[Colorectal endometriosis. Diagnosis and management]

Nicolas Régenet, Régenet N, N Régenet, Sylvie Métairie, Métairie S, S Métairie, G M Cousin, G. Cousin, Cousin GM, P A Lehur, Lehur PA
Annales de chirurgie · 2001 · vol. 126(8) , pp. 734–742 · doi:10.1016/s0003-3944(01)00614-9 · PMID:11692757 · W2087807792
Review OA: closed CC0 ⤵ 31 in-corpus citations
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This paper discusses the diagnosis and management of colorectal endometriosis.

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Abstract

Endometriosis occurs in 5 to 10% of the female population. Bowel involvement present in 6 to 30% of cases is predominantly localized in the pelvic parts of the colon and rectum, close to the uterus. The goal of this work was to describe the present diagnostic and therapeutic management of deep colorectal endometriosis defined as infiltrating the digestive wall and usually requiring surgery. Colorectal endometriosis is a disabling disease. Anatomic lesions mimic those of a cancer. Modern investigations include endorectal endosonography, recognized as the best mean to assess the depth of invasion into the intestinal wall, and magnetic resonance imaging. Associated to exploratory laparoscopy, these investigations allow to select the optimal operative strategy for multifocal and complex lesions. Surgical objective is a total resection of endometriomas, to guarantee symptom relief and avoid recurrence. Difficulties in these procedures are usually due to fibrotic and vascularised lesions and associated gynaecological disorders. In elective cases, preoperative GH-RH analog hormonal treatment makes easier the surgical procedure. Colonic and/or rectal restorative resections, performed through laparoscopic approach or more frequently through laparotomy, have to be done according to the usual standards of colorectal surgery. Conservative surgery of the ovaries is mandatory in premenopausal patients.

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Condition tags

endometriosis

MeSH descriptors

Colorectal Neoplasms Colorectal Neoplasms Endometriosis Endometriosis Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Endometriosis Endometriosis Endometriosis Female Female Humans Humans Incidence Incidence

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 (34)

Cited by (30)

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License: CC0 · commercial use OK