Tulandi T
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2021 · vol. 43(4) , pp. 440–446 · doi:10.1016/j.jogc.2020.12.008 · PMID:33359555 · W3117618871
article OA: closed CC0 ⤵ 7 in-corpus citations
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This paper investigates the relationship between bowel obstruction or intussusception and endometriosis.

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Abstract

ObjectiveTo evaluate the association between endometriosis and bowel obstruction or intussusception using a large population database.MethodsThis was a population-based study using data from the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample (HCUP-NIS) from 2005 to 2014. We studied women aged 18 to 55 years without inflammatory bowel disease or cancer. Multivariate logistic regression was used to examine the association between endometriosis and bowel obstruction.ResultsOf the 18 427 520 women who met the criteria for inclusion, 96 539 had experienced bowel obstruction, for an overall prevalence of 52 per 10 000, and 3825 had experienced intussusception, for an overall prevalence of 2 per 10 000. When adjusted for sociodemographic characteristics, women with pelvic endometriosis had a consistently higher likelihood of bowel obstruction (odds ratio [OR] 2.6; 95% confidendence interval [CI] 2.3-3.00, P <0.01). In particular, intestinal endometriosis was associated with a 14.6-fold increased risk of bowel obstruction (95% CI 11.4-18.8, P <0.01), while rectovaginal endometriosis was associated with a 2.00-fold increased risk (95% CI 1.5-2.6, P <0.01). Pelvic endometriosis was significantly associated with adhesive bowel obstruction (adjusted OR: 3.2; 95% CI 2.6-3.9) and non-adhesive bowel obstruction (adjusted OR 2.4; 95% CI 2.0-2.8). The rates of endometriosis among women with or without intussusception were comparable.ConclusionsPelvic endometriosis, in particular rectovaginal and intestinal endometriosis is strongly associated with bowel obstruction, independent of the presence of intra-abdominal adhesions. We did not find any association between pelvic endometriosis and intussusception.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Obstruction Intussusception Adolescent Adult Endometriosis Endometriosis Female Humans Intestinal Obstruction Intestinal Obstruction Intussusception Middle Aged Young Adult

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.

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europepmc
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License: CC0 · commercial use OK