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[Digestive endometriosis. Current concepts].

P Caligaris, M J Ducassou, R Masselot

    Journal De Chirurgie
    |December 1, 1982
    PubMed
    Summary
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    Gastrointestinal endometriosis, a rare condition, often affects the recto-sigmoid and ileum, causing bowel issues and pain. Treatment involves surgery or medication like Danazol for effective cure and recurrence prevention.

    Area of Science:

    • Gastroenterology
    • Gynecology
    • Surgical Pathology

    Background:

    • Endometriosis of the digestive tract represents 1% of all endometriosis cases.
    • It predominantly affects the recto-sigmoid and terminal ileum.
    • Symptoms include bowel transit disturbances, obstruction, and cyclical rectal bleeding.

    Observation:

    • Classical theories involve propagation via tubal, lymphatic, or venous routes.
    • Prostaglandins and altered (formula) ratios may contribute to pathogenesis.
    • Clinical presentation is marked by intestinal symptoms and menstrual-associated bleeding.

    Findings:

    • Symptomatology is dominated by intestinal transit issues, sub-occlusion, or acute obstruction.
    • Pain exacerbation correlates with menstruation.

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  • Haemorrhagic rectal discharge accompanying menstruation is a key symptom.

    • Implications:

    • Surgical resection of stenosis combined with oophorectomy offers a potential cure.
    • Medical treatments like progestogens or Danazol are effective for managing symptoms and preventing recurrence.
    • Understanding the role of prostaglandins may lead to novel therapeutic strategies.