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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorROS, Cristina-
dc.contributor.authorMARTINEZ-SERRANO, Maria Jose-
dc.contributor.authorRIUS, Mariona-
dc.contributor.authorABRAO, Mauricio Simoes-
dc.contributor.authorMUNROS, Jordina-
dc.contributor.authorMARTINEZ-ZAMORA, Ma Angeles-
dc.contributor.authorGRACIA, Meritxell-
dc.contributor.authorCARMONA, Francisco-
dc.identifier.citationJOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, v.24, n.7, p.1146-1152, 2017-
dc.description.abstractStudy Objective: To compare the accuracy of transvaginal ultrasound (TVUS) with and without bowel preparation (BP) to detect and describe intestinal nodules of deep infiltrating endometriosis (DIE) with laparoscopic findings. Design: A prospective study of paired data (Canadian Task Force classification II.1). Setting: A tertiary university hospital from November 2014 to November 2015. Patients: A cohort of women awaiting surgery for endometriosis. Interventions: The wall of the rectum and the lower sigmoid colon of the patients were evaluated by 2 TVUSs: the first ultrasound was performed without previous BP, and the second was done after a 3-day low-residue diet and two 250-mL enemas 12 hours and 3 hours before TVUS. Measurements and Main Results: The presence or absence of rectosigmoid nodules visualized by TVUS with and without BP was compared with laparoscopic results. Forty patients with a mean age of 36.8 +/- 5.0 years were included in the study. By comparing the surgical findings histologically confirmed (the presence or absence of bowel nodules and localization) with those of the 2 TVUSs with and without BP, the sensitivity, specificity, and Cohen kappa were 100%, 96%, and 0.95 and 73%, 88%, and 0.61, respectively. Laparoscopy showed that up to 37.5% of patients (15/40) presented bowel involvement. Variables were clearly more evaluable with than without BR. Conclusion: TVUS with BP has a higher accuracy than TVUS without BR. BP allows and facilitates the detection of more rectal nodules of DIE in patients with suspected endometriosis and surgical criteria.-
dc.relation.ispartofJournal of Minimally Invasive Gynecology-
dc.subjectBowel endometriosis-
dc.subjectBowel preparation-
dc.subjectDeep infiltrating endometriosis-
dc.subjectPelvic pain-
dc.subjectTransvaginal ultrasound-
dc.subject.otherrectovaginal endometriosis-
dc.subject.otherpelvic endometriosis-
dc.subject.otherendoscopic ultrasonography-
dc.titleBowel Preparation Improves the Accuracy of Transvaginal Ultrasound in the Diagnosis of Rectosigmoid Deep Infiltrating Endometriosis: A Prospective Study-
dc.rights.holderCopyright ELSEVIER SCIENCE INC-
dc.subject.wosObstetrics & Gynecology-
dc.type.categoryoriginal article-
dc.type.versionpublishedVersion-, Cristina:Univ Barcelona, Hosp Clin Barcelona, Endometriosis Unit, Inst Clin Ginecol Obstet & Neonatol, Barcelona, Spain-, Maria Jose:Univ Barcelona, Hosp Clin Barcelona, Endometriosis Unit, Inst Clin Ginecol Obstet & Neonatol, Barcelona, Spain-, Mariona:Univ Barcelona, Hosp Clin Barcelona, Endometriosis Unit, Inst Clin Ginecol Obstet & Neonatol, Barcelona, Spain-, Jordina:Univ Barcelona, Hosp Clin Barcelona, Endometriosis Unit, Inst Clin Ginecol Obstet & Neonatol, Barcelona, Spain-, Ma Angeles:Univ Barcelona, Hosp Clin Barcelona, Endometriosis Unit, Inst Clin Ginecol Obstet & Neonatol, Barcelona, Spain-, Meritxell:Univ Barcelona, Hosp Clin Barcelona, Endometriosis Unit, Inst Clin Ginecol Obstet & Neonatol, Barcelona, Spain-, Francisco:Univ Barcelona, Hosp Clin Barcelona, Endometriosis Unit, Inst Clin Ginecol Obstet & Neonatol, Barcelona, Spain-
hcfmusp.publisher.cityNEW YORK-
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Artigos e Materiais de Revistas Científicas - FM/MOG
Departamento de Obstetrícia e Ginecologia - FM/MOG

Artigos e Materiais de Revistas Científicas - LIM/58
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular

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