Observational studyWorld journal of gastroenterology2015
Role of colonoscopy in the diagnostic work-up of bowel endometriosis.
Observational study in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Unravelling the link between phthalate exposure and endometriosis in humans: a systematic review and meta-analysis of the literature.Journal of assisted reproduction and genetics · 2021Pooled it
- Acute Large Bowel Obstruction and Ureteral Obstruction Caused by Endometriosis.Digestive diseases and sciences · 2026Article
- Article
- Endometriosis-Associated Intestinal Tumor: A Case Report and Literature Review with Comprehensive Proteomic Data.Surgical case reports · 2026Article
- A Variation on a Rare Diagnosis: Rectosigmoid Endometriosis.ACG case reports journal · 2023Article
- The value of pre-operative outpatient flexible sigmoidoscopy in patients with deep infiltrating endometriosis.Facts, views & vision in ObGyn · 2023Article
- Case study of colorectal endometriosis treated with endoscopic submucosal excavation.Frontiers in physiology · 2023Article
- Pregnancy After Bariatric Surgery: a Matter of Indications and Procedures?Obesity surgery · 2021Article
- Colorectal resection in endometriosis patients: correlation between histopathological findings and postoperative outcome.European journal of medical research · 2021Article
- Endometriosis in Menopause-Renewed Attention on a Controversial Disease.Diagnostics (Basel, Switzerland) · 2020Review
- A case of unique endoscopic findings of intestinal endometriosis exposed to the mucosa: aggregation of papillary protruded bulges from the submucosal elevation of the rectum.Clinical journal of gastroenterology · 2019Article
- Preoperative rectosigmoid endoscopic ultrasonography predicts the need for bowel resection in endometriosis.World journal of gastroenterology · 2019Article
- Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Report.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018Article
- Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy.Case reports in gastrointestinal medicine · 2018Article
- Endometriosis, an unusual case of rectal mass with bloody stool and bowel habit changes.The Kaohsiung journal of medical sciences · 2018Article
- Colonic Endometriosis: Dig Deeper for Diagnosis.Gastroenterology research · 2017Article
- Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications.World journal of gastroenterology · 2015Observational
- Laparoscopic Triple Segmental Bowel Resection for Endometriosis Revealed by Rectal Obstruction during Infertility Treatment.Case reports in gastroenterologyArticle
- An Unusual Presentation of Endometriosis as an Ileocolic Intussusception with Cecal Mass: A Case Report.Journal of reproduction & infertilityArticle
- Intestinal Endometriosis Mimicking Ulcerative Colitis-Associated Neoplasia: A Case Report.Inflammatory intestinal diseasesArticle
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo evaluate the accuracy of colonoscopy for the prediction of intestinal involvement in deep pelvic endometriosis.
methodsThis prospective observational study was performed between September 2011 and July 2014. Only women with both a clinical and imaging diagnosis of deep pelvic endometriosis were included. The study was approved by the local ethics committee and written informed consent was obtained in all cases. Both colonoscopy and laparoscopy were performed by expert surgeons with a high level of expertise with these techniques. Laparoscopy was performed within 4 wk of colonoscopic examination. All hypothetical colonoscopy findings (eccentric wall thickening with or without surface nodularities and polypoid lesions with or without surface nodularities of endometriosis) were compared with laparoscopic and histological findings. We calculated the sensitivity, specificity, positive predictive value and negative predictive value for the presence of colonoscopic findings of intestinal endometriosis.
resultsA total of 174 consecutive women aged between 21-42 years with a diagnosis of deep pelvic endometriosis who underwent colonoscopy and surgical intervention were included in our analysis. In 76 of the women (43.6%), intestinal endometrial implants were found at surgery and histopathological examination. Specifically, 38 of the 76 lesions (50%) were characterized by the presence of serosal bowel nodules; 28 of the 76 lesions (36.8%) reached the muscularis layer; 8 of the 76 lesions (10.5%) reached the submucosa; and 2 of the 76 lesions (2.6%) reached the mucosa. Colonoscopic findings suggestive of intestinal endometriosis were detected in 7 of the 174 (4%) examinations. Colonoscopy failed to diagnose intestinal endometriosis in 70 of the 76 women (92.1%). A colonoscopic diagnosis of endometriosis was obtained in all cases of mucosal involvement, in 3 of 8 cases (37.5%) of submucosal involvement, in no cases of muscularis layer involvement and in 1 of 38 cases (2.6%) of serosa involvement. The sensitivity, specificity, positive predictive and negative predictive values of colonoscopy for the diagnosis of intestinal endometriosis were 7%, 98%, 85% and 58%, respectively.
conclusionBeing an invasive procedure, colonoscopy should not be routinely performed in the diagnostic work-up of bowel endometriosis.
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