Associated ileocaecal location is a marker for greater severity of low rectal endometriosis.
Complete surgery
deep infiltrating endometriosis
disease severity
ileocaecal endometriosis
low rectal endometriosis
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
accepted:
30
07
2019
pubmed:
14
8
2019
medline:
19
11
2019
entrez:
14
8
2019
Statut:
ppublish
Résumé
To determine whether ileocaecal endometriosis (ICE) is a marker for low rectal endometriosis (LRE) severity. Retrospective cohort study. France. 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. Univariate and multivariate analysis of anatomical, postoperative clinical, and long-term outcomes according to presence of ICE. 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. 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. 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. In women with low rectal endometriosis, 25% have an associated ileocaecal location that is a marker for severity.
Identifiants
pubmed: 31407476
doi: 10.1111/1471-0528.15901
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1600-1608Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2019 Royal College of Obstetricians and Gynaecologists.
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