Intestinal Endometriosis

Macafee, C. H. G.; Greer, H. L. Hardy

doi:10.1111/j.1471-0528.1960.tb09211.x

Cited by 246 publications

(90 citation statements)

References 33 publications

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“…Among the various locations of DIE lesions, colorectal endometriosis, involving the rectosigmoid junction and rectum, represents the most severe form affecting 5.3 to 12% of women with endometriosis [6,7] and accounting for more than 90% of all bowel endometriosis [8][9][10][11][12][13][14]. As colorectal endometriosis is often associated with other lesions involving the uterosacral ligaments, torus uterinum, parametrium, vagina, as well as the ovaries, the impact of colorectal endometriosis alone on fertility is unclear [8,10,12,13].…”

Section: Introductionmentioning

confidence: 99%

Colorectal endometriosis and fertility

Daraı̈

Cohen

Ballester

2017

European Journal of Obstetrics & Gynecology and Reproductiv

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Objective: The goal of this review was to assess the impact of colorectal endometriosis on spontaneous fertility and the potential benefit of Medically Assisted Reproduction (MAR) (in vitro fertilization and intrauterine insemination) and surgery on fertility outcomes.Study design: MEDLINE search for articles on fertility in women with DIE published between 1990 and December 2015 using the following terms: "deep endometriosis", "deep infiltrating endometriosis", "bowel endometriosis", "colorectal endometriosis", "fertility", "infertility", "IVF-ICSI", "Assisted Reproductive Techniques (ART)", and "MAR".Results: Spontaneous pregnancy rate (PR) in patients undergoing resection of DIE but leaving in situ colorectal endometriosis was 26.5% (95% CI = 14-39). PR after MAR was 27.4% (95% CI = 19-35) and the overall PR was 37.9% (95% CI = 29-37). After colorectal surgery, among the 855 patients with and without proved infertility, the spontaneous PR was 31.4% (95% CI = 28-34) without difference between the groups. PR after MAR was 19.8% (95% CI = 17-22). PR after MAR in patients with and without proved infertility was 21.4% (95% CI = 18-25) and 15.5% (95% CI = 11-20), respectively. The overall PR after colorectal surgery was 51.1% (95% CI = 48-54). Conclusion:Our review supports a potential benefit of surgery on fertility outcomes for women with colorectal endometriosis. Further studies are required to determine whether surgical management should be first-intention or restricted to failure of MAR.

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Section: Introductionmentioning

confidence: 99%

Colorectal endometriosis and fertility

Daraı̈

Cohen

Ballester

2017

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Los órganos más afectados son el peritoneo pélvico y los órganos reproductivos, que incluyen ovarios, trompas de Falopio y septo rectovaginal. También puede afectar el tracto gastrointestinal (12%) (5) , siendo el rectosigmoides el sitio más afectado (85%), seguido en frecuencia por colon derecho, intestino delgado, ciego y apéndice.…”

Section: Caso Radiologico Para Diagnostico Resultado Caso Clinico Radunclassified

Dolor Colico Y Distension Abdominal

Avaria¹,

O'Brien

2008

Rev. chil. radiol.

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“…Estima-se que 3-37% de todas as pacientes com endometriose apresentem comprometimento intestinal, característica esta presente em até 50% das endometrioses severas (12) . Aproximadamente 42% têm comprometimento intestinal (13) .…”

Section: Discussionunclassified