Role of colonoscopy in the diagnostic work-up of bowel endometriosis

作     者：Marco Milone Antonio Mollo Mario Musella Paola Maietta Loredana Maria Sosa Fernandez Olena Shatalova Alessandro Conforti Gianni Barone Giuseppe De Placido Francesco Milone 

作者机构：Department of Advanced Biomedical ScienceUniversity of Naples "Federico II" Department of NeuroscienceReproductive Science and OdonstostomatologyUniversity of Naples "Federico II" Department of SurgeryFatebenefratelli Hospital 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2015年第21卷第16期

页      面：4997-5001页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Endometriosis Colonoscopy Intestinal Bowel Laparoscopy 

摘      要：AIM:To evaluate the accuracy of colonoscopy for the prediction of intestinal involvement in deep pelvic ***:This prospective observational study was performed between September 2011 and July *** women with both a clinical and imaging diagnosis of deep pelvic endometriosis were *** study was approved by the local ethics committee and written informed consent was obtained in all *** colonoscopy and laparoscopy were performed by expert surgeons with a high level of expertise with these *** was performed within4 wk of colonoscopic *** 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 *** calculated the sensitivity,specificity,positive predictive value and negative predictive value for the presence of colonoscopic findings of intestinal ***:A total of 174 consecutive women aged between 21-42 years with a diagnosis of deep pelvic endometriosis who underwent colonoscopy andsurgical intervention were included in our *** 76 of the women(43.6%),intestinal endometrial implants were found at surgery and histopathological ***,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 *** findings suggestive of intestinal endometriosis were detected in 7 of the174(4%)*** 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 3of 8 cases(37.5%)of submucosal involvement,in no cases of muscularis layer involvement and in 1 of 38cases(2.6%)of serosa *** sensitivity,s