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<p>Bowel endometriosis is present in about 10% of patients with endometriosis, with affection of the rectum being most common. While the diagnosis is established clinically, vaginal sonography has proven to be the first-choice imaging modality. Suitable progestins (dienogest) or oral gonadotropin-releasing hormone (GnRH) antagonists with osteoprotective add-back—if the diagnosis has been corroborated by laparoscopy—should be the primary treatment. Surgical therapy comprises removal of the affected bowel portion by shaving, disc excision, or segmental resection.</p>

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Darmendometriose: Diagnostik und Therapie

  • 期刊论文

  • 发表日期：

    2026年7月1日

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  • U. A. Ulrich,
  • K. Beyer,
  • J. Keckstein

摘要

Bowel endometriosis is present in about 10% of patients with endometriosis, with affection of the rectum being most common. While the diagnosis is established clinically, vaginal sonography has proven to be the first-choice imaging modality. Suitable progestins (dienogest) or oral gonadotropin-releasing hormone (GnRH) antagonists with osteoprotective add-back—if the diagnosis has been corroborated by laparoscopy—should be the primary treatment. Surgical therapy comprises removal of the affected bowel portion by shaving, disc excision, or segmental resection.