Surgery for deep infiltrating rectal endometriosis-Selecting the right approach
Endometriosis involving the bowel is a form of deep infiltrating endometriosis (DIE). The endometriotic lesions can infiltrate the bowel layers mimicking a malignancy. The majority of bowel involvement happens in the colon and rectum. We report our experience in surgically managing rectal endometrio...
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my.um.eprints.417032023-10-27T01:44:14Z http://eprints.um.edu.my/41703/ Surgery for deep infiltrating rectal endometriosis-Selecting the right approach Jeyabalan, Tamyenthini Ambikapathi, Theiyallen Subramaniam, Sentilnathan Sriram, Ratha Krishnan Azizan, Nornazirah Hayati, Firdaus RG Gynecology and obstetrics Endometriosis involving the bowel is a form of deep infiltrating endometriosis (DIE). The endometriotic lesions can infiltrate the bowel layers mimicking a malignancy. The majority of bowel involvement happens in the colon and rectum. We report our experience in surgically managing rectal endometriosis in two patients, one via a conservative approach and the other with a more radical approach and their associated short-term and long-term outcomes are observed. In principle, surgery remains the mainstay of treatment in managing rectal DIE with adjuvant hormonal therapy. The selection of surgical approach should be based on disease factors such as the size of the lesions and extent of the disease, patient factors including fitness for surgery and expectations as well as logistics and resource limitations. Wiley 2022-08 Article PeerReviewed Jeyabalan, Tamyenthini and Ambikapathi, Theiyallen and Subramaniam, Sentilnathan and Sriram, Ratha Krishnan and Azizan, Nornazirah and Hayati, Firdaus (2022) Surgery for deep infiltrating rectal endometriosis-Selecting the right approach. Journal of Obstetrics and Gynaecology Research, 48 (8). pp. 2219-2223. ISSN 1341-8076, DOI https://doi.org/10.1111/jog.15322 <https://doi.org/10.1111/jog.15322>. 10.1111/jog.15322 |
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RG Gynecology and obstetrics Jeyabalan, Tamyenthini Ambikapathi, Theiyallen Subramaniam, Sentilnathan Sriram, Ratha Krishnan Azizan, Nornazirah Hayati, Firdaus Surgery for deep infiltrating rectal endometriosis-Selecting the right approach |
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Endometriosis involving the bowel is a form of deep infiltrating endometriosis (DIE). The endometriotic lesions can infiltrate the bowel layers mimicking a malignancy. The majority of bowel involvement happens in the colon and rectum. We report our experience in surgically managing rectal endometriosis in two patients, one via a conservative approach and the other with a more radical approach and their associated short-term and long-term outcomes are observed. In principle, surgery remains the mainstay of treatment in managing rectal DIE with adjuvant hormonal therapy. The selection of surgical approach should be based on disease factors such as the size of the lesions and extent of the disease, patient factors including fitness for surgery and expectations as well as logistics and resource limitations. |
format |
Article |
author |
Jeyabalan, Tamyenthini Ambikapathi, Theiyallen Subramaniam, Sentilnathan Sriram, Ratha Krishnan Azizan, Nornazirah Hayati, Firdaus |
author_facet |
Jeyabalan, Tamyenthini Ambikapathi, Theiyallen Subramaniam, Sentilnathan Sriram, Ratha Krishnan Azizan, Nornazirah Hayati, Firdaus |
author_sort |
Jeyabalan, Tamyenthini |
title |
Surgery for deep infiltrating rectal endometriosis-Selecting the right approach |
title_short |
Surgery for deep infiltrating rectal endometriosis-Selecting the right approach |
title_full |
Surgery for deep infiltrating rectal endometriosis-Selecting the right approach |
title_fullStr |
Surgery for deep infiltrating rectal endometriosis-Selecting the right approach |
title_full_unstemmed |
Surgery for deep infiltrating rectal endometriosis-Selecting the right approach |
title_sort |
surgery for deep infiltrating rectal endometriosis-selecting the right approach |
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Wiley |
publishDate |
2022 |
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http://eprints.um.edu.my/41703/ |
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1781704548659757056 |
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13.18916 |