Double-Contrast Barium Enema and Transrectal Endoscopic Ultrasonography in the Diagnosis of Intestinal Deeply Infiltrating Endometriosis

Ribeiro, Helizabet Salomão Abdalla Ayroza; Ribeiro, Paulo Ayroza; Rossini, Lucio G.; Rodrigues, Francisco; Donadio, N.; Aoki, Tsutomu

doi:10.1016/j.jmig.2008.02.001

Cited by 42 publications

(35 citation statements)

References 26 publications

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“…The median age was 34 (range, [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] years. In all cases ileocecal involvement was an incidental finding during the exploration of the abdominal cavity in the course of surgery for severe endometriosis.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic ileocecal resection for bowel endometriosis

et al. 2010

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Section: Resultsmentioning

confidence: 99%

Laparoscopic ileocecal resection for bowel endometriosis

et al. 2010

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“…The imaging exams capable of providing these data are: transvaginal ultrasonography (Bazot et al, 2003, Abrao et al, 2007Menada et al, 2008;Guerriero et al, 2008), transrectal ultrasonography (Chapron et al, 1998;Koga et al, 2003), endoscopic transrectal ultrasonography (Bazot et al, 2003;Abrao et al, 2004), magnetic resonance imaging (Abrao et al, 2007, Bazot et al, 2008, multislice computed tomography (Biscaldi et al, 2007) and barium enema (Ribeiro et al, 2008). All these methods have been evaluated with respect to their applicability in defining the above-mentioned questions.…”

Section: Introductionmentioning

confidence: 99%

Transvaginal ultrasonography with bowel preparation is able to predict the number of lesions and rectosigmoid layers affected in cases of deep endometriosis, defining surgical strategy

et al. 2009

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background: Successful surgical treatment of deep bowel endometriosis depends on obtaining detailed information about the lesions, prior to the procedure. The objective of this study was to determine the capability of transvaginal ultrasonography with bowel preparation (TVUS-BP) to predict the presence of one or more rectosigmoid nodules and the deepest bowel layer affected by the disease. results: With respect to bowel nodule detection and presence of at least two rectosigmoid lesions, TVUS-BP had a sensitivity of 97 and 81%, specificity 100 and 99%, positive predictive value (PPV) 100 and 93% and negative predictive value (NPV) 98 and 96%, respectively. Regarding diagnosis of infiltration of the submucosal/mucosal layer, TVUS-BP had a sensitivity of 83%, specificity 94%, PPV 77%, NPV 96%.conclusions: These findings show that TVUS-BP is an adequate exam for evaluating the presence of one or more rectosigmoid nodules and the deepest layer affected in deep infiltrating bowel endometriosis, confirming the importance of this technique for defining the most appropriate surgical strategy to be implemented.

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“…Transvaginal, transrectal and endoscopic-transrectal ultrasound have demonstrated comparably high degrees of accuracy for predicting intestinal involvement; however, their field of view is limited to the rectum and the possibility to assess the depth of rectal wall involvement is still challenging [9][10][11][12][13][14][15][16]. Recent studies on double-contrast barium enema [10,17,18] emphasize its capabilities in predicting colonic involvement, although the experience required by the radiologist is a limitation for this technique. Multi-slice CT enteroclysis allows estimating the depth of bowel infiltration, but raises the problem of radiation exposure for women in their reproductive years [19,20].…”

Section: Introductionmentioning

confidence: 99%