Prospektív vizsgálat a sigmoideoscopia diagnosztikai érzékenységének meghatározására vastagbelet infiltráló endometriosisban

Translated title of the contribution: Prospective study to determine the diagnostic sensitivity of sigmoidoscopy in bowel endometriosis

Lukovich Péter, Csibi Noémi, Brubel Réka, Tari Krisztina, Csuka Szilvia, Harsányi László, J. Rigó, Bokor Attila

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction and aim: In the treatment of colorectal endometriosis a multidisciplinary laparoscopic resection is suggested, for this reason the correct selection of bowel infiltration is essential before surgery. Patients and method: Between 2009 and 2015, 383 sigmoidoscopies were performed in patients with endometriosis. Where mucosal invasion was absent secondary signs (wall rigidity, impression, kinking, pain during the examination, suffusion) were analysed. In endoscopically confirmed cases multidisciplinary surgery was performed, the remaining patients were operated by a gynecologic team only. Results: Endometriosis was endoscopically confirmed in 224 patients (58.49%), 108 of them underwent multidisciplinary operation, the negative 135 cases received gynaecological surgery. Bowel endometriosis was confirmed in 103 out of 108 cases intraoperatively, while in 8 cases of the sigmoidoscopically negative patients bowel infiltration was diagnosed intraoperatively by the gynaecological team. Complete sigmoidoscopy was performed in 43.47% of the cases. Intraluminal endometriosis was found in 4.91%, secondary signs as rigidity in 38.39%, impression in 45.54%, kinking in 57.14%, pain (in cases of examination without narcosis) in 26.06% and suffusion in 3.82% of the cases was found during sigmoidoscopy. Sigmoidoscopic examination has a 92.8% specificity and 96.2% sensitivity in cases of bowel endometriosis. Conclusion: Sigmoidoscopy performed by an experienced gastroenterologist is a highly sensitive examination for the diagnosis of bowel endometriosis.

Original languageHungarian
Pages (from-to)264-269
Number of pages6
JournalOrvosi Hetilap
Volume158
Issue number7
DOIs
Publication statusPublished - Feb 1 2017

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Sigmoidoscopy
Endometriosis
Prospective Studies
Stupor
Pain
Gynecologic Surgical Procedures
Sensitivity and Specificity

ASJC Scopus subject areas

  • Medicine(all)

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Prospektív vizsgálat a sigmoideoscopia diagnosztikai érzékenységének meghatározására vastagbelet infiltráló endometriosisban. / Péter, Lukovich; Noémi, Csibi; Réka, Brubel; Krisztina, Tari; Szilvia, Csuka; László, Harsányi; Rigó, J.; Attila, Bokor.

In: Orvosi Hetilap, Vol. 158, No. 7, 01.02.2017, p. 264-269.

Research output: Contribution to journalArticle

Péter, Lukovich ; Noémi, Csibi ; Réka, Brubel ; Krisztina, Tari ; Szilvia, Csuka ; László, Harsányi ; Rigó, J. ; Attila, Bokor. / Prospektív vizsgálat a sigmoideoscopia diagnosztikai érzékenységének meghatározására vastagbelet infiltráló endometriosisban. In: Orvosi Hetilap. 2017 ; Vol. 158, No. 7. pp. 264-269.
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title = "Prospekt{\'i}v vizsg{\'a}lat a sigmoideoscopia diagnosztikai {\'e}rz{\'e}kenys{\'e}g{\'e}nek meghat{\'a}roz{\'a}s{\'a}ra vastagbelet infiltr{\'a}l{\'o} endometriosisban",
abstract = "Introduction and aim: In the treatment of colorectal endometriosis a multidisciplinary laparoscopic resection is suggested, for this reason the correct selection of bowel infiltration is essential before surgery. Patients and method: Between 2009 and 2015, 383 sigmoidoscopies were performed in patients with endometriosis. Where mucosal invasion was absent secondary signs (wall rigidity, impression, kinking, pain during the examination, suffusion) were analysed. In endoscopically confirmed cases multidisciplinary surgery was performed, the remaining patients were operated by a gynecologic team only. Results: Endometriosis was endoscopically confirmed in 224 patients (58.49{\%}), 108 of them underwent multidisciplinary operation, the negative 135 cases received gynaecological surgery. Bowel endometriosis was confirmed in 103 out of 108 cases intraoperatively, while in 8 cases of the sigmoidoscopically negative patients bowel infiltration was diagnosed intraoperatively by the gynaecological team. Complete sigmoidoscopy was performed in 43.47{\%} of the cases. Intraluminal endometriosis was found in 4.91{\%}, secondary signs as rigidity in 38.39{\%}, impression in 45.54{\%}, kinking in 57.14{\%}, pain (in cases of examination without narcosis) in 26.06{\%} and suffusion in 3.82{\%} of the cases was found during sigmoidoscopy. Sigmoidoscopic examination has a 92.8{\%} specificity and 96.2{\%} sensitivity in cases of bowel endometriosis. Conclusion: Sigmoidoscopy performed by an experienced gastroenterologist is a highly sensitive examination for the diagnosis of bowel endometriosis.",
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T1 - Prospektív vizsgálat a sigmoideoscopia diagnosztikai érzékenységének meghatározására vastagbelet infiltráló endometriosisban

