Endometriosis

Endometriosis is a disease characterized by the presence of endometrial glands and stroma outside the uterine cavity. It is one of the most common conditions requiring surgery for women during their reproductive years. Endometriosis, although not fatal, may be associated with disabling pain and intractable infertility. The degree of symptoms varies widely and does not always correspond to the extent of pathology encountered at surgery. Small lesions may cause severe pain and infertility whereas larger lesions may be asymptomatic and found only incidentally during surgery for other diagnoses. Diagnosis is typically made or confirmed at laparoscopy or during laparotomy. Colon and rectal surgeons often become involved in the management of patients with intestinal endometriosis. This involvement may occur as a result of a combined procedure with a gynecologist or in management of an endometrioma masquerading as a neoplastic or inflammatory lesion. Treatment for endometriosis is usually multimodal and may include an operation in those patients with infertility, pelvic pain, obstruction, or a poor response to hormonal suppression. Although advances in diagnostic tests and therapy have been made, endometriosis remains a frustrating and incompletely understood disease for both patients and physicians. Similar content being viewed by others

Hasson HM. Incidence of endometriosis in diagnostic laparoscopy. J Reprod Med 1976;16:135–138. Drake TS, Grunert GM. The unsuspected pelvic factor in the infertility evaluation. Fertil Steril 1980;34:27–31. Houston DE, Noller KL, Melton J III, Selwyn BJ. The epidemiology of pelvic endometriosis. Clin Obstet Gynecol 1988;31(4): 787–800. Halme J, Stovall D. Endometriosis and its medical management. In: Walch EE, Zacur HA, eds. Reproductive Medicine and Surgery. St. Louis: Mosby; 1995:695–710. Moen MH. Is a long period without childbirth a risk factor for endometriosis? Hum Reprod 1991;6:1404–1407. Miyazawa K. Incidence of endometriosis among Japanese women. Obstet Gynecol 1976;48:407–409. Ridley JH. The histogenesis of endometriosis. A review of facts and fancies. Obstet Gynecol Surv 1968;20:1–35. Sampson JA. Perforating hemorrhagic (chocolate) cysts of the ovary, their importance and especially their relation to pelvic adenomas of endometrial type. Arch Surg 1921;3:245–323. Telinde RW, Scott RB. Experimental endometriosis. Am J Obstet Gynecol 1950;60:1147–1173. Ridley JH, Edwards KI. Experimental endometriosis in the human. Am J Obstet Gynecol 1958;76:783–790. Simpson JL, Elias S, Malinak LR, Buttram VC. Heritable aspects of endometriosis. 1. Genetic studies. Am J Obstet Gynecol 1980; 137:327–331. Dmowski WP, Steele RW, Baker GF. Deficient cellular immunity in endometriosis. Am J Obstet Gynecol 1981;141:377–383. Vigano P, Vercellini P, Di BlasioAM, et al. Deficient anti‐endometrium lymphocyte mediated cytotoxicity in patients with endometriosis. Fertil Steril 1991;56:894–899. Oosterlynck DJ, Cornillie FJ, WaerM, et al. Women with endometriosis show a defect in natural killer activity resulting in a decreased cytotoxicity to autologous endometrium. Fertil Steril 1991;56:45–51. Thomas EJ, Cooke ID. Impact of gestrinone on the course of asymptomatic endometriosis. Br Med J 1987;294:272–274. Bergqvist A, Thorbjorn B, HogstromL, et al. Effects of triptorelin versus placebo on the symptoms of endometriosis. Fertil Steril 1998;69:702–708. Evers JLH. The second‐look laparoscopy for evaluation of the result of medical treatment of endometriosis should not be performed during ovarian suppression. Fertil Steril 1987;47:502–504. Vercillini P, Fedele L, MolteniP, et al. Laparoscopy in the diagnosis of gynecologic chronic pelvic pain. Int J Gynaecol Obstet 1990;32:261–265. Koninckx PR, Meuleman C, DemeyereS, et al. Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril 1991;55:759–765. Schulman H, Duvivier R, Blattner P. The uterine contractility index: a research and diagnostic tool in dysmenorrhea. Am J Obstet Gynaecol 1983;145:1049–1058. Liu DTY, Hitchcock A. Endometriosis: its association with retrograde menstruation, dysmenorrhea and tubal pathology. Br J Obstet Gynaecol 1986;93:859–862. Cornillie FJ, Oosterlynck DJ, LauwerynsJ, et al. Deeply infiltrating pelvic endometriosis: histology and clinical significance. Fertil Steril 1990;53:978–993. Badaway S, Marshall L, GabalA, et al. The concentration of 13,14‐dihydro‐15‐keto‐prostaglandin F2alpha and prostaglandin E2 in peritoneal fluid of infertile patients with and without endometriosis. Fertil Steril 1982;38:166–170. Dawood M, Khan‐ Dawood F, Wilson L. Peritoneal fluid prostaglandins and prostanoids in women with endometriosis, chronic pelvic inflammatory disease, and pelvic pain. Am J Obstet Gynecol 1984;148:391–395. Hull MGR, Glazener CMA, KellyNJ, et al. Population study of causes, treatment, and outcome of infertility. Br Med J 1985;291: 1693–1697. Fortier KJ, Haney AF. The pathologic spectrum of uterotubal junction obstruction. Obstet Gynecol 1985;65:93–98. Buttram VC Jr, Reiter RC. Endometriosis. In: Buttram VC Jr, Reiter RC, eds. Surgical Treatment of the Infertile Female. Baltimore: Williams & Wilkins; 1985:89–148. Garcia CR, David SS. Pelvic endometriosis: infertility and pelvic pain. Am J Obstet Gynecol 1977;129:740–747. Inoue M, Kobayshi Y, HondaI, et al. The impact of endometriosis on the reproductive outcome of infertile patients. Am J Obstet Gynecol 1992;167:278–282. Jansen RPS. Minimal endometriosis and reduced fecundability: prospective evidence from an artificial insemination by donor program. Fertil Steril 1986;46:141–143. Floberg J, Backdahl M, SilferswardC, et al. Postpartum perforation of the colon due to endometriosis. Acta Obstet Gynecol Scand 1984;63:183–184. Prystowsky JB, Stryker SJ, Ujiki GT, Poticha SM. Gastrointestinal endometriosis. Arch Surg 1988;123:855–858. Aure JC, Hoeg K, Kolstad P. Carcinoma of the ovary and endometriosis. Acta Obstet Gynecol Scand 1971;50:63–67. Yantiss RK, Clement PB, Young RH. Neoplastic and pre‐neoplastic changes in gastrointestinal endometriosis. Am J Surg Pathol 2000;24:513–524. Kennedy SH, Starkey PM, SargentI, et al. Anti‐endometrial antibodies in endometriosis measured by an enzyme‐linked immunosorbent assay before and after treatment with danazol and nafarelin. Obstet Gynecol 1990;75:914–917. Chapron C, Dumontier I, DoussetB, et al. Results and role of rectal endoscopic ultrasonography for patients with deep pelvic endometriosis. Hum Reprod 1998;13:2266–2270. Doniec JM, Kahlke V, PeetzF, et al. Rectal endometriosis: high sensitivity and specificity of endorectal ultrasound with an impact for the operative management. Dis Colon Rectum 2003; 46:1667–1673. Kinkel K, Chapron C, BalleyguierC, et al. Magnetic resonance imaging characteristics of deep endometriosis. Hum Reprod 1999;14:1080–1086. Kennedy SH, Soper ND, Mojiminiyi OA. Immunoscintigraphy of endometriosis. A preliminary study. Br J Obstet Gynaecol 1988;95:693–697. Vasquez G, Cornillie FJ, Brosens IO. Peritoneal endometriosis: scanning electron microscopy in visually normal peritoneum. Fertil Steril 1986;42:696–703. American Society for Reproductive