| Symptoms before and after surgical removal of colorectal endometriosis that are assessed by magnetic resonance imaging and rectal endoscopic sonography. | |
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MedLine Citation:
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PMID: 15167828 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this study was to evaluate the impact of colorectal resection for endometriosis on symptoms and quality of life or on potential side effects. STUDY DESIGN: After magnetic resonance imaging and rectal endoscopic sonographic evaluations of symptomatic colorectal endometriosis, 27 consecutive women who underwent colorectal resection were included in this prospective study. They completed symptom questionnaires before and after the procedure. Linear pain scores for several gynecologic and digestive symptoms and impact on quality of life were recorded. RESULTS: The sensitivity and positive predictive value of magnetic resonance imaging and rectal endoscopic sonographic evaluation for the diagnosis of colorectal endometriosis were 92.6% and 100% and 89% and 100%, respectively. Nonmenstrual pelvic pain (P = .001), dysmenorrhea (P < .0001), dyspareunia (P = .0002), and pain on defecation (P < .005) were improved by colorectal resection. No correlation was found between symptom intensity and lesion size, as evaluated by magnetic resonance imaging, rectal endoscopic sonographic evaluation, or histologic examination of the surgical specimen. Respectively, the conditions of 14, 11, 0, and 2 women were cured, improved, unchanged, or worsened. Median overall pre- and postoperative quality-of-life scores were 9 (range, 4-10) and 0 (range, 0-10), respectively (P < .0001). CONCLUSION: Colorectal resection for endometriosis appears to relieve some symptoms. However, women should be informed that some symptoms may persist and that there is a risk of urinary and digestive side effects. |
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Authors:
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Isabelle Thomassin; Marc Bazot; Romain Detchev; Emmanuel Barranger; Annie Cortez; Emile Darai |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 190 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2004 May |
Date Detail:
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Created Date: 2004-05-28 Completed Date: 2004-07-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 1264-71 Citation Subset: AIM; IM |
Affiliation:
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Services de Radiologie, Gynécologie, Obstétrique et Médecine de la Reproduction, and Anatomie Pathologique, Hôpital Tenon, Université Broussais-Hôtel-Dieu and Université Saint-Antoine, Assistance Publique des Hôpitaux de Paris, France. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Colectomy / methods Colorectal Neoplasms / diagnosis, surgery* Endometriosis / diagnosis, surgery* Endosonography* Female Humans Magnetic Resonance Imaging Middle Aged Neoplasm Staging Pain Measurement Postoperative Complications Postoperative Period Preoperative Care Prognosis Prospective Studies Quality of Life* Risk Assessment |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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