{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T14:49:17Z","timestamp":1774363757604,"version":"3.50.1"},"reference-count":34,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"07","license":[{"start":{"date-parts":[[2018,6,27]],"date-time":"2018-06-27T00:00:00Z","timestamp":1530057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>\n            Objective\u2003To outline the demographic and clinical characteristics of patients with deep intestinal endometriosis submitted to surgical treatment at a tertiary referral center with a multidisciplinary team, and correlate those characteristics with the surgical procedures performed and operative complications.<\/jats:p><jats:p>\n            Methods\u2003A prospective cohort from February 2012 to November 2016 of 32 women with deep intestinal endometriosis operations. The variables analyzed were: age; obesity; preoperative symptoms (dysmenorrhea, dyspareunia, acyclic pain, dyschezia, infertility, urinary symptoms, constipation and intestinal bleeding); previous surgery for endometriosis; Enzian classification; size of the intestinal lesion; and surgical complications.<\/jats:p><jats:p>\n            Results\u2003The mean age was 37.75 (\u00b15.72) years. A total of 7 patients (22%) had a prior history of endometriosis. The mean of the largest diameter of the intestinal lesions identified intraoperatively was of 28.12\u2009mm (\u00b114.29 mm). In the Enzian classification, there was a predominance of lesions of the rectum and sigmoid, comprising 30 cases (94%). There were no statistically significant associations between the predictor variables and the outcome complications, even after the multiple logistic regression analysis. Regarding the size of the lesion, there was also no significant correlation with the outcome complications (p\u2009=\u20090.18; 95% confidence interval [95%CI]:0.94\u20131.44); however, there was a positive association between grade 3 of the Enzia classification and the more extensive surgical techniques: segmental intestinal resection and rectosigmoidectomy, with a prevalence risk of 4.4 (p\u2009&lt;\u20090.001; 95%CI:1.60\u201312.09).<\/jats:p><jats:p>\n            Conclusion\u2003The studied sample consisted of highly symptomatic women. A high prevalence of deep infiltrative endometriosis lesions was found located in the rectum and sigmoid region, and their size correlated directly with the extent of the surgical resection performed.<\/jats:p>","DOI":"10.1055\/s-0038-1660827","type":"journal-article","created":{"date-parts":[[2018,6,27]],"date-time":"2018-06-27T23:39:01Z","timestamp":1530142741000},"page":"390-396","source":"Crossref","is-referenced-by-count":9,"title":["Surgical Treatment of Intestinal Endometriosis: Outcomes of Three Different Techniques"],"prefix":"10.61622","volume":"40","author":[{"given":"Fernando","family":"Bray-Beraldo","sequence":"additional","affiliation":[{"name":"Gastroenterology Surgery Service, Hospital do Servidor P\u00fablico Estadual, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Maria Gomes","family":"Pereira","sequence":"additional","affiliation":[{"name":"Ginecology Service, Hospital do Servidor P\u00fablico Estadual, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cl\u00e1udia","family":"Gazzo","sequence":"additional","affiliation":[{"name":"Ginecology Service, Hospital do Servidor P\u00fablico Estadual, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelo Prot\u00e1sio","family":"Santos","sequence":"additional","affiliation":[{"name":"Gastroenterology Surgery Service, Hospital do Servidor P\u00fablico Estadual, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reginaldo Guedes Coelho","family":"Lopes","sequence":"additional","affiliation":[{"name":"Ginecology Service, Hospital do Servidor P\u00fablico Estadual, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2018,6,27]]},"reference":[{"issue":"15","key":"ref1","first-page":"514383","article-title":"Clinical outcome after colonic resection in women with endometriosis","volume":"2015","author":"B Klugsberger","year":"2015","journal-title":"BioMed Res Int"},{"issue":"06","key":"ref2","first-page":"630","article-title":"Interdisciplinary diagnosis and treatment of deep infiltrating endometriosis","volume":"141","author":"I Alkatout","year":"2016","journal-title":"Zentralbl Chir"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1093\/humrep\/deg136","article-title":"Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women","volume":"18","author":"M S Arruda","year":"2003","journal-title":"Hum Reprod"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1590\/S1679-45082012000100009","article-title":"Lag time between onset of symptoms and diagnosis of endometriosis","volume":"10","author":"T MV