Yu Vanessa, McHenry Nicole, Proctor Samantha, Wolf Jacqueline, Nee Judy
Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA.
Dig Dis Sci. 2023 Jun;68(6):2482-2492. doi: 10.1007/s10620-022-07674-7. Epub 2023 Jan 18.
A comprehensive understanding of endometriosis and its common gastrointestinal presentations are critical for gastroenterologists to ensure appropriate and timely screening and diagnosis. Endometriosis is a common inflammatory disease that frequently presents with gastrointestinal symptoms overlapping with irritable bowel syndrome (IBS) and other gastrointestinal disorders. Many endometriosis patients first present to a gastroenterologist or generalist, which may prolong the time to diagnosis and appropriate care.
This review describes the current literature on endometriosis presentation, overlap with gastrointestinal conditions, and standard diagnostic and treatment options for gastroenterologists to consider. For appropriate and swift treatment, gastroenterologists must consider an endometriosis diagnosis in females of menstruating age presenting with pain, bloating, altered stools, and non-gastrointestinal symptoms and refer patients for further evaluation.
对于胃肠病学家而言,全面了解子宫内膜异位症及其常见的胃肠道表现对于确保进行适当且及时的筛查与诊断至关重要。子宫内膜异位症是一种常见的炎症性疾病,常表现出与肠易激综合征(IBS)及其他胃肠道疾病重叠的胃肠道症状。许多子宫内膜异位症患者最初会就诊于胃肠病学家或全科医生,这可能会延长诊断及获得适当治疗的时间。
本综述描述了有关子宫内膜异位症表现、与胃肠道疾病的重叠情况以及可供胃肠病学家考虑的标准诊断和治疗方案的当前文献。为了进行适当且迅速的治疗,胃肠病学家必须考虑对出现疼痛、腹胀、大便改变及非胃肠道症状的育龄女性进行子宫内膜异位症诊断,并将患者转诊以进行进一步评估。