Laparoscopic ileocecal resection for bowel endometriosis

Ruffo, Giacomo; Stepniewska, Anna; Crippa, Stefano; Serboli, Giacomo; Zardini, Claudio; Steinkasserer, Martin; Ceccaroni, Marcello; Minelli, Luca; Falconi, Massimo

doi:10.1007/s00464-010-1354-x

Cited by 23 publications

(20 citation statements)

References 34 publications

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“…Surprisingly, the principal recent surgical series, using either conservative (shaving) or radical resection techniques, have reported rates of ICE in LRE patients ranging from 0 to 10.2%, much lower than the 25.6% rate we report here. Similarly, the reported rates of isolated appendiceal endometriosis in women with DIE have ranged from 2.6 to 4.1%, again lower than our 7.5% rate .…”

Section: Discussioncontrasting

confidence: 86%

“…It may be hypothesised that the ICE lesions might have been missed and left in place. Prevalence rates of previous surgery in LRE patients undergoing rectal resection have been reported to be quite high (64.9–82%) . These previous incomplete pelvic surgical interventions might either increase the risk of subsequent ileocaecal deposits or lead to postoperative intestinal adhesions that make intraoperative recognition of ICE more difficult .…”

Section: Discussionmentioning

confidence: 99%

“…In women who have undergone surgery for bowel endometriosis, the reported prevalence of ileocaecal endometriosis (ICE) ranges from 5 to 10.2% . Most surgical teams have standardised a complete preoperative imaging work‐up to obtain a detailed map of endometriotic disease before surgery; however, available data show that this process often misses diagnoses of additional ICE lesions …”

Section: Introductionmentioning

confidence: 99%

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Associated ileocaecal location is a marker for greater severity of low rectal endometriosis

Marcellin

Leconte

Gaujoux

et al. 2019

BJOG

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Objective To determine whether ileocaecal endometriosis (ICE) is a marker for low rectal endometriosis (LRE) severity.Design Retrospective cohort study. Setting France.Population and sample Analysis of 375 colorectal resections performed in women undergoing complete surgery for LRE from January 1995 to December 2015 in a university centre for endometriosis.Methods Univariate and multivariate analysis of anatomical, postoperative clinical, and long-term outcomes according to presence of ICE.Main outcomes and measures Mean number and type of deep infiltrating endometriosis (DIE) lesions, the existence of an associated endometrioma, and mean total American Society for Reproductive Medicine (ASRM) score.Results The prevalence of ICE was 25.6%. Primary end-point data showed that women with ICE had a significantly higher adjusted number of DIE lesions (OR = 1.43, 95% CI 1.02-3.03; P = 0.048), higher prevalence of endometriomas (OR = 1.91, 95% CI 1.04-3.51; P = 0.044), more associated DIE sigmoid lesions (OR = 2.12, 95% CI 1.07-3.91; P = 0.025), and a higher mean total ASRM score (OR = 2.07, 95% CI 1.12-4.14; P = 0.025). Women with ICE resected during the surgical procedure for LRE did not have more adverse postoperative clinical outcomes than ICE-negative patients.Conclusion Ileocaecal endometriosis was significantly associated with greater LRE severity. In a complete surgical resection strategy, combining resection of ICE and LRE did not appear to increase postoperative rates of complications, morbidity or recurrence, nor did it seem to impair long-term clinical outcomes.Keywords Complete surgery, deep infiltrating endometriosis, disease severity, ileocaecal endometriosis, low rectal endometriosis.Tweetable abstract In women with low rectal endometriosis, 25% have an associated ileocaecal location that is a marker for severity.

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Section: Discussioncontrasting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Associated ileocaecal location is a marker for greater severity of low rectal endometriosis

Marcellin

Leconte

Gaujoux

et al. 2019

BJOG

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“…La localización ileocecal tiene una fuerte asociación (94 %) con la endometriosis rectovaginal (13) y generalmente está asociada a otras lesiones intestinales, es muy raro el compromiso aislado (14).…”

Section: Discussionunclassified

“…Son escasos los informes sobre pacientes con compromiso cecal aislado (5,13,14); este informe pretende profundizar en el conocimiento de esta enfermedad en sitios inusuales de implantación.…”

Section: Discussionunclassified