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Case study of colorectal endometriosis treated with endoscopic submucosal excavation

Colorectal endometriosis (CEM) is a rare and complicated form of deep invasive endometriosis. Its treatment methods include drug therapy and surgery. However, it is often difficult to alleviate symptoms and address problems, such as infertility, using drug treatment alone. Surgical intervention prov...

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Autores principales: Xu, Tangzhou, Qiu, Bingfeng, Xu, Qi, Qu, Junhan, Zhuang, Dandan, Xu, Qiancheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233404/
https://www.ncbi.nlm.nih.gov/pubmed/37275230
http://dx.doi.org/10.3389/fphys.2023.1073241
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author Xu, Tangzhou
Qiu, Bingfeng
Xu, Qi
Qu, Junhan
Zhuang, Dandan
Xu, Qiancheng
author_facet Xu, Tangzhou
Qiu, Bingfeng
Xu, Qi
Qu, Junhan
Zhuang, Dandan
Xu, Qiancheng
author_sort Xu, Tangzhou
collection PubMed
description Colorectal endometriosis (CEM) is a rare and complicated form of deep invasive endometriosis. Its treatment methods include drug therapy and surgery. However, it is often difficult to alleviate symptoms and address problems, such as infertility, using drug treatment alone. Surgical intervention provides a histologic diagnosis, allows assessment of pelvic cysts or masses with features concerning for malignancy, and reduces pain by destroying the endometriotic implants. We consider surgery in women with the following: Persistent pain despite medical therapy; Contraindications to or refusal of medical therapy; Need for a tissue diagnosis of endometriosis; Exclusion of malignancy in an adnexal mass; Obstruction of the bowel or urinary tract. But there is no consensus about the surgical methods. With the rapid development of gastroenteroscopy technology in recent years, many local gastrointestinal tumors that previously required surgical resection can now be removed by endoscopic surgery. Herein, we report one case of CEM treated by endoscopic submucosal excavation (ESE) to provide a new treatment option for the radical resection of single CEM.
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spelling pubmed-102334042023-06-02 Case study of colorectal endometriosis treated with endoscopic submucosal excavation Xu, Tangzhou Qiu, Bingfeng Xu, Qi Qu, Junhan Zhuang, Dandan Xu, Qiancheng Front Physiol Physiology Colorectal endometriosis (CEM) is a rare and complicated form of deep invasive endometriosis. Its treatment methods include drug therapy and surgery. However, it is often difficult to alleviate symptoms and address problems, such as infertility, using drug treatment alone. Surgical intervention provides a histologic diagnosis, allows assessment of pelvic cysts or masses with features concerning for malignancy, and reduces pain by destroying the endometriotic implants. We consider surgery in women with the following: Persistent pain despite medical therapy; Contraindications to or refusal of medical therapy; Need for a tissue diagnosis of endometriosis; Exclusion of malignancy in an adnexal mass; Obstruction of the bowel or urinary tract. But there is no consensus about the surgical methods. With the rapid development of gastroenteroscopy technology in recent years, many local gastrointestinal tumors that previously required surgical resection can now be removed by endoscopic surgery. Herein, we report one case of CEM treated by endoscopic submucosal excavation (ESE) to provide a new treatment option for the radical resection of single CEM. Frontiers Media S.A. 2023-05-05 /pmc/articles/PMC10233404/ /pubmed/37275230 http://dx.doi.org/10.3389/fphys.2023.1073241 Text en Copyright © 2023 Xu, Qiu, Xu, Qu, Zhuang and Xu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Physiology
Xu, Tangzhou
Qiu, Bingfeng
Xu, Qi
Qu, Junhan
Zhuang, Dandan
Xu, Qiancheng
Case study of colorectal endometriosis treated with endoscopic submucosal excavation
title Case study of colorectal endometriosis treated with endoscopic submucosal excavation
title_full Case study of colorectal endometriosis treated with endoscopic submucosal excavation
title_fullStr Case study of colorectal endometriosis treated with endoscopic submucosal excavation
title_full_unstemmed Case study of colorectal endometriosis treated with endoscopic submucosal excavation
title_short Case study of colorectal endometriosis treated with endoscopic submucosal excavation
title_sort case study of colorectal endometriosis treated with endoscopic submucosal excavation
topic Physiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233404/
https://www.ncbi.nlm.nih.gov/pubmed/37275230
http://dx.doi.org/10.3389/fphys.2023.1073241
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