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10.10.2022 | original article

Differences in intensity and quality of bowel symptoms in patients with colorectal endometriosis

An observational cross-sectional study

verfasst von: Lena Maria Reh, MD, Ezgi Darici, MD, Eliana Montanari, MD, PhD, Joerg Keckstein, MD, Birgit Senft, PhD, Bernhard Dauser, MD, MBA, Gernot Hudelist, MD, MSc

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 21-22/2022

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Summary

Background

Patients suffering from colorectal deep endometriosis (DE) experience gastrointestinal symptoms with almost the same frequency as gynecological pain symptoms. Preoperatively existing gastrointestinal symptoms may translate into pathological gastrointestinal quality of life index (GIQLI) and low anterior resection syndrome scores (LARS). This prospective questionnaire-based case control study aims to assess the prevalence of gastrointestinal complaints reflected by changes in LARS and GIQLI scores in patients with colorectal deep endometriosis prior to surgical treatment and compare those to a healthy control group.

Methods

The study was conducted at the Hospital St. John of God in Vienna and included a total of 97 patients with histologically confirmed colorectal DE with radical surgical treatment and 96 women in whom DE was excluded via transvaginal sonography (TVS) or visually. Gastrointestinal symptoms reflected by LARS and GIQLI scores were evaluated presurgically and in controls.

Results

A total of 193 premenopausal patients were included in this study. A mean GIQLI of 90.7 ± 22.0 and 129.4 ± 11.1 was observed among patients and controls, respectively, showing a significantly higher morbidity concerning gastrointestinal symptoms and decreased quality of life (QoL) compared to healthy controls (p < 0.001). The LARS score results demonstrated that 18.6% of the patients with bowel DE presented with a major LARS and 27.8% with a minor LARS presurgically compared to 2.1% and 9.4% of control patients, respectively (p < 0.001).

Conclusion

Patients with colorectal DE experience a quality of gastrointestinal symptoms translating into a decreased QoL and pathological GIQLI and LARS scores already presurgically. As a consequence, these instruments should be interpreted with caution.

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Titel: Differences in intensity and quality of bowel symptoms in patients with colorectal endometriosis
An observational cross-sectional study
verfasst von: Lena Maria Reh, MD
Ezgi Darici, MD
Eliana Montanari, MD, PhD
Joerg Keckstein, MD
Birgit Senft, PhD
Bernhard Dauser, MD, MBA
Gernot Hudelist, MD, MSc
Publikationsdatum: 10.10.2022
Verlag: Springer Vienna
Erschienen in: Wiener klinische Wochenschrift / Ausgabe 21-22/2022
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI: https://doi.org/10.1007/s00508-022-02088-x

Springer Medizin Österreich

Summary

Background

Methods

Results

Conclusion

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