Evidence map›Paper›PMID 30363647›Full record

ReviewAdvances in medicine2018

Gastrointestinal and Urinary Tract Endometriosis: A Review on the Commonest Locations of Extrapelvic Endometriosis.

Dimitra Charatsi, Ourania Koukoura, Irontianta Gkorezi Ntavela, Foteini Chintziou, Georgia Gkorila, Manthos Tsagkoulis, Themistoklis Mikos, George Pistofidis, Jiannis Hajiioannou, Alexandros Daponte

Open access · hybridAbstract readReview
In one paragraph

Review in Advances in medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 90 citations in OpenAlex.

  1. Review
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Role of computed tomography in imaging of endometriosis.Abdominal radiology (New York) · 2025
    Review
  7. Article
  8. Article
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  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Dimitra CharatsiDepartment of Obstetrics and Gynecology, University Hospital of Larissa, Thessaly, Larissa, Greece.ORCID 0000-0001-7564-9160
Ourania KoukouraDepartment of Obstetrics and Gynecology, University Hospital of Larissa, Thessaly, Larissa, Greece.ORCID 0000-0003-2304-2847
Irontianta Gkorezi NtavelaDepartment of Obstetrics and Gynecology, University Hospital of Larissa, Thessaly, Larissa, Greece.
Foteini ChintziouDepartment of Obstetrics and Gynecology, University Hospital of Larissa, Thessaly, Larissa, Greece.
Georgia GkorilaDepartment of Obstetrics and Gynecology, University Hospital of Larissa, Thessaly, Larissa, Greece.
Manthos TsagkoulisDepartment of Obstetrics and Gynecology, University Hospital of Larissa, Thessaly, Larissa, Greece.
Themistoklis Mikos1st Department of Obstetrics & Gynecology, Aristotle University of Thessaloniki, Papagheorgiou General Hospital, Thessaloniki, Greece.
George PistofidisDepartment of Gynaecologic Endoscopic Surgery, Lefkos Stavros Hospital of Athens, Athens, Greece.
Jiannis HajiioannouUniversity of Thessaly, Medical Faculty, Larissa, Greece.ORCID 0000-0002-7090-5708
Alexandros DaponteDepartment of Obstetrics and Gynecology, University Hospital of Larissa, Thessaly, Larissa, Greece.ORCID 0000-0001-7300-9514
University Hospital of Larissa · GRAristotle University of Thessaloniki · GRUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extrapelvic endometriosis is a rare entity that presents serious challenges to researchers and clinicians. Endometriotic lesions have been reported in every part of the female human body and in some instances in males. Organs that are close to the uterus are more often affected than distant locations. Extrapelvic endometriosis affects a slightly older population of women than pelvic endometriosis. This might lead to the assumption that it takes several years for pelvic endometriosis to "metastasize" outside the pelvis. All current theories of the pathophysiology of endometriosis apply to some extent to the different types of extrapelvic endometriosis. The gastrointestinal tract is the most common location of extrapelvic endometriosis with the urinary system being the second one. However, since sigmoid colon, rectum, and bladder are pelvic organs, extragenital pelvic endometriosis may be a more suitable definition for endometriotic implants related to these organs than extrapelvic endometriosis. The sigmoid colon is the most commonly involved, followed by the rectum, ileum, appendix, and caecum. Most lesions are confined in the serosal layer; however, deeper lesion can alter bowel function and cause symptoms. Bladder and ureteral involvement are the most common sites concerning the urinary system. Unfortunately, ureteral endometriosis is often asymptomatic leading to silent obstructive uropathy and renal failure. Surgical excision of the endometriotic tissue is the ideal treatment for all types of extrapelvic endometriosis. Adjunctive treatment might be useful in selected cases.

Identifiers

PMID30363647
PMCPMC6180923
OpenAlexW2894156270

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.