Does Computed Tomography–Based Virtual Colonoscopy Improve the Accuracy of Preoperative Assessment Based on Magnetic Resonance Imaging in Women Managed for Colorectal Endometriosis?

Mehedințu, Claudia; Brînduşe, Lăcrămioara Aurelia; Brătilă, Elvira; Monroc, M.; Lemercier, E; Suaud, O.; Collet-Savoye, C.; Roman, Horace

doi:10.1016/j.jmig.2018.01.019

Cited by 20 publications

(13 citation statements)

References 20 publications

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“…Previous studies investigated the performance of CTC in the diagnosis of bowel endometriosis [25,27,[32][33][34][35]. In a prospective study including 92 women undergoing surgery for deep infiltrating endometriosis, Baggio et al compared the diagnostic value of TVS, serum Ca125 and CTC [33].…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study Comparing Three-Dimensional Rectal Water Contrast Transvaginal Ultrasonography and Computed Tomographic Colonography in the Diagnosis of Rectosigmoid Endometriosis

et al. 2020

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(1) Objectives: In patients with symptoms suggestive of rectosigmoid endometriosis, imaging techniques are required to confirm the presence and establish the extent of the disease. The objective of the current study was to compare the performance of three-dimensional rectal water contrast transvaginal ultrasonography (3D-RWC-TVS) and computed tomographic colonography (CTC) in predicting the presence and characteristics of rectosigmoid endometriosis. (2) Methods: This prospective study included patients with suspicion of rectosigmoid endometriosis who underwent both 3D-RWC-TVS and CTC and subsequently were surgically treated. The findings of imaging techniques were compared with surgical and histological results. (3) Results: Out of 68 women included in the study, 37 (48.9; 95% C.I. 38.2–59.7%) had rectosigmoid nodules and underwent bowel surgery. There was no significant difference in the accuracy of 3D-RWC-TVS and CTC in diagnosing the presence of rectosigmoid endometriotic nodules (p = 0.118), although CTC was more precise in diagnosing endometriosis located in the sigmoid (p = 0.016). 3D-RWC-TVS and CTC had similar precision in estimating the largest diameter of the main endometriotic nodule (p = 0.099) and, in patients undergoing segmental resection, the degree of the stenosis of the bowel lumen (p = 0.293). CTC was more accurate in estimating the distance between the lower margin of the intestinal nodule and the anal verge (p = 0.030) but was less tolerated than 3D-RWC-TVS (p < 0.001). (4) Conclusion: This was the first study comparing the performance of 3D-RWC-TVS and CTC in the diagnosis of rectosigmoid endometriosis. Both techniques allowed for the evaluation of the profile of the bowel lumen in a pseudoendoscopic fashion and had a similar performance for the diagnosis of rectosigmoid endometriosis, although CTC was more accurate in diagnosing and characterizing sigmoid nodules.

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Section: Discussionmentioning

confidence: 99%

A Prospective Study Comparing Three-Dimensional Rectal Water Contrast Transvaginal Ultrasonography and Computed Tomographic Colonography in the Diagnosis of Rectosigmoid Endometriosis

et al. 2020

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“…Diagnostic evaluation of suspected bowel endometriosis is challenging as it may require an interdisciplinary evaluation including gastroenterologists, gynecologists and colorectal surgeons. MRI in association with CT virtual colonography has been shown to increase the accuracy of the preoperative assessment of colorectal endometriosis [ 8 ]. Bowel preparation prior to transvaginal ultrasound has been shown to improve accuracy of diagnosis [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Appearance and Management of Recto-Sigmoid Endometriosis: Case Report

2018

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Endometriosis is the presence of endometrial glands outside the uterine cavity. Endometriosis can involve any part of the bowel but most commonly affects the recto-sigmoid part of the bowel. This case shows the endoscopic views of bowel endometriosis and also elaborates on how to approach and manage similar cases of bowel endometriosis. Patients with bowel endometriosis are better managed and treated with a multidisciplinary team including gastroenterologist, gynecologist and colorectal surgeon.

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“…Treatment options in managing infertility associated with endometriosis include surgical intervention and ovarian stimulation with IVF. As stated above, endo-Th e authors declare that all the procedures and experiments of this study respect the ethical standards in the Helsinki Declaration of 1975, as revised in 2008 (5), as well as the national law. Informed consent was obtained from all the patients included in the study.…”

Section: Endometriosis and Ivfmentioning

confidence: 98%

“…Magnetic resonance imaging is considered an useful diagnostic tool in this situation, but recently a diff erent approach has been studied. Th e combination of magnetic resonance imaging and computed tomography-based virtual colonoscopy leads to greater accuracy in the assessment of both small and large bowel endometriosis 5,6 .…”

Section: Infertility In Endometriosismentioning

confidence: 99%

Endometriosis-Associated Infertility

Nada¹,

Brînduşe²,

Bratu³

et al. 2018

Rev. Med. Mod.

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Endometriosis is a heterogeneous disease, affecting women during their reproductive period. The most frequent clinical manifestations include dysmenorrhea, dyspareunia, chronic pelvic pain and infertility. Endometriosis interferes in all the steps of the reproductive process, from folliculogenesis till implantation. Medical treatment of women who desire fertility is contraindicated as it delays conception. Surgery has proven to be an important step in managing these patients along with IVF. Despite the detrimental effects of endometriosis upon the reproductive process, IVF represents the best option when dealing with infertility.

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Does Computed Tomography–Based Virtual Colonoscopy Improve the Accuracy of Preoperative Assessment Based on Magnetic Resonance Imaging in Women Managed for Colorectal Endometriosis?

Cited by 20 publications

References 20 publications

A Prospective Study Comparing Three-Dimensional Rectal Water Contrast Transvaginal Ultrasonography and Computed Tomographic Colonography in the Diagnosis of Rectosigmoid Endometriosis

A Prospective Study Comparing Three-Dimensional Rectal Water Contrast Transvaginal Ultrasonography and Computed Tomographic Colonography in the Diagnosis of Rectosigmoid Endometriosis

Endoscopic Appearance and Management of Recto-Sigmoid Endometriosis: Case Report

Endometriosis-Associated Infertility

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