Santos","year":"2012","journal-title":"Einstein (Sao Paulo)"},{"issue":"07","key":"ref5","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1001\/archsurg.1988.01400310069011","article-title":"Gastrointestinal endometriosis. Incidence and indications for resection","volume":"123","author":"J B Prystowsky","year":"1988","journal-title":"Arch Surg"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/s00404-014-3257-x","article-title":"Surgical outcome of deep infiltrating colorectal endometriosis in a multidisciplinary setting","volume":"290","author":"R Bachmann","year":"2014","journal-title":"Arch Gynecol Obstet"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1016\/S0015-0282(16)53570-5","article-title":"Deeply infiltrating pelvic endometriosis: histology and clinical significance","volume":"53","author":"F J Cornillie","year":"1990","journal-title":"Fertil Steril"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1093\/humupd\/dmv003","article-title":"Deep endometriosis infiltrating the recto-sigmoid: critical factors to consider before management","volume":"21","author":"M S Abr\u00e3o","year":"2015","journal-title":"Hum Reprod Update"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1093\/humrep\/deg009","article-title":"Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification","volume":"18","author":"C Chapron","year":"2003","journal-title":"Hum Reprod"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"227","DOI":"10.4293\/108680813X13693422521836","article-title":"Deep infiltrating colorectal endometriosis treated with robotic-assisted rectosigmoidectomy","volume":"17","author":"R M Neme","year":"2013","journal-title":"JSLS"},{"issue":"42","key":"ref11","doi-asserted-by":"crossref","first-page":"15616","DOI":"10.3748\/wjg.v20.i42.15616","article-title":"Bowel endometriosis: colorectal surgeon's perspective in a multidisciplinary surgical team","volume":"20","author":"A M Wolthuis","year":"2014","journal-title":"World J Gastroenterol"},{"issue":"07","key":"ref12","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1111\/j.1471-0528.2007.01363.x","article-title":"Surgical outcome and long-term follow up after laparoscopic rectosigmoid resection in women with deep infiltrating endometriosis","volume":"114","author":"R Seracchioli","year":"2007","journal-title":"BJOG"},{"issue":"11","key":"ref13","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1007\/s004649901187","article-title":"Laparoscopic management of colorectal endometriosis","volume":"13","author":"B L Jerby","year":"1999","journal-title":"Surg Endosc"},{"issue":"08","key":"ref14","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1007\/BF02050136","article-title":"Aggressive surgical management for advanced colorectal endometriosis","volume":"37","author":"H R Bailey","year":"1994","journal-title":"Dis Colon Rectum"},{"issue":"14","key":"ref15","first-page":"463058","article-title":"Long-term outcome after laparoscopic bowel resections for deep infiltrating endometriosis: a single-center experience after 900 cases","volume":"2014","author":"G Ruffo","year":"2014","journal-title":"BioMed Res Int"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s10397-012-0759-z","article-title":"Deep rectovaginal endometriotic nodules: perioperative complications from a series of 3,298 patients operated on by the shaving technique","volume":"10","author":"J Donnez","year":"2013","journal-title":"Gynecol Surg"},{"issue":"07","key":"ref17","doi-asserted-by":"crossref","first-page":"2029","DOI":"10.1007\/s00464-012-2153-3","article-title":"Nerve-sparing laparoscopic eradication of deep endometriosis with segmental rectal and parametrial resection: the Negrar method. A single-center, prospective, clinical trial","volume":"26","author":"M Ceccaroni","year":"2012","journal-title":"Surg Endosc"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/j.jmig.2006.05.010","article-title":"Laparoscopic resection of intestinal endometriosis: a 5-year experience","volume":"13","author":"P AA Ribeiro","year":"2006","journal-title":"J Minim Invasive Gynecol"},{"issue":"12","key":"ref19","doi-asserted-by":"crossref","first-page":"3092","DOI":"10.1093\/humrep\/dem187","article-title":"Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis","volume":"22","author":"M S Abrao","year":"2007","journal-title":"Hum Reprod"},{"issue":"05","key":"ref20","doi-asserted-by":"crossref","first-page":"1574","DOI":"10.1016\/j.fertnstert.2011.01.135","article-title":"Comparison of revised American Fertility Society and ENZIAN staging: a critical evaluation of classifications of endometriosis on the basis of our patient population","volume":"95","author":"D Haas","year":"2011","journal-title":"Fertil