Colonoscopic Findings and Histologic Diagnostic Yield of Colorectal Endometriosis

Kyung‐Jo Kim, Kim KJ, Kyung-Jo Kim, Jung SS, Sang-Su Jung, Suk-Kyun Yang, Suk‐Kyun Yang, Yang SK, Yoon SM, Soon Man Yoon, Dong‐Hoon Yang, Yang DH, Dong-Hoon Yang, Byong Duk Ye, Byeon JS, Jeong-Sik Byeon, Jeong‐Sik Byeon, Seung‐Jae Myung, Seung-Jae Myung, Kim JH, Jin-Ho Kim
Journal of clinical gastroenterology · 2010 · vol. 45(6) , pp. 536–541 · doi:10.1097/mcg.0b013e3181fd297b · PMID:21030871 · W2325267299
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This study found eccentric wall thickening to be the most common colonoscopic finding in colorectal endometriosis, with biopsies yielding higher diagnostic rates when surface nodularities were present.

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Abstract

BACKGROUND: No study has systematically investigated the colonoscopic findings and histologic diagnostic yield in the diagnosis of colorectal endometriosis. OBJECTIVES: We classified the colonoscopic features of colorectal endometriosis and determined the diagnostic yield of endoscopic biopsy in relation to endoscopic subtypes of colorectal endometriosis. METHODS: A total of 17 patients with colorectal endometriosis were assessed. The data from the colonoscopic and histologic assessments made between November 1994 and October 2009 were retrospectively analyzed in single tertiary referral teaching hospital. RESULTS: Colonoscopy showed eccentric wall thickening in 14 patients (82%) and polypoid lesions in 3 patients (18%). Surface nodularities were noted in 11 of the 14 patients (79%) with eccentric wall thickening, and in 1 of the 3 patients (33%) with polypoid lesions. The overall histologic diagnostic yield was 47% (8 of the 17 patients). The rate of histologic confirmation was higher in patients with surface nodularities (8 of the 12 patients, 67%) versus those without (0 of the 5 patients, 0%) surface nodularities (P=0.02). CONCLUSIONS: Eccentric wall thickening is the most common colonoscopic finding of colorectal endometriosis, and the histologic diagnostic yield of endoscopic biopsy is high when lesions are accompanied by surface nodularities.
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Background

No study has systematically investigated the colonoscopic findings and histologic diagnostic yield in the diagnosis of colorectal endometriosis.

Objectives

We classified the colonoscopic features of colorectal endometriosis and determined the diagnostic yield of endoscopic biopsy in relation to endoscopic subtypes of colorectal endometriosis.

Methods

A total of 17 patients with colorectal endometriosis were assessed. The data from the colonoscopic and histologic assessments made between November 1994 and October 2009 were retrospectively analyzed in single tertiary referral teaching hospital.

Results

Colonoscopy showed eccentric wall thickening in 14 patients (82%) and polypoid lesions in 3 patients (18%). Surface nodularities were noted in 11 of the 14 patients (79%) with eccentric wall thickening, and in 1 of the 3 patients (33%) with polypoid lesions. The overall histologic diagnostic yield was 47% (8 of the 17 patients). The rate of histologic confirmation was higher in patients with surface nodularities (8 of the 12 patients, 67%) versus those without (0 of the 5 patients, 0%) surface nodularities (P=0.02).

Conclusions

Eccentric wall thickening is the most common colonoscopic finding of colorectal endometriosis, and the histologic diagnostic yield of endoscopic biopsy is high when lesions are accompanied by surface nodularities.

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Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Colonoscopy Endometriosis Endometriosis Rectal Diseases Adult Colon Colon Colonic Diseases Colonic Diseases Colonic Diseases Colonoscopy Endometriosis Endometriosis Female Humans Middle Aged Rectal Diseases Rectal Diseases Rectal Diseases

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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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