Folder Endometriosis


video Management of Bowel Endometriosis: Bowel endometriosis as seen from a gynaecologist

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ESCP/ESGE Symposium - Helder Ferreira (Portugal) at ESCP Barcelona 2021

video Management of Bowel Endometriosis: Bowel endometriosis as seen from a general surgeon

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ESCP/ESGE Symposium - Jean-Jacques Tuech (France) at ESCP Barcelona 2021

video Discoid resection of rectal endometriosis

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Trainee video session - prepared by Marek Zawadzki (Poland) for ESCP Barcelona 2021

video Core Subject Update: Endometriosis

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Educational session - Elisa Cassinotti (Italy) at ESCP Nice 2018

video Benign Chronical Abdominal Diseases for the Colorectal Surgeon: Endometrioses

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Symposium - Carla Tomassetti (Belgium) and Albert Wolthuis (Belgium) at ESCP Berlin 2017

document Endometriosis (Chapter 20, European Manual of Medicine: Coloproctology Second Edition)

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Endometriosis is the presence of endometrial-like tissue outside the uterus. It is common affecting 6–10 % of women during childbearing years and is recognized as a condition with significant social impact as related symptoms may heavily impact on patient quality of life. The digestive tract is involved in approximately one quarter of cases.

The diagnosis is suggested by the history, symptoms and physical signs and is supported by physical examination and imaging techniques (transvaginal and endorectal ultrasound, magnetic resonance and CT scan). Confirmation of the diagnosis relies on histological examination of specimens collected at time of surgery.

The etiology of endometriosis is unknown therefore treatment is not directed at a cure but at reducing related symptoms and improving quality of life. Medical treatment should be considered initially and bowel surgery should be reserved for intractable symptoms. Surgery is often very challenging because the infiltration of various structures by endometriotic nodules. The potential advantages of surgery have to be balanced with the risk of complications. Surgical treatment needs a multidisciplinary approach and a surgical team well-trained in pelvic and laparoscopic surgery. A laparoscopic approach is preferable. No clear guidelines exist concerning the relative advantages of peeling, disk or segmental resection in the treatment of intestinal nodules. Complete resection of deep infiltrative endometriosis with a low complication rate is likely to result in significant symptom improvement and quality of life in usually young patients. Therefore such surgery has to be performed in referral centres.

video Impact of bowel and ostomy function on quality of life after rectal cancer treatment: a population based cross-sectional study

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Free Paper (Functional disorders) - Marie-Louise Feddern at ESCP Barcelona 2014

video Does a defunctioning stoma affect long term anorectal function after low anterior resection of the rectum for cancer?

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Free Paper (Functional disorders) - Soran Gadan at ESCP Barcelona 2014

video Large bowel involvement in endometriosis

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Video surgery - Gian Andrea Binda at ESCP Sorrento 2010

ESCP Affiliates