Magnetic Resonance Colonography May Predict the Need for Bowel Resection in Colorectal Endometriosis
Joint Authors
Scardapane, Arnaldo
Lorusso, Filomenamila
Angelelli, Giuseppe
Scioscia, Marco
Fascilla, Fabiana
Bettocchi, Stefano
Francavilla, Mariantonietta
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-09-25
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To define if MRI findings in patients with deep pelvic endometriosis (DPE) may be predictive for the need of bowel resection.
Material and Methods.
A retrospective survey of 196 pelvic MRIs of women who received laparoscopic procedures for DPE was carried out.
A pelvic MRI was performed in all patients: it consisted in T2w-TSE sequences in axial, sagittal, and coronal planes and T1w and THRIVE sequences in the axial plane; the exam was completed by MR-Colonography.
Intestinal lesions were measured in short and long axis and the degree of stenosis was established.
A multivariate logistic regression was used to identify the predictors of intestinal resection.
Results.
57/196 patients received an intestinal resection.
Multivariate logistic regression demonstrated a predictive value of short axis (Odds-Ratio = 2.29, p=0.011) and stenosis (Odds-Ratio = 1.20, p=0.003).
ROC analysis showed that a cut-off value of 11 mm for the short axis and 30% for the stenosis may correctly classify, respectively, 96,94% (sensitivity 92,9% and specificity 98,56%) and 97,96% (sensitivity 94,74% and specificity 99,3%) of the cases.
Conclusion.
The presence of an endometriotic rectal nodule > 11 mm in short axis causing a stenosis > 30% in pelvic MRI reliably predicts the need of a rectal resection.
American Psychological Association (APA)
Scardapane, Arnaldo& Lorusso, Filomenamila& Francavilla, Mariantonietta& Bettocchi, Stefano& Fascilla, Fabiana& Angelelli, Giuseppe…[et al.]. 2017. Magnetic Resonance Colonography May Predict the Need for Bowel Resection in Colorectal Endometriosis. BioMed Research International،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1137878
Modern Language Association (MLA)
Scardapane, Arnaldo…[et al.]. Magnetic Resonance Colonography May Predict the Need for Bowel Resection in Colorectal Endometriosis. BioMed Research International No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1137878
American Medical Association (AMA)
Scardapane, Arnaldo& Lorusso, Filomenamila& Francavilla, Mariantonietta& Bettocchi, Stefano& Fascilla, Fabiana& Angelelli, Giuseppe…[et al.]. Magnetic Resonance Colonography May Predict the Need for Bowel Resection in Colorectal Endometriosis. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1137878
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137878