Medicine. Revised American Society for Reproductive Medicine classification of endometriosis: 1996. Fertil Steril 1997;67:817–821. Donnez J, Nisolle M, Casanas‐ RouxF, et al. Stereometric evaluation of peritoneal endometriosis and endometriotic nodules of the rectovaginal septum. Hum Reprod 1995;11:224–228. Koninckx PR. Deeply infiltrating endometriosis. In: Brosens I, Donnez J, eds. Endometriosis: Research and Management. Carnforth, UK: Parthenon Publishing; 1993:437–446. Martin DC, Hubert GD, Vander ZwaagR, et al. Laparoscopic appearances of peritoneal endometriosis. Fertil Steril 1989;51: 63–67. Koninckx PR, Martin DC. Deep endometriosis: a consequence of infiltration or retraction or possibly adenomyosis externa? Fertil Steril 1992;58:924–928. Gray LA. Endometriosis of the bowel: role of bowel resection, superficial excision, and oophorectomy in treatment. Ann Surg 1973;177:580–587. Vercellini P, Aimi G, PanazzaS, et al. A gonadotropin‐releasing hormone agonist versus a low‐dose oral contraceptive for pelvic pain associated with endometriosis. Fertil Steril 1992;60: 75–79. Dmowski WP, Radwanska E, Rana N. Recurrent endometriosis following hysterectomy and oophorectomy: the role of residual ovarian fragments. Int J Obstet 1988;26:93–103. Dmowski WP, Gebel H, Braun DP. The role of cell mediated immunity in pathogenesis of endometriosis. Acta Obstet Gynecol Scand 1994;159(S):7–14. Noble AD, Letchworth AT. Medical treatment of endometriosis: a comparative trial. Postgrad Med J 1979;55:37–39. Wheeler JM, Knitte JD, Miller JD. Depot Leuprolide versus danazol in treatment of women with symptomatic endometriosis. Am J Obstet Gynecol 1992;167:1367–1371. Hall LH, Malone JM, Ginsburg KA. Flare‐up of endometriosis induced by gonadotropin‐releasing hormone agonist leading to bowel obstruction. Fertil Steril 1995;64:1204–1206. Redwine DB. Endometriosis persisting after castration: clinical characteristics and results of surgical management. Obstet Gynecol 1994;83:405–413. Olive DL, Lee KL. Analysis of sequential treatment protocols for endometriosis‐associated infertility. Am J Obstet Gynecol 1986;154:613. Nezhat C, Pennington E, Nezhat F, Silfen SL. Laparoscopically assisted anterior rectal wall resection and reanastomosis for deeply infiltrating endometriosis. Surg Laparosc Endosc 1991;1: 106–108. Redwine DB, Koning M, Sharpe DR. Laparoscopically assisted transvaginal segmental resection of the rectosigmoid colon for endometriosis. Fertil Steril 1996;65:193–197. Wheeler JM, Malinak LR. Recurrent endometriosis. Contrib Gynecol Obstet 1987;16:13–21. Bailey HR, Ott MT, Hartendorp P. Aggressive surgical management for advanced colorectal endometriosis. Dis Colon Rectum 1994;37:747–753. Jerby BL, Kessler H, Falcone T, Milsom JW. Laparoscopic management of colorectal endometriosis. Surg Endosc 1999;13: 1125–1128. Buttram VC, Reiter RC, Ward SM. Treatment of endometriosis with danazol: report of a six year prospective study. Fertil Steril 1985;43:353. Editor information Editors and Affiliations Rights and permissions Copyright information © 2007 Springer Science+Business Media, LLC About this entry Cite this entry Snyder, M.J., Stryker, S.J. (2007). Endometriosis. In: Wolff, B.G., et al. The ASCRS Textbook of Colon and Rectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-36374-5_21 Download citation DOI: https://doi.org/10.1007/978-0-387-36374-5_21 Publisher Name: Springer, New York, NY Print ISBN: 978-0-387-24846-2 Online ISBN: 978-0-387-36374-5 eBook Packages: MedicineReference Module Medicine

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