EFA’s Sixth Annual Medical Conference: Ending Endometriosis Starts at the Beginning
Ken Sinervo, MD
I am going to talk about endometriosis involving the bowel. I am going to briefly talk a little bit of working up patients and the kind of symptomatology that they usually have. I will go over three different techniques for trying to deal with endometriosis involving the rectosigmoid endo. I do not think I will have time for the small bowel endometriosis at the end.
Endometriosis has varying incidents ranging from 3.7 to 38 percent depending on which studies you look at. In my particular group of patients it is somewhere in the 30 percent range with close to a third having endometriosis involving the bowel. To some extent patients usually present with pelvic pain but they also have typically bowel symptoms associated with that as well. They will have painful bowel movements. They will often have intestinal cramping. But if they have more of an obstructive type pattern they will often present with intermittent constipation and alternating diarrhea where once they have a bowel movement they will have this reflux diarrhea afterwards because the stool that has been sitting above there will…
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