1. Associated ileocaecal location is a marker for greater severity of low rectal endometriosis.
- Author
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Marcellin, L, Leconte, M, Gaujoux, S, Santulli, P, Borghese, B, Chapron, C, and Dousset, B
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ENDOMETRIOSIS , *REPRODUCTIVE health , *SURGICAL complications , *UNIVARIATE analysis , *MULTIVARIATE analysis - Abstract
Objective: To determine whether ileocaecal endometriosis (ICE) is a marker for low rectal endometriosis (LRE) severity.Design: Retrospective cohort study.Setting: France.Population and Sample: Analysis of 375 colorectal resections performed in women undergoing complete surgery for LRE from January 1995 to December 2015 in a university centre for endometriosis.Methods: Univariate and multivariate analysis of anatomical, postoperative clinical, and long-term outcomes according to presence of ICE.Main Outcomes and Measures: Mean number and type of deep infiltrating endometriosis (DIE) lesions, the existence of an associated endometrioma, and mean total American Society for Reproductive Medicine (ASRM) score.Results: The prevalence of ICE was 25.6%. Primary end-point data showed that women with ICE had a significantly higher adjusted number of DIE lesions (OR = 1.43, 95% CI 1.02-3.03; P = 0.048), higher prevalence of endometriomas (OR = 1.91, 95% CI 1.04-3.51; P = 0.044), more associated DIE sigmoid lesions (OR = 2.12, 95% CI 1.07-3.91; P = 0.025), and a higher mean total ASRM score (OR = 2.07, 95% CI 1.12-4.14; P = 0.025). Women with ICE resected during the surgical procedure for LRE did not have more adverse postoperative clinical outcomes than ICE-negative patients.Conclusion: Ileocaecal endometriosis was significantly associated with greater LRE severity. In a complete surgical resection strategy, combining resection of ICE and LRE did not appear to increase postoperative rates of complications, morbidity or recurrence, nor did it seem to impair long-term clinical outcomes.Tweetable Abstract: In women with low rectal endometriosis, 25% have an associated ileocaecal location that is a marker for severity. [ABSTRACT FROM AUTHOR]- Published
- 2019
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