Steril"},{"issue":"05","key":"ref21","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1007\/s00404-012-2647-1","article-title":"Efficacy of the revised Enzian classification: a retrospective analysis. Does the revised Enzian classification solve the problem of duplicate classification in rASRM and Enzian?","volume":"287","author":"D Haas","year":"2013","journal-title":"Arch Gynecol Obstet"},{"issue":"10","key":"ref22","first-page":"613","article-title":"Evaluation of the results of surgical treatment of patients with endometriosis of the rectovaginal septum","volume":"27","author":"W M Fahmy","year":"2005","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"05","key":"ref23","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1093\/humrep\/dei491","article-title":"Quality of life after laparoscopic colorectal resection for endometriosis","volume":"21","author":"G Dubernard","year":"2006","journal-title":"Hum Reprod"},{"issue":"06","key":"ref24","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/j.jmig.2011.07.014","article-title":"Quality of life after segmental resection of the rectosigmoid by laparoscopy in patients with deep infiltrating endometriosis with bowel involvement","volume":"18","author":"M A Bassi","year":"2011","journal-title":"J Minim Invasive Gynecol"},{"issue":"07","key":"ref25","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1097\/01.ogx.0000268688.55653.5c","article-title":"Bowel endometriosis: presentation, diagnosis, and treatment","volume":"62","author":"V Remorgida","year":"2007","journal-title":"Obstet Gynecol Surv"},{"issue":"05","key":"ref26","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1016\/S0015-0282(97)81391-X","article-title":"Revised American Society for Reproductive Medicine classification of endometriosis: 1996","volume":"67","year":"1997","journal-title":"Fertil Steril"},{"key":"ref27","first-page":"243","article-title":"Disc resection is the first option in the management of rectal endometriosis for unifocal lesions with less than 3 centimeters of longitudinal diameter","volume":"24","author":"A de Almeida","year":"2014","journal-title":"Surg Technol Int"},{"issue":"03","key":"ref28","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1093\/humupd\/dmq057","article-title":"Surgical treatment of deeply infiltrating endometriosis with colorectal involvement","volume":"17","author":"C Meuleman","year":"2011","journal-title":"Hum Reprod Update"},{"issue":"05","key":"ref29","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/j.jmig.2014.03.003","article-title":"Deep rectal shaving followed by transanal disc excision in large deep endometriosis of the lower rectum","volume":"21","author":"H Roman","year":"2014","journal-title":"J Minim Invasive Gynecol"},{"issue":"04","key":"ref30","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/j.ajog.2003.10.698","article-title":"Long-term follow-up after conservative surgery for rectovaginal endometriosis","volume":"190","author":"L Fedele","year":"2004","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref31","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1111\/j.1471-0528.2010.02744.x","article-title":"Bowel resection for deep endometriosis: a systematic review","volume":"118","author":"C De Cicco","year":"2011","journal-title":"BJOG"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"449","DOI":"10.2147\/IJWH.S46519","article-title":"Is a bowel resection necessary for deep endometriosis with rectovaginal or colorectal involvement?","volume":"5","author":"P Aci\u00e9n","year":"2013","journal-title":"Int J Womens Health"},{"issue":"09","key":"ref33","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1097\/DCR.0b013e31825f3092","article-title":"Management of deeply infiltrating endometriosis involving the rectum","volume":"55","author":"C E Koh","year":"2012","journal-title":"Dis Colon Rectum"},{"issue":"09","key":"ref34","doi-asserted-by":"crossref","first-page":"1572","DOI":"10.1007\/s00464-006-9160-1","article-title":"Laparoscopic segmental colorectal resection for endometriosis: limits and complications","volume":"21","author":"E Darai","year":"2007","journal-title":"Surg Endosc"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/surgical-treatment-of-intestinal-endometriosis-outcomes-of-three-different-techniques\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1660827.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T19:01:34Z","timestamp":1721329294000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1660827"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,27]]},"references-count":34,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2018,8,2]]},"published-print":{"date-parts":[[2018,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1660827","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,27]]}}}