Coloscanner à l’air avec coloscopie virtuelle : arguments dans le choix du traitement chirurgical des endométrioses colorectales

Vassilieff, Maud; Suaud, O.; Collet-Savoye, C.; Costa, Clive Da; Marouteau-Pasquier, N.; Belhiba, H.; Tuech, Jean‐Jacques; Marpeau, L.; Roman, Horace

doi:10.1016/j.gyobfe.2011.04.004

Cited by 23 publications

(5 citation statements)

References 24 publications

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“…TVS has been used extensively in patients with rectosigmoid endometriosis 8,9 , while there are few data available on the use of CTC in these patients [13][14][15][16]18 . This study demonstrates that CTC and RWC-TVS have similar accuracy in the diagnosis of rectosigmoid endometriosis.…”

Section: Discussionmentioning

confidence: 99%

“…The sensitivity of CTC observed in the current study (92.5%) is similar to that described previously (96%) 18 ; the specificity (86.7%) is superior to that previously reported (48.0%) 18 . Unfortunately, most of the previously published studies did not report the efficacy parameters of CTC in the diagnosis of bowel endometriosis [15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

“…There are several technical differences between the CTC technique used in this study and those described by others. In the current study, the colon was dilated with room air by a manual pump while in previous studies the colon has been insufflated with carbon dioxide and an automated insufflation device has been used. Manual insufflation with room air may be more uncomfortable for the patient and may lead to lesser bowel distention than by automated devices.…”

Section: Discussionmentioning

confidence: 99%

“…Computed tomographic colonography (CTC), also named virtual colonoscopy, is the radiological exam of choice for colorectal cancer screening. A few studies have used CTC for the diagnosis of intestinal endometriosis [13][14][15][16][17] ; however, limited data are available on the comparison of CTC with other diagnostic techniques 18 . Therefore, the objective of this prospective study was to compare the performance of RWC-TVS and CTC in the diagnosis of rectosigmoid endometriosis.…”

Section: Introductionmentioning

confidence: 99%

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Computed tomographic colonography vs rectal water‐ contrast transvaginal sonography in diagnosis of rectosigmoid endometriosis: a pilot study

Ferrero

Biscaldi

Vellone

et al. 2017

Ultrasound in Obstet & Gyne

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Computed tomographic colonography vs rectal water‐ contrast transvaginal sonography in diagnosis of rectosigmoid endometriosis: a pilot study

Ferrero

Biscaldi

Vellone

et al. 2017

Ultrasound in Obstet & Gyne

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“…It is particularly efficient in evaluating whether the patient is in need of shaving or full-thickness resection when presenting with DIE in the colon. 41 …”

Section: Diagnosismentioning

confidence: 99%

Diagnosis, management, and long-term outcomes of rectovaginal endometriosis

Moawad¹,

Caplin²

2013

IJWH

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Rectovaginal endometriosis is the most severe form of endometriosis. Clinically, it presents with a number of symptoms including chronic pelvic pain, dysmenorrhea, deep dyspareunia, dyschezia, and rectal bleeding. The gold standard for diagnosis is laparoscopy with histological confirmation; however, there are a number of options for presurgical diagnosis, including clinical examination, transvaginal/transrectal ultrasound, magnetic resonance imagining, colonoscopy, and computed tomography colonography. Treatment can be medical or surgical. Medical therapies include birth control pills, oral progestins, gonadotropin-releasing hormone agonists, danazol, and injectable progestins. Analgesics are often used as well. Surgery improves up to 70% of symptoms. Surgery is either ablative or excisional, and is conducted via transvaginal, laparoscopic, laparotomy, or combined approaches. Common surgical techniques involve shaving of the superficial rectal lesion, laparoscopic anterior discoid resection, and low anterior bowel resection and reanastomosis. Outcomes are generally favorable, but postoperative complications may include intra-abdominal bleeding, anastomotic leaks, rectovaginal fistulas, strictures, chronic constipation, and the need for reoperation. Recurrence of rectal endometriosis is a possibility as well. Other outcomes are improved pain-related symptoms and fertility. Long-term outcomes vary according to the management strategy used. This review will provide the most recent approaches and techniques for the diagnosis and treatment of rectovaginal endometriosis.

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