Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis

Bowel endometriosis, defined as presence of endometrial tissue infiltrating the intestinal muscularis propria layer and beyond (3), has a sigmoid colon and rectal predilection. We collected 170 cases of endometriosis within the timeline, out of which DIE was diagnosed in 47 cases (27%). Deep Infiltr...

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Autores principales: Adianto Nugroho, Rofi Saunar, Indah Jamtani, M Syahbana, Syamsu Hudaya, Aditomo Widarso, Taslim Poniman
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Publicado: Shiraz University of Medical Sciences 2020
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spelling oai:doaj.org-article:9210b1a0cf604131a3548577308f361f2021-11-14T08:12:23ZSingle Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis2783-243010.30476/acrr.2021.88432.1065https://doaj.org/article/9210b1a0cf604131a3548577308f361f2020-12-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47246_c3be04fe686f41d40a15c9276d6c35fb.pdfhttps://doaj.org/toc/2783-2430Bowel endometriosis, defined as presence of endometrial tissue infiltrating the intestinal muscularis propria layer and beyond (3), has a sigmoid colon and rectal predilection. We collected 170 cases of endometriosis within the timeline, out of which DIE was diagnosed in 47 cases (27%). Deep Infiltrating Endometriosis (DIE) that effected the bowel, including those that only effected the perirectal fat and rectal serosa were 19 cases (40%); 11 cases (58%) had DIE infiltrating past the rectal serosa. A total of 8 cases (42%), with only perirectal fat and rectal serosa involvement were treated with either disc excision or shaving, were excluded from this study We described the clinical characteristics of 9 patients with rectal DIE that were treated with Segmental Resection along with primary gynecological resection. In summary, Segmental resection is safe and feasible, even with minimally invasive technique, to be incorporated in the comprehensive multidisciplinary management of bowel endometriosis. Further effort to expand its use is necessary to increase the scope of bowel endometriosis management across the country.Adianto NugrohoRofi SaunarIndah JamtaniM SyahbanaSyamsu HudayaAditomo WidarsoTaslim PonimanShiraz University of Medical Sciencesarticlebowel endometriosisdeep infiltratingsegmental resectionMedicineRENIranian Journal of Colorectal Research, Vol 8, Iss 4, Pp 187-191 (2020)
institution DOAJ
collection DOAJ
language EN
topic bowel endometriosis
deep infiltrating
segmental resection
Medicine
R
spellingShingle bowel endometriosis
deep infiltrating
segmental resection
Medicine
R
Adianto Nugroho
Rofi Saunar
Indah Jamtani
M Syahbana
Syamsu Hudaya
Aditomo Widarso
Taslim Poniman
Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis
description Bowel endometriosis, defined as presence of endometrial tissue infiltrating the intestinal muscularis propria layer and beyond (3), has a sigmoid colon and rectal predilection. We collected 170 cases of endometriosis within the timeline, out of which DIE was diagnosed in 47 cases (27%). Deep Infiltrating Endometriosis (DIE) that effected the bowel, including those that only effected the perirectal fat and rectal serosa were 19 cases (40%); 11 cases (58%) had DIE infiltrating past the rectal serosa. A total of 8 cases (42%), with only perirectal fat and rectal serosa involvement were treated with either disc excision or shaving, were excluded from this study We described the clinical characteristics of 9 patients with rectal DIE that were treated with Segmental Resection along with primary gynecological resection. In summary, Segmental resection is safe and feasible, even with minimally invasive technique, to be incorporated in the comprehensive multidisciplinary management of bowel endometriosis. Further effort to expand its use is necessary to increase the scope of bowel endometriosis management across the country.
format article
author Adianto Nugroho
Rofi Saunar
Indah Jamtani
M Syahbana
Syamsu Hudaya
Aditomo Widarso
Taslim Poniman
author_facet Adianto Nugroho
Rofi Saunar
Indah Jamtani
M Syahbana
Syamsu Hudaya
Aditomo Widarso
Taslim Poniman
author_sort Adianto Nugroho
title Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis
title_short Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis
title_full Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis
title_fullStr Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis
title_full_unstemmed Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis
title_sort single center experience of a safe and feasible segmental resection of rectosigmoid endometriosis
publisher Shiraz University of Medical Sciences
publishDate 2020
url https://doaj.org/article/9210b1a0cf604131a3548577308f361f
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