Relevance of gastrointestinal symptoms in endometriosis

Maroun, Paulette; Cooper, Michael; Reid, Gary C.; Keirse, Marc J. N. C.

doi:10.1111/j.1479-828x.2009.01030.x

Cited by 68 publications

(57 citation statements)

References 18 publications

(25 reference statements)

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“…It has been suggested that IBS may, in many, be a manifestation of endometriosis with up to 90% of women with histologically confirmed endometriosis having gastrointestinal symptoms . IBS symptoms may relate to the presence of bowel or recto‐vaginal endometriosis, commonly affecting the sigmoid colon or recto‐vaginal space.…”

Section: Discussionmentioning

confidence: 99%

“…Small bowel involvement may also produce non‐distinct symptoms of bloating, flatulence and pain, often mistaken for IBS . Importantly, gastrointestinal symptoms frequently occur even in the absence of overt bowel involvement with endometriosis suggesting the disease may also indirectly affect enteric nervous system function leading to secondary changes in visceral sensitivity or motility. Pain fibres in visceral organs may be linked (viscero‐visceral hyperalgesia) via afferent and efferent nerve reflex arches, sharing painful stimuli .…”

Section: Discussionmentioning

confidence: 99%

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Endometriosis in patients with irritable bowel syndrome: Specific symptomatic and demographic profile, and response to the low FODMAP diet

Moore

Gibson

Perry³

et al. 2017

Aust NZ J Obst Gynaeco

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endometriosis in patients with irritable bowel syndrome: Specific symptomatic and demographic profile, and response to the low FODMAP diet

Moore

Gibson

Perry³

et al. 2017

Aust NZ J Obst Gynaeco

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“…These women may frequently be misdiagnosed as having irritable bowel syndrome (IBS) 22,23 . The association between endometriosis and IBS remains unclear in the literature 23–25 …”

Section: Discussionmentioning

confidence: 99%

The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population‐based study of Australian teenagers

Parker

Sneddon

Arbon

2009

BJOG

252

242

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Objective The aim of this study was to: (1) establish the typical experience of menstruation for senior high school girls and (2) determine how many experience considerable menstrual disturbance that could require further investigation and management of underlying pathology.Design Cross-sectional study.Setting Senior High Schools in the Australian Capital Territory (ACT), Australia.Population A total of 1051 girls aged between 15 and 19 years.Methods Data based on a quantitative survey.Main outcome measures Self-reports of menstrual bleeding patterns, typical and atypical symptoms and morbidities.Results Typical menstruation in adolescence includes pain (93%), cramping (71%), premenstrual symptoms (96%) and mood disturbance (73%). Highly significant associations were found between increasing severity of menstrual pain, number of menstrual-related symptoms, interference with life activities and school absence. These associations indicate that approximately 25% of the sample had marked menstrual disturbance: 21% experienced severe pain; 26% school absence; 26% suffering five or more symptoms; ‡24% reporting moderate to high interference with four out of nine life activities. Approximately 10% reported atypical symptoms associated with menstruation. Diagnosis of menstrual pathology in the sample was low, even though 33% had seen a GP and 9% had been referred to a specialist.Conclusions Menstrual pain and symptoms are common in teenagers. Girls indicating moderate to severe pain in association with a high number of menstrual symptoms, school absence and interference with life activities should be effectively managed to minimise menstrual morbidity. Those girls who do not respond to medical management should be considered for further investigation for possible underlying pathology, such as endometriosis.Keywords Adolescence, dysmenorrhoea, endometriosis, menstrual disturbance, menstrual pain, menstruation, teenage.Please cite this paper as: Parker M, Sneddon A, Arbon P. The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagers.

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“…The common endometriosis bowel symptoms are the rectal bleeding and pain, the painful bowel movements, the loss of appetite, the cramping stomach pains, the nausea and vomiting, the constipation and/or diarrhea, the abdominal bloating and gas in the abdomen. All these symptoms are getting worse during menstruation [79-82]. …”

Section: Introductionmentioning

confidence: 99%

Extrapelvic endometriosis: a rare entity or an under diagnosed condition?

Machairiotis

Stylianaki

Dryllis³

et al. 2013

Diagn Pathol

146

110

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Endometriosis is a clinical entity characterized by the presence of normal endometrial mucosa abnormally implanted in locations other than the uterine cavity. Endometriosis can be either endopelvic or extrapelvicdepending on the location of endometrial tissue implantation. Despite the rarity of extrapelvic endometriosis, several cases of endometriosis of the gastrointestinal tract, the urinarytract, the upper and lower respiratory system, the diaphragm, the pleura and the pericardium, as well as abdominal scars loci have been reported in the literature. There are several theories about the pathogenesis and the pathophysiology of endometriosis. Depending on the place of endometrial tissue implantation, endometriosis can be expressed with a wide variety of symptoms. The diagnosis of this entity is neither easy nor routine. Many diagnostic methods clinical and laboratory have been used, but none of them is the golden standard. The multipotent localization of endometriosis in combination with the wide range of its clinical expression should raise the clinical suspicion in every woman with periodic symptoms of extrapelvic organs. Finally, the therapeutic approach of this clinical entity is also correlated with the bulk of endometriosis and the locum that it is found. It varies from simple observation, to surgical treatment and treatment with medication as well as a combination of those.Virtual slidesThe virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1968087883113362.

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Relevance of gastrointestinal symptoms in endometriosis

Abstract: Gastrointestinal symptoms are nearly as common as gynaecological symptoms in women with endometriosis and do not necessarily reflect bowel involvement.

Cited by 68 publications

References 18 publications

Endometriosis in patients with irritable bowel syndrome: Specific symptomatic and demographic profile, and response to the low FODMAP diet

Endometriosis in patients with irritable bowel syndrome: Specific symptomatic and demographic profile, and response to the low FODMAP diet

The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population‐based study of Australian teenagers

Extrapelvic endometriosis: a rare entity or an under diagnosed condition?

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