Association Between Bowel Obstruction or Intussusception and Endometriosis
Sarah Aldhaheri1, Eva Suarthana2, Perrine Capmas3
1Department of Obstetrics and Gynecology, McGill University, Montréal, QC; Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|December 28, 2020
Summary
Endometriosis, particularly intestinal and rectovaginal types, significantly increases the risk of bowel obstruction. However, pelvic endometriosis was not associated with intussusception in this large population study.
Area of Science:
- Gastroenterology
- Gynecology
- Epidemiology
Background:
- Endometriosis is a chronic condition affecting women of reproductive age.
- Bowel obstruction and intussusception are serious gastrointestinal conditions.
- The association between endometriosis and these conditions requires further investigation.
Purpose of the Study:
- To investigate the association between endometriosis and the risk of bowel obstruction.
- To evaluate the association between endometriosis and the risk of intussusception.
Main Methods:
- A population-based study utilizing the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample (HCUP-NIS) database.
- Inclusion criteria: women aged 18-55 years without inflammatory bowel disease or cancer.
- Multivariate logistic regression analysis was employed to assess the associations.
Main Results:
- Women with pelvic endometriosis showed a significantly higher likelihood of bowel obstruction (OR 2.6).
- Intestinal endometriosis presented a 14.6-fold increased risk of bowel obstruction, and rectovaginal endometriosis a 2.00-fold increased risk.
- Pelvic endometriosis was linked to both adhesive and non-adhesive bowel obstruction; no association was found with intussusception.
Conclusions:
- Pelvic endometriosis, especially intestinal and rectovaginal subtypes, is strongly associated with bowel obstruction, irrespective of adhesions.
- No significant association was identified between pelvic endometriosis and intussusception.
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