AU - Péter, Lukovich

AU - Noémi, Csibi

AU - Réka, Brubel

AU - Krisztina, Tari

AU - Szilvia, Csuka

AU - László, Harsányi

AU - Rigó, J.

AU - Attila, Bokor

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Introduction and aim: In the treatment of colorectal endometriosis a multidisciplinary laparoscopic resection is suggested, for this reason the correct selection of bowel infiltration is essential before surgery. Patients and method: Between 2009 and 2015, 383 sigmoidoscopies were performed in patients with endometriosis. Where mucosal invasion was absent secondary signs (wall rigidity, impression, kinking, pain during the examination, suffusion) were analysed. In endoscopically confirmed cases multidisciplinary surgery was performed, the remaining patients were operated by a gynecologic team only. Results: Endometriosis was endoscopically confirmed in 224 patients (58.49%), 108 of them underwent multidisciplinary operation, the negative 135 cases received gynaecological surgery. Bowel endometriosis was confirmed in 103 out of 108 cases intraoperatively, while in 8 cases of the sigmoidoscopically negative patients bowel infiltration was diagnosed intraoperatively by the gynaecological team. Complete sigmoidoscopy was performed in 43.47% of the cases. Intraluminal endometriosis was found in 4.91%, secondary signs as rigidity in 38.39%, impression in 45.54%, kinking in 57.14%, pain (in cases of examination without narcosis) in 26.06% and suffusion in 3.82% of the cases was found during sigmoidoscopy. Sigmoidoscopic examination has a 92.8% specificity and 96.2% sensitivity in cases of bowel endometriosis. Conclusion: Sigmoidoscopy performed by an experienced gastroenterologist is a highly sensitive examination for the diagnosis of bowel endometriosis.

AB - Introduction and aim: In the treatment of colorectal endometriosis a multidisciplinary laparoscopic resection is suggested, for this reason the correct selection of bowel infiltration is essential before surgery. Patients and method: Between 2009 and 2015, 383 sigmoidoscopies were performed in patients with endometriosis. Where mucosal invasion was absent secondary signs (wall rigidity, impression, kinking, pain during the examination, suffusion) were analysed. In endoscopically confirmed cases multidisciplinary surgery was performed, the remaining patients were operated by a gynecologic team only. Results: Endometriosis was endoscopically confirmed in 224 patients (58.49%), 108 of them underwent multidisciplinary operation, the negative 135 cases received gynaecological surgery. Bowel endometriosis was confirmed in 103 out of 108 cases intraoperatively, while in 8 cases of the sigmoidoscopically negative patients bowel infiltration was diagnosed intraoperatively by the gynaecological team. Complete sigmoidoscopy was performed in 43.47% of the cases. Intraluminal endometriosis was found in 4.91%, secondary signs as rigidity in 38.39%, impression in 45.54%, kinking in 57.14%, pain (in cases of examination without narcosis) in 26.06% and suffusion in 3.82% of the cases was found during sigmoidoscopy. Sigmoidoscopic examination has a 92.8% specificity and 96.2% sensitivity in cases of bowel endometriosis. Conclusion: Sigmoidoscopy performed by an experienced gastroenterologist is a highly sensitive examination for the diagnosis of bowel endometriosis.

KW - Bowel infiltration

KW - Deeply infiltrating endometriosis

KW - Sigmoidoscopy

KW - Surgery

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