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| Autores principales: | , , , |
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| Formato: | Artículo Open Access |
| Publicado: |
Wiley
2025
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| Acceso en línea: | https://onlinelibrary.wiley.com/doi/10.1111/codi.70036 |
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- A quality‐of‐life meta‐analysis comparing pre‐ and postoperative symptoms in women undergoing colorectal resection for deep infiltrating endometriosis Barry Maguire Alison DeMaio Aoife O'Neill Cillian Clancy Colorectal Disease AbstractAimDeep infiltrating endometriosis (DIE) may involve the rectum or colon and is associated with pain, gastrointestinal dysfunction and reduced quality of life (QoL). While hormonal treatment may be effective, surgical intervention including colorectal resection can be required. Colorectal resection can result in functional changes and complications, which can also impair QoL. The aim of this study is to examine all available comparative pre‐ and postoperative data on QoL and symptom outcomes following colorectal resection for DIE.MethodAn electronic database search was conducted for studies reporting pre‐ and postoperative QoL and symptom outcomes following colorectal resection for DIE. The study was registered with PROSPERO and followed PRISMA (Preferred Reporting Items in Systematic Reviews and Meta‐analyses) guidelines. Data were combined using random‐effects models.ResultsFourteen studies including 1142 patients were included. Colorectal resection was associated with improved outcomes for all items in the SF‐36 QoL questionnaire as well as symptom outcomes including dysmenorrhoea, chronic pelvic pain and deep dyspareunia. Importantly, the gastrointestinal QoL index was significantly improved (mean difference 24.50, 95% CI 15.93–33.08, p < 0.0001) as was dyschezia (mean difference −4.1, 95% CI −4.77 to −3.42, p < 0.0001). There was no change in low anterior resection syndrome scores (mean difference −5.28, 95% CI −11.65 to 1.10, p = 0.1046).ConclusionThis study demonstrates a significant postoperative improvement in patient‐reported QoL, pain symptoms and gastrointestinal function following colorectal resection for endometriosis. 10.1111/codi.70036 http://onlinelibrary.wiley.com/termsAndConditions#vor