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Epidemiology of Bowel Endometriosis

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Clinical Management of Bowel Endometriosis

Abstract

Several methodological issues complicate the assessment of the epidemiology of endometriosis such as the need for surgery in order to establish the diagnosis and the presence of selection bias as the patients with symptomatic disease are more likely to require diagnostic instruments and surgery. Retrospective studies including patients undergoing surgery for deep infiltrating endometriosis reported that about a quarter of these patients have bowel endometriosis. Rectum and rectosigmoid junction are the most common disease localizations, affecting up to three quarters of the patients with bowel endometriosis followed by the sigmoid colon. However, endometriotic nodules can also be found in the appendix, terminal ileum, descending colon, transverse colon, and stomach.

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Ferrero, S., Barra, F., Altieri, M., Orsi, A., Icardi, G., Noberasco, G. (2020). Epidemiology of Bowel Endometriosis. In: Ferrero, S., Ceccaroni, M. (eds) Clinical Management of Bowel Endometriosis. Springer, Cham. https://doi.org/10.1007/978-3-030-50446-5_2

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