BookSimone Ferrero, Marcello Ceccaroni, editors.
Summary: This book exclusively focuses on the practical aspects of diagnosing and managing bowel endometriosis, and highlights the importance of pursuing a multidisciplinary approach. Collecting chapters written by international experts in the field, the book is divided into two parts: the first presents all imaging techniques that are currently available and useful in diagnosing bowel endometriosis, while the second covers all available surgical techniques for treating this disorder, including the modern and lesser-invasive Nerve-Sparing radical approaches. Featuring a wealth of figures, sketches and videos, the book offers an essential guide for specialists, resident and subspecialty trainees in the fields of gynecology, colorectal surgery, radiology and gastroenterology.
Contents:
Intro
Contents
List of Videos
Part I: Bowel Endometriosis
1: Pathogenesis of Bowel Endometriosis
1.1 Definition and Epidemiology
1.2 Anatomical Distribution and Classification
1.3 Theories Surrounding Pathogenesis
1.3.1 Retrograde Menstruation
1.3.2 Coelomic Metaplasia
1.3.3 Stem Cells
1.3.4 Genetic Factors
1.4 Histopathologic Findings
1.4.1 The Profibrotic Nature of Endometriosis
1.4.2 Histological Appearance of DIE
References
2: Epidemiology of Bowel Endometriosis
2.1 Introduction
2.2 Epidemiology of Endometriosis 2.3 Epidemiology of Bowel Endometriosis
2.3.1 Rectosigmoid Endometriosis
2.3.2 Endometriosis of the Appendix
2.3.3 Other Intestinal Lesions
2.3.4 Multifocal and Multicentric Endometriosis
2.3.5 Endometriosis of the Lymph Nodes
2.4 Conclusion
References
3: Pathologic Characteristics of Bowel Endometriosis
3.1 Introduction
3.2 Macroscopic Findings
3.3 Microscopic Findings
3.3.1 Usual Findings
3.3.2 Infiltration of the Mucosal Layer
3.3.3 Perineural Infiltration
3.3.4 Cajal Cell Depletion
3.3.5 Sympathetic Nerve Fibers Damage 3.4 Lymph Nodes Involvement
3.5 Small Bowel Involvement
3.6 Cecal Appendix Involvement
3.7 The Role of Immunohistochemistry
3.8 Complications of Bowel Endometriosis
3.8.1 Perforation
3.8.2 Stenosis
3.8.3 Malignant Transformation
References
4: Symptoms of Bowel Endometriosis
4.1 Introduction
4.2 Rectosigmoid Endometriosis
4.3 Ileocecal Endometriosis
4.4 Endometriosis of the Appendix
4.5 Conclusion
References
Part II: Diagnosis
5: Non-enhanced Transvaginal Ultrasonography
5.1 The Diagnosis of Rectosigmoid DIE Using Ultrasound 5.2 Learning Curve for TVS in the Diagnosis of Rectosigmoid DIE
5.3 The Role of "Soft Markers" in the Diagnosis of Rectosigmoid DIE
5.4 Comparison with Other Imaging Techniques
5.5 Conclusion
References
6: Enhanced Ultrasonographic Techniques
6.1 Introduction
6.2 Rectal Water-Contrast Transvaginal Ultrasonography
6.3 Tenderness-Guided Transvaginal Ultrasonography
6.4 Sonovaginography
6.5 Conclusion
References
7: Magnetic Resonance Imaging
7.1 Introduction
7.2 Clinical Challenges
7.3 MRI
7.3.1 Standard MRI
7.3.1.1 MRI Protocol 7.3.1.2 MRI Features
7.3.2 MR Enterography
7.3.2.1 MRI Protocol
7.3.2.2 MRI Signs
7.4 Other Examinations
7.4.1 Transvaginal Sonography (TVS)
7.4.2 Fusion Imaging
7.4.3 Rectal Endoscopic Sonography
7.4.4 Computed Tomography (CT) Enema
References
8: Multidetector Computerized Tomography Enema
8.1 Multidetector Computerized Tomography Enema
8.2 Multidetector Computerized Tomography Enema Technique
8.3 Multidetector Computerized Tomography Enema in the Diagnosis of Bowel Endometriosis