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By Alfredo Levy Medico ginecólogo obstetra especialista en infertilidad y endometriosis cirugia mínima invasiva!
M Fastrez, C Artigas, N Sirtaine, Z Wimana, M Caillet, S Rozenberg, P Flamen
OBJECTIVE: The non-invasive diagnosis of endometriosis remains challenging. Recent data suggested that somatostatin might be involved in its pathogenesis. High sensitive visualization of somatostatin receptors expression is possible using PET-CT imaging after the administration of a 68 Ga-labeled somatostatin analog (DOTATATE) that will bind to the somatostatin receptor sub-types 2 and 5. The aim of the present study was to assess the usefulness of 68 Ga-DOTATATE PET-CT in the diagnosis of endometriosis...
May 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Erin Greaves, Hilary O D Critchley, Andrew W Horne, Philippa T K Saunders
Endometriosis is characterized by the growth of endometrium-like tissue outside the uterus, most commonly on the pelvic peritoneum and ovaries. Although it may be asymptomatic in some women, in others it can cause debilitating pain, infertility or other symptoms including fatigue. Current research is directed both at understanding the complex etiology and pathophysiology of the disorder and at the development of new nonsurgical approaches to therapy that lack the unwanted side effects of current medical management...
June 2017: Acta Obstetricia et Gynecologica Scandinavica
McI Lier, R F Malik, Jhtm van Waesberghe, J W Maas, D A van Rumpt-van de Geest, S F Coppus, J P Berger, B B van Rijn, P F Janssen, M A de Boer, Jip de Vries, F W Jansen, I A Brosens, C B Lambalk, V Mijatovic
OBJECTIVE: To report pregnancy outcomes of SHiP (spontaneous haemoperitoneum in pregnancy) and the association with endometriosis. DESIGN: Retrospective case note review. SETTING: Dutch referral hospitals for endometriosis. SAMPLE: Eleven women presenting with 15 events of SHiP. METHODS: In collaboration with the Dutch Working Group on Endometriosis, unpublished cases of SHiP that occurred in the Netherlands between 2010 and 2015 were retrieved...
January 2017: BJOG: An International Journal of Obstetrics and Gynaecology
Elissa M Botterill, Stephen J Esler, Kate T McIlwaine, Nisha Jagasia, Lenore Ellett, Peter J Maher, Natalie Yang
PURPOSE: To determine if the menstrual cycle affects MR interpretation in patients with pelvic endometriosis. MATERIALS AND METHODS: Thirty-one patients with either laparoscopically proven endometriosis, or a high clinical suspicion of deep infiltrative endometriosis, were prospectively recruited from May 2008 to October 2009 and January to June 2012. Two pelvic MR scans were performed for pre-operative planning; during menses and the other mid-cycle. Two experienced radiologists independently assessed image quality and disease extent...
November 2015: European Journal of Radiology
Aneta Słabuszewska-Jóźwiak, Michał Ciebiera, Arkadiusz Baran, Grzegorz Jakiel
INTRODUCTION: Endometriosis is defined as an illness caused by the presence of foci of endometrial tissue outside the uterine cavity. The illness is found in 5-10% of women at reproductive age. In the group of those suffering from endometriosis, the percentage of infertile women amounts to 50%. At higher stages of endometriosis clinical advancement, the suggested treatment is the application of assisted reproductive technology. OBJECTIVE: The aim of the study was assessment of the effectiveness of laparoscopy in treating infertility related to endometriosis among women treated in our clinic in 2009-2012...
2015: Annals of Agricultural and Environmental Medicine: AAEM
Małgorzata Malec-Milewska, Bartosz Horosz, Agnieszka Sękowska, Iwona Kolęda, Dariusz Kosson, Grzegorz Jakiel
INTRODUCTION: Chronic pelvic pain syndrome occurs in 4-14% of women. Pain pathomechanism in this syndrome is complex, as it is common to observe the features of nociceptive, inflammatory, neuropathic and psychogenic pain. The common findings in women with pelvic pain are endometriosis and pelvic adhesions. OBJECTIVE: Aim of the study was to test the effectiveness of pharmacological treatment and regional anesthesia techniques for pain control as the next step of treatment after the lack of clinical results of surgical and pharmacological methods normally used in the management of endometriosis and pelvic adhesions...
2015: Annals of Agricultural and Environmental Medicine: AAEM
Thorben Ahrens, Cassia G T Silveira, Constanze Banz-Jansen, Achim Rody, Daniela Hornung
OBJECTIVE: The objective of this study is the evaluation of serum YB-1 levels in the diagnosis of endometriosis. STUDY DESIGN: Serum samples of 12 patients with histologically confirmed endometriosis and of 10 control patients were collected. Western blot analysis was used to assess serum YB-1 levels. Groups were compared with Student's t-test or, if not normally distributed, with the Mann-Whitney test. Sensitivity and specificity for the potential diagnostic performance of serum YB-1 were assessed by receiver operating characteristic (ROC) curves...
August 2015: European Journal of Obstetrics, Gynecology, and Reproductive Biology
J Alejandro Rauh-Hain, Marc R Laufer
OBJECTIVE: To report the technique and outcome of laparoscopy in endometriosis using indigo carmine. DESIGN: Case report. SETTING: Tertiary care center. PATIENT(S): Twenty-nine-year-old nulligravid woman with a history of endometriosis and left unicornuate uterus with an absent right horn with a present right ovary and distal fallopian tube with recurrence of disease. INTERVENTION(S): Operative laparoscopy for destruction of endometriosis and chromopertubation, given the patient's history of infertility...
March 1, 2011: Fertility and Sterility
Erin Foran Wolff, Liping Sun, Mary L Hediger, Rajeshwari Sundaram, C Matthew Peterson, Zhen Chen, Germaine M Buck Louis
OBJECTIVE: To assess in utero exposures and the odds of an endometriosis diagnosis. DESIGN: Matched cohort design. SETTING: Fourteen participating clinical centers in geographically defined areas in Utah and California. PATIENT(S): Operative cohort comprised 473 women undergoing laparoscopy/laparotomy, and an age- and residence-matched population cohort comprising 127 women undergoing pelvic magnetic resonance imaging (MRI), 2007-2009...
March 1, 2013: Fertility and Sterility
B Issa, T S Onon, A Agrawal, C Shekhar, J Morris, S Hamdy, P J Whorwell
OBJECTIVE: In women presenting to gynaecological clinics with lower abdominal pain, the cause is frequently attributed to endometriosis irrespective of whether it is found to be minimal or extensive at laparoscopy. Irritable bowel syndrome (IBS) is also common in this setting, and it was speculated that the visceral hypersensitivity associated with this condition might be amplifying the symptoms of endometriosis. METHODS: Visceral sensitivity to balloon distension, symptoms and psychological status were assessed following laparoscopy in 20 women with minimal to mild endometriosis, 20 with moderate to severe endometriosis, 20 with laparoscopy negative abdominal pain and 20 asymptomatic women undergoing laparoscopic sterilisation who acted as controls, and compared with 20 women with IBS...
March 2012: Gut
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