How to Manage Bowel Endometriosis: The ETIC Approach

Giulia Alabiso; Luigi Alio; Saverio Arena; Allegra Barbasetti di Prun; Valentino Bergamini; Nicola Berlanda; Mauro Busacca; Massimo Candiani; Gabriele Centini; Annalisa Di Cello; Caterina Exacoustos; Luigi Fedele; Laura Gabbi; Elisa Geraci; Elena Lavarini; Domenico Incandela; Lucia Lazzeri; Stefano Luisi; Antonio Maiorana; Francesco Maneschi; Alberto Mattei; Ludovico Muzii; Luca Pagliardini; Alessio Perandini; Federica Perelli; Serena Pinzauti; Valentino Remorgida; Ana Maria Sanchez; Renato Seracchioli; Edgardo Somigliana; Claudia Tosti; Roberta Venturella; Paolo Vercellini; Paola Viganò; Michele Vignali; Fulvio Zullo; Errico Zupi

doi:10.1016/j.jmig.2015.01.021

How to Manage Bowel Endometriosis: The ETIC Approach

J Minim Invasive Gynecol. 2015 May-Jun;22(4):517-29. doi: 10.1016/j.jmig.2015.01.021. Epub 2015 Feb 10.

Authors

Giulia Alabiso¹, Luigi Alio², Saverio Arena³, Allegra Barbasetti di Prun¹, Valentino Bergamini⁴, Nicola Berlanda⁵, Mauro Busacca¹, Massimo Candiani⁶, Gabriele Centini⁷, Annalisa Di Cello⁸, Caterina Exacoustos⁹, Luigi Fedele⁵, Laura Gabbi¹⁰, Elisa Geraci¹¹, Elena Lavarini⁴, Domenico Incandela², Lucia Lazzeri⁷, Stefano Luisi⁷, Antonio Maiorana², Francesco Maneschi¹², Alberto Mattei¹³, Ludovico Muzii¹⁴, Luca Pagliardini⁶, Alessio Perandini⁴, Federica Perelli¹³, Serena Pinzauti⁷, Valentino Remorgida¹⁰, Ana Maria Sanchez⁶, Renato Seracchioli¹¹, Edgardo Somigliana¹⁵, Claudia Tosti⁷, Roberta Venturella⁸, Paolo Vercellini⁵, Paola Viganò⁶, Michele Vignali¹, Fulvio Zullo⁸, Errico Zupi¹⁶

Affiliations

¹ Department of Obstetrics and Gynecology, Macedonio Melloni Hospital, University of Milan, Milan, Italy.
² Department of Obstetrics and Gynecology, Civico Hospital, Palermo, Italy.
³ Department of Obstetrics and Gynecology, Santa Maria della Misericordia Hospital, Perugia, Italy.
⁴ Department of Obstetrics and Gynecology, University of Verona, Verona, Italy.
⁵ Department of Obstetrics and Gynecology, Isituto Luigi Mangiagalli, University of Milan, Milan, Italy.
⁶ Department of Obstetrics and Gynecology, San Raffaele Hospital, University of Milan, Milan, Italy.
⁷ Department of Obstetrics and Gynecology, University of Siena, Siena, Italy.
⁸ Department of Obstetrics and Gynecology, University of Magna Graecia, Catanzaro, Italy.
⁹ University of Tor Vergata, Rome, Italy.
¹⁰ Department of Obstetrics and Gynecology, University of Genova, Genova, Italy.
¹¹ Department of Obstetrics and Gynecology, University of Bologna, Bologna, Italy.
¹² Department of Obstetrics and Gynecology, Santa Maria Goretti Hospital, Latina, Italy.
¹³ Department of Obstetrics and Gynecology, University of Florence, Florence, Italy.
¹⁴ Department of Obstetrics and Gynecology, "Sapienza" University of Rome, Rome, Italy.
¹⁵ Infertility Unit, Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
¹⁶ Department of Obstetrics and Gynecology, University of Siena, Siena, Italy. Electronic address: [email protected].

PMID: 25678420
DOI: 10.1016/j.jmig.2015.01.021

Abstract

A panel of experts in the field of endometriosis expressed their opinions on management options in a 35-year-old patient desiring pregnancy with a history of previous surgery for endometrioma and bowel obstruction symptoms. Many questions that this paradigmatic patient may pose to the clinician are addressed, and various clinical scenarios are discussed. A decision algorithm derived from this discussion is proposed as well.

Keywords: Bowel endometriosis; Diagnosis; Previous surgery; Treatment.

Publication types

Case Reports

MeSH terms

Algorithms
Decision Making
Endometriosis / surgery*
Female
Humans
Intestinal Obstruction / surgery*
Pregnancy
Reproductive Health