The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.
Low anterior resection syndrome in patients undergoing bowel segmental resection for rectosigmoid endometriosis: A retrospective long‐term follow‐up study
Open accessAbstract
Aim: The aim of this work was to evaluate the prevalence of low anterior resection syndrome (LARS) and its long‐term evolution following colorectal segmental resection for deep infiltrating endometriosis (DIE) and identify any associated risk factors. Method: A retrospective observational study was conducted on 124 patients who underwent bowel segmental resection for DIE between 2008 and 2023 at a single tertiary centre. Postoperative rectal function was assessed using the LARS score, and logistic regression analysis was performed to identify independent risk factors for minor/major LARS. Results: LARS was observed in 5.6% of patients, with 1.6% presenting minor LARS and 4.0% major LARS. Logistic regression identified parametrial resection (odds ratio = 6.2, p = 0.04) as an independent risk factor for minor/major LARS. LARS severity remained stable in all cases over a mean follow‐up of 6.9 ± 3.7 years. Conclusion: As for previously reported studies, our data highlight a relatively low prevalence of LARS following bowel DIE surgery with stable severity over time. Identifying parametrial resection as an independent risk factor underlines the critical need to recognize this specific aspect of endometriosis surgery, ensuring that it is thoroughly addressed during surgical planning and integrated into patient counselling for proper outcomes and expectations. Prospective studies are needed to confirm these findings, explore additional risk factors and better understand the factors influencing long‐term outcomes in this patient population.
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“The reported LARS rate of 13 (0–39) points, especially in rectal resections, was relatively high compared to the literature29”
Citations
Cites
ESHRE guideline: endometriosis
Becker, C. M., Bokor, A., Heikinheimo, O., Horne, A., Jansen, F., Kiesel, L., King, K., Kvaskoff, M., Nap, A., Petersen, K., et al. (2022) · Human Reproduction Open · doi:10.1093/hropen/hoac009 · Cited by 1,712 · cited 1×
“In recent years, there has been a growing trend to limit the use of colorectal resection due to its potential association with long-term intestinal functional disorders such as LARS [12, 13].”
Berkley, K. J., Rapkin, A. J., & Papka, R. E. (2005) · Science · doi:10.1126/science.1111445 · Cited by 455 · cited 1×
“The main symptoms of endometriosis are pelvic pain and infertility [8, 9].”
Minelli, L. (2009) · Archives of Surgery · doi:10.1001/archsurg.2008.555 · Cited by 170
Malzoni, M., Di Giovanni, