Darmendometriose: Diagnostik und Therapie

U. Ulrich, K. Beyer, J. Keckstein
In: Die Gynäkologie · 2026 · doi:10.1007/s00129-026-05520-9 · W7166817438
article OA: closed CC0
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⚙ AI-generated summary by claude@2026-07+body, 2026-07-14 ⓘ

Bowel endometriosis, common in the rectum, is diagnosed clinically with vaginal sonography and treated with progestins or GnRH antagonists, followed by surgical resection if necessary.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-14 ⓘ

The paper reviews bowel endometriosis (“Darmendometriose”), stating it occurs in about 10% of patients with endometriosis, most commonly involving the rectum. It describes high-level diagnostic and treatment approaches: clinical diagnosis, vaginal sonography as the primary imaging method, first-line hormonal therapy with appropriate progestins such as dienogest, and—after laparoscopic confirmation—oral GnRH antagonists with osteoprotective add-back. For surgical management, it outlines resection of the affected bowel segment, specifying techniques for rectal involvement including shaving, full-thickness excision (disc excision), and segmental resection. The authors note a limitation that they did not conduct studies on humans or animals themselves, presenting the article as a diagnostic and therapeutic overview. This paper is centrally about endometriosis — specifically bowel and rectal endometriosis (“Darmendometriose: Diagnostik und Therapie”).

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