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deep infiltrating endometriosis

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https://www.readbyqxmd.com/read/28893658/multiple-nodule-removal-by-disc-excision-and-segmental-resection-in-multifocal-colorectal-endometriosis
#1
Jenny-Claude Millochau, Emanuela Stochino-Loi, Basma Darwish, Carole Abo, Julien Coget, Rachid Chati, Jean-Jacques Tuech, Horace Roman
OBJECTIVE: To report postoperative outcomes after dual digestive resection for deep endometriosis infiltrating the rectum and the colon. DESIGN: Retrospective study using data prospectively recorded in the CIRENDO database. DESIGN CLASSIFICATION: Canadian Task Force classification II-2. SETTING: University tertiary referral center. PATIENTS: Twenty-one patients managed for multiple colorectal deep endometriosis infiltrating nodules...
September 8, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28890677/the-role-of-the-multidisciplinary-team-in-the-management-of-deep-infiltrating-endometriosis
#2
REVIEW
Lilian Ugwumadu, Rima Chakrabarti, Elaine Williams-Brown, John Rendle, Ian Swift, Babbin John, Heather Allen-Coward, Emmanuel Ofuasia
The multidisciplinary team (MDT) is considered good practice in the management of chronic conditions and is now a well-established part of clinical care in the NHS. There has been a recent drive to have MDTs in the management of women with severe endometriosis requiring complex surgery as a result of recommendations from the European Society for Human Reproduction and Embryology (ESHRE) and British Society for Gynaecological Endoscopy (BSGE). The multidisciplinary approach to the management of patients with endometriosis leads to better results in patient outcomes; however, there are potentially a number of barriers to its implementation and maintenance...
2017: Gynecological Surgery
https://www.readbyqxmd.com/read/28869876/associations-between-internal-exposure-levels-of-persistent-organic-pollutants-in-adipose-tissue-and-deep-infiltrating-endometriosis-with-or-without-concurrent-ovarian-endometrioma
#3
Stéphane Ploteau, German Cano-Sancho, Christelle Volteau, Arnaud Legrand, Anaïs Vénisseau, Vincent Vacher, Philippe Marchand, Bruno Le Bizec, Jean-Philippe Antignac
Endometriosis is a gynaecological disease characterized by the presence of ectopic endometrial tissue. Histologically, it appears as different sub-types, being peritoneal endometriosis, ovarian endometrioma (OvE) and deep infiltrating endometriosis (DIE), which are of major relevance due to their varying clinical presentations. A number of persistent organic pollutants (POPs) have been associated with the onset of endometriosis, yet the overall set of existing studies remains fairly divergent. In this preliminary case-control study we aimed to assess the potential associations between the internal exposure to POPs and the presence of DIE with or without concurrent OvE...
September 1, 2017: Environment International
https://www.readbyqxmd.com/read/28869181/-impact-of-osteopathic-manipulative-therapy-in-patient-with-deep-with-colorectal-endometriosis-a-classification-based-on-symptoms-and-quality-of-life
#4
C Daraï, S Bendifallah, H Foulot, M Ballester, N Chabbert-Buffet, E Daraï
OBJECTIVES: A prospective study to evaluate the clinical impact of osteopathic manipulative therapy (OMT) on symptoms and quality of life (QOL) of patients with colorectal endometriosis. METHODS: Forty-six patients with colorectal endometriosis completed the SF-36 QOL and symptoms questionnaire before and after OMT. A comparison and clustering analysis was performed to identify subgroups of patient's profile and symptom classification. RESULTS: The mean age of the patients was 32±6...
August 28, 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/28864051/-bowel-endometriosis-and-infertility-do-we-need-to-operate
#5
M Bourdon, P Santulli, L Marcellin, M C Lamau, C Maignien, C Chapron
Endometriosis is a benign chronic inflammatory disease, whose pathogenesis is still unclear. Endometriosis is responsible for infertility and/or pelvic pain. One of the most important features of the disease is the heterogeneity (clinical and anatomical: superficial peritoneal, ovarian and/or deep infiltrating lesions). Bowel involvement constitutes one particularly severe form of the disease, affecting 8-12% of women with deep endometriosis. In case of associated infertility, bowel endometriosis constitutes a real therapeutic challenge for gynecologists...
August 29, 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/28854866/histopathological-alterations-in-fetal-membranes-of-women-with-endometriosis
#6
Louis Marcellin, Céline Méhats, Jean Gogusev
Previously, we reported endometriotic-like decidual lesions in contact with the fetal membranes (FMs) in 11 pregnant women with severe endometriosis. In this report, an extensive histomorphological analysis was performed on the FMs of 19 pregnant women with deep infiltrating endometriosis (DIE) at term pregnancy and who delivered by cesarean delivery before labor. On gross examination, all samples showed increased thickness, de novo microvessel formation, and small-size excrescences distributed along the membrane circumference...
January 1, 2017: Reproductive Sciences
https://www.readbyqxmd.com/read/28843535/swimming-against-the-stream-is-surgery-worthwhile-in-women-with-deep-infiltrating-endometriosis-and-pregnancy-intention
#7
EDITORIAL
Basma Darwish, Isabella Chanavaz-Lacheray, Horace Roman
No abstract text is available yet for this article.
August 23, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28839333/endometriosis-with-an-aberrant-immunophenotype-challenging-differential-diagnosis-of-glandular-lesions-in-the-pelvic-lymph-nodes
#8
Dita Vlckova, Jiri Lenz, Radek Chvatal, Jan Tihon, Miroslav Kavka, Lucie Uncapher
CASE REPORT: We describe an unusual case of pelvic lymph node endometriosis with an aberrant immunophenotype mimicking metastasis of adenocarcinoma. A 37-year-old patient with a history of invasive cervical adenocarcinoma stage pT1a2 is presented. Due to insufficient loop electrosurgical excision procedure (LEEP) conization, total laparoscopic hysterectomy with pelvic lymphadenectomy was indicated. Intraoperatively, the diagnosis of deep infiltrating endometriosis of parametrial ligament and vesicouterine pouch, endometrioma of the left ovary and Allen Master's syndrome was suspected; the patient had no history or clinical symptoms of endometriosis...
August 24, 2017: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
https://www.readbyqxmd.com/read/28807809/paraureteral-endometriosis-with-bilateral-gross-hydroureters-and-left-renal-compromise
#9
Arnaud Wattiez, Razan Nasir
Deep endometriosis is usually defined as endometriosis infiltrating the peritoneum by >5 mm. It sometimes involves the ureter causing hydronephrosis in 5% of cases. The latter is associated with 18% ureteral lesions. Ureteral endometriosis is one of the rare causes of silent Kidney failure. The ureter obstruction can lead to urinary tract obstruction, hydronephrosis and hydroureters. The ureters are usually compressed externally by the endometriotic lesions surrounding it causing extrinsic ureteral endometriosis, and sometimes by pressure from the bulky adenomyotic uterus with paraureteral fibrosis...
August 11, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28802956/magnetic-resonance-imaging-compared-with-rectal-endoscopic-sonography-for-the-prediction-of-infiltration-depth-in-colorectal-endometriosis
#10
Arane Kim, Pedro Fernandez, Brigitte Martin, Laurent Palazzo, Lara Ribeiro-Parenti, Francine Walker, Margot Bucau, Dominique Luton, Carmen Chis, Martin Koskas
STUDY OBJECTIVE: To compare the accuracies of magnetic resonance imaging (MRI) and rectal endoscopic sonography (RES) in the prediction of the infiltration depth of colorectal endometriosis. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: University teaching hospital. PATIENTS: Forty patients with symptomatic deep infiltrating endometriosis (DIE) of the rectum who underwent colorectal resection were included...
August 9, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28755505/risk-of-appendiceal-endometriosis-among-women-with-deep-infiltrating-endometriosis
#11
Janelle K Moulder, Matthew T Siedhoff, Kathryn L Melvin, Elizabeth G Jarvis, Kumari A Hobbs, Joanne Garrett
OBJECTIVE: To determine whether deep-infiltrating endometriosis (DE) carries an increased risk of appendiceal endometriosis (AppE) as compared with superficial endometriosis or no endometriosis. METHODS: In a retrospective study, data were obtained by chart review of an internal database for women who underwent coincidental appendectomy during benign gynecologic surgery between July 2009 and February 2014 at a tertiary referral center in the USA. Univariate, bivariate, and regression analyses were performed...
July 29, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28728071/effect-of-dienogest-on-pain-and-ovarian-endometrioma-occurrence-after-laparoscopic-resection-of-uterosacral-ligaments-with-deep-infiltrating-endometriosis
#12
Akiyoshi Yamanaka, Tomonori Hada, Tsuyoshi Matsumoto, Kiyoshi Kanno, Akira Shirane, Shiori Yanai, Saori Nakajima, Keiko Ebisawa, Yoshiaki Ota, Masaaki Andou
OBJECTIVE: To evaluate the effect of dienogest (DNG) in preventing the occurrence of pain and endometriomas after laparoscopic resection of uterosacral ligaments (USLs) with deep infiltrating endometriosis (DIE). STUDY DESIGN: This retrospective analysis included 126 patients who underwent laparoscopic resection of USLs with DIE followed by postoperative administration of DNG or no medication. Every 6 months postoperatively, patients answered questions and underwent ultrasound examination to identify pain and/or endometrioma...
July 11, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28718381/histological-and-immunohistochemical-characterization-of-the-similarity-and-difference-between-ovarian-endometriomas-and-deep-infiltrating-endometriosis
#13
Xishi Liu, Qi Zhang, Sun-Wei Guo
Ovarian endometrioma (OMA) and deep infiltrating endometriosis (DIE) have long been recognized to have different histology and, as such, postulated to be 2 separate disease entities. Few studies, however, have attempted to elucidate the causes for their differences. Making use of ectopic endometrial tissue samples from 25 and 20 women with OMA and DIE, respectively, and control endometrial tissue samples from 25 women without endometriosis, we conducted an immunohistochemical analysis to evaluate the expression of a group of carefully chosen markers for epithelial-mesenchymal transition (EMT), fibroblast-to-myofibroblast transdifferentiation (FMT), smooth muscle metaplasia (SMM), fibrosis, vascularity, hormonal receptors, and proteins involved in epigenetic modifications...
January 1, 2017: Reproductive Sciences
https://www.readbyqxmd.com/read/28710194/laparoscopic-excision-of-an-inflammatory-myofibroblastic-tumour-of-the-bladder-disguised-as-deep-infiltrating-endometriosis
#14
Ourania Koukoura, Zoi Alevra, Kitty Pavlakis, George Pistofidis
Inflammatory myofibroblastic tumour (IMT) of the bladder is a rare tumour of indeterminate malignant potential with myofibroblastic differentiation, with a generally benign but rarely aggressive behaviour. Vesical IMT is usually treated by transurethral resection or partial cystectomy. Herein we describe a case of a woman who underwent laparoscopic excision of an IMT of the bladder, initially diagnosed as deep infiltrating endometriosis.
July 14, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28702886/comparison-of-transvaginal-sonography-and-computed-tomography-colonography-with-contrast-media-and-urographic-phase-for-diagnosing-deep-infiltrating-endometriosis-of-the-posterior-compartment-of-the-pelvis-a-pilot-study
#15
Letizia Zannoni, Simona Del Forno, Francesca Coppola, Dimitris Papadopoulos, Domenico Valerio, Rita Golfieri, Giacomo Caprara, Roberto Paradisi, Renato Seracchioli
PURPOSE: To compare the diagnostic accuracy of transvaginal sonography (TVS) and computed tomography-colonography with contrast media and urographic phase (CTCU) in the preoperative detection of deep infiltrating endometriosis (DIE). MATERIALS AND METHODS: Forty-seven patients with clinical suspicion of DIE underwent preoperative TVS and CTCU. Imaging data were compared with histopathologic analysis. Sensitivity, specificity, positive and negative predictive values and test accuracies of the two modalities were calculated...
July 12, 2017: Japanese Journal of Radiology
https://www.readbyqxmd.com/read/28694092/deep-infiltrating-endometriosis-urinary-tract-involvement-and-predictive-factors-for-major-surgery
#16
Maria José Freire, Paulo Jorge Dinis, Rita Medeiros, Luís Sousa, Fernanda Águas, Arnaldo Figueiredo
OBJECTIVE: To evaluate urinary tract involvement by deep infiltrating endometriosis as well as the surgical treatment and existence of predictive factors for major urologic surgery. METHODS: We conducted a retrospective analysis of 656 women submitted to surgery for endometriosis, of which 28 patients underwent minor or major surgery for deep infiltrating endometriosis involving the urinary tract, with a mean age of 38 ± 6.9 years (27-50) at diagnosis. Clinical data, surgeries performed, and complications were analyzed...
July 8, 2017: Urology
https://www.readbyqxmd.com/read/28673872/bowel-preparation-improves-the-accuracy-of-the-transvaginal-ultrasound-in-the-diagnosis-of-rectosigmoid-deep-infiltrating-endometriosis-a-prospective-study
#17
Cristina Ros, María José Martínez-Serrano, Mariona Rius, Mauricio Simoes Abrao, Jordina Munrós, Ma Ángeles Martínez-Zamora, Meritxell Gracia, Francisco Carmona
STUDY OBJECTIVE: To compare the accuracy of transvaginal ultrasound (TVUS) with and without bowel preparation (BP) to detect and describe intestinal nodules of deep infiltrating endometriosis (DIE) with laparoscopic findings. DESIGN: prospective study of paired data. DESIGN CLASSIFICATION: type II.1 SETTING: tertiary university hospital from November 2014 to November 2015. PATIENTS: a cohort of women awaiting surgery for endometriosis. INTERVENTIONS: The wall of the rectum and lower sigmoid colon of the patients was evaluated by 2 TVUS: the first ultrasound was performed without previous BP and the second was done after a three-day low-residue diet and two 250 ml enemas 12h and 3h before TVUS...
June 30, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28673871/rectal-shaving-using-plasma-energy-in-deep-infiltrating-endometriosis-of-the-rectum-four-years-of-experience
#18
Noémie Marty, Salma Touleimat, Salwa Moatassim-Drissa, Jenny Claude Millochau, Aurélie Vallee, Emanuela Stochino Loi, Eulalie Desnyder, Horace Roman
STUDY OBJECTIVE: To evaluate postoperative complications, digestive function and fertility outcomes in patients managed by rectal shaving using plasma energy in deep infiltrating endometriosis of the rectum. DESIGN: A single-center retrospective cohort study using data recorded prospectively. DESIGN CLASSIFICATION: Canadian Task Force classification II-2. SETTINGS: Department of Gynecology and Obstetrics of Rouen University Hospital (France)...
June 30, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28664485/-per-vaginam-topical-use-of-hormonal-drugs-in-women-with-symptomatic-deep-endometriosis-a-narrative-literature-review
#19
REVIEW
Laura Buggio, Caterina Lazzari, Ermelinda Monti, Giussy Barbara, Nicola Berlanda, Paolo Vercellini
PURPOSE: We aim to provide a comprehensive overview of the role of the vagina as a route for drug delivery and absorption, with a particular focus on the use of vaginal hormonal compounds for the treatment of deep infiltrating symptomatic endometriosis. METHODS: A MEDLINE search through PubMed was performed to identify all published studies in English language on vaginal hormonal treatments for symptomatic endometriosis. RESULTS: Main advantages of the vaginal route include avoidance of the hepatic-first pass metabolic effect, the possibility of using lower therapeutic dosages, and the reduction of side effects compared with the oral administration...
June 29, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28660213/how-to-use-ca-125-more-effectively-in-the-diagnosis-of-deep-endometriosis
#20
Marco Aurelio Pinho Oliveira, Thiers Soares Raymundo, Leila Cristina Soares, Thiago Rodrigues Dantas Pereira, Alessandra Viviane Evangelista Demôro
Deep infiltrative endometriosis (DIE) is a severe form of the disease. The median time interval from the onset of symptoms to diagnosis of endometriosis is around 8 years. In this prospective study patients were divided into two groups: cases (34 DIE patients) and control (20 tubal ligation patients). The main objective of this study was to evaluate the performance of CA-125 measurement in the menstrual and midcycle phases of the cycle, as well as the difference in its levels between the two phases, for the early diagnosis of DIE...
2017: BioMed Research International
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