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| 1 | Preoperative rectosigmoid endoscopic ultrasonography predicts the need for bowel resection in endometriosis显示文摘BACKGROUND Rectosigmoid endometriosis is an underdiagnosed disease responsible for abdominal pain, transit disorders and rectal bleeding. Two surgical approaches,rectosigmoid bowel resection(segmental or patch) or intramuscular layer dissection(shaving), are available.AIM To assess whether the lesion features observed via preoperative rectosigmoid endoscopic ultrasonography(RS-EUS) might predict the need for bowel resection.METHODS This multicentric retrospective study was conducted on patients with rectosigmoid endometriosis who underwent a curative surgical procedure,evaluated by RS-EUS performed by two trained operators, between January 2012 and March 2018. A univariate statistical analysis was performed on nodules' RSEUS features(thickness, width, infiltration of the submucosae, presence of a bump into the digestive lumen and presence of multiple rectosigmoid localizations). A multivariate logistic regression was then performed on the significant results.RESULTS Of the 367 patients, 73 patients with rectosigmoid endometriosis were evaluated by RS-EUS and underwent rectosigmoid surgery. After the univariate analysis was completed, thickness, width and infiltration of the submucosae were identified as potential predictive factors for bowel resection. In a multivariate logistic regression model, only thickness appeared to be a significant [odds ratio(OR) = 1.49, 95% confidence interval(CI): 1.04-2.12, P = 0.028] predictive factor for bowel resection. Receiver operating characteristic analysis performed showed that a thickness over 5.20 mm might be used as cut-off with a sensitivity of 76%, a specificity of 81%, and an area under carve = 0.82. The cut-off values for 100%sensitivity and 100% specificity were 0.90 mm and 10.00 mm, respectively. A trend concerning width to predict the need for resection was also observed(OR1.12, 95%CI: 1.00-1.26, P = 0.054)CONCLUSION The presence of a rectosigmoid nodule of endometriosis greater than 5.20 mm thick on RS-EUS might predict the need for bowel resection. | Victor Desplats René-Louis Vitte Joseph du Cheyron Gilles Roseau Arnaud Fauconnier Frédérick Moryoussef | 2019 | World Journal of Gastroenterology2019，25，6： | 9 |
| 2 | Patterns of growth of the drought tolerant moss, raeomitrium microearpon,over a three year period 显示文摘 | VITT D H | 1989 | Lindbergia1989，15，6： | 1 |
| 3 | Patterns of bryophyte diversity in peatlands of continental Western Canada显示文摘 | Vitt D H Li Y H Belland R J | 1995 | Bryologist1995，98，2： | 1 |
| 4 | Local variation in bryophyte and macrolichen cover and diversity in Montane forests of western Canada显示文摘 | Pharo E J Vitt D H | 2000 | The Bryologist2000，103，3： | 1 |
| 5 | A taxonomic revision of the genus Ptychomitrium (Bryopsida:Ptychomitriaceae) in China 显示文摘 | CAO T GAO C VITT D H | 1995 | Harvard Papers Bot1995，，6： | 1 |
| 6 | North American-East Asian similarities in the genus Ptychomitrium 显示文摘 | CAO T VITT D H | 1994 | Bryologist1994，97，： | 1 |
| 7 | Circumscription and phylogeny of the Orthotrichales (Bryopsida) inferred from rbcL sequence analyses 显示文摘 | GOFFINET B BAYER R J VITT D H | 1998 | American Journal of Botany1998，85，9： | 1 |
| 8 | Adaptive modes of the moss sporophyte 显示文摘 | Vitt D H | 1981 | The Bryologist1981，84，2： | 1 |
| 9 | The importance of anodic discharge of H2O in acidic oxygen-transfer reactions显示文摘 | Vitt J E Johnson D C | 1992 | J Electrochem Soc1992，139，： | 1 |
| 10 | Noah American-East Asian similarities in the genus Ptychomitrium显示文摘 | Cao Tong Vitt D H | 1994 | Bryologist1994，97，： | 1 |
| 11 | Distribution,cytotaxonomy and sexuality of Macromitrium in the Pacific显示文摘 | Ramsay H P Vitt D H | 1984 | Journal of the Hattori Botanical Laboratory1984，55，： | 1 |
| 12 | The New Zealand species of the pantropical genus Macromitrium (Orthotrichaceae: Musci): Taxonomy, phylogeny and phytogeography 显示文摘 | VITT D H | 1983 | Journal of Hattori Botanical Laboratory1983，53，： | 1 |
| 13 | Circumscription and phylogeny of the Orthotrichales (Musci) based on rbc L se- quences显示文摘 | GOFFINTE B BAYER R J VITT D H | 1998 | American Journal of Botany1998，85，： | 1 |
| 14 | Boreal peatland C fluxes under varying permafrost regimes显示文摘 | Turetsky M R Wieder R K Vitt D H | 2002 | Soil Biology and Biochemistry2002，34，： | 1 |
| 15 | The dynamics of moss establishment: Temporal responses to nutrient gradients 显示文摘 | Li Y H Vitt D H | 1994 | The bryolo- gist1994，97，4： | 1 |
| 16 | The moss flora of Mexico (Orthotrichaceae) 显示文摘 | VITT D H | 1993 | Memoirs of the New York Botanical Garden1993，69，： | 1 |
| 17 | Sphagnum-dominated peatlands in North America since the last Glacial maximum:their occurrence and extent 显示文摘 | Halsey L A Vitt D H Gignac L D | 2000 | Bryologist2000，103，2： | 1 |
| 18 | Climatic and physiographic controls on wetland type and distribution in Manitoba, Canada显示文摘 | Halsey L Vitt D Zoltai S | 1997 | Wetlands1997，17，2： | 1 |
| 19 | Sphagnum-domi-nated peatlands in North America since the last glacial maxi-mum: Their occurrence and extent显示文摘 | HALSEY L A VITT D H’GIGNAC L D | 2000 | Bryologist2000，1032，： | 1 |
| 20 | An overview of factors that influence the development of Canadian peatlands显示文摘 | Vitt D H | 1994 | Mere Entomol Soc Can1994，，169： | 1 |
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