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Laparoscopic surgery for intestinal endometriosis Hiroyuki TAKEUCHI 1 , Kazuhiro SAKAMOTO 2 1Department of Obstetrics and Gynecology, Juntendo University School of Medicine 2Department of Coloproctology, Juntendo University School of Medicine Keyword: 腹腔鏡下手術 , 腸管内膜症 , ダグラス窩深部内膜症 pp.275-283
Published Date 2007/6/15
DOI https://doi.org/10.11477/mf.4426100056
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 Intestinal endometriosis is a relatively common disease that occurs in 7 to 37%of patients with pelvic endometriosis. It is mostly observed as a deep infiltrating endometriosis of the Douglas pouch extending to the rectal or sigmoid colon and presents similar symptoms to deep infiltrating endometriosis of the Douglas pouch. Although it does not often require bowel resection, the MRI jelly method we developed is useful to decide whether it requires bowel resection or not. It requires bowel resection when it is shown as a low-intensity filling defect by the MRI jelly method.

 Laparoscopic surgery is appropriate for surgically treating intestinal endometriosis. Concomitant deep infiltrating endometriosis of the Douglas pouch is first separated and removed and low anterior resection is then performed. Small intestine endometriosis relatively infrequently occurs in the ileum near the ileocecum and mainly results in ileus. Although it is often difficult to identify it preoperatively by diagnostic imaging, it can be treated with laparoscopic surgery if it has been identified preoperatively.


Copyright © 2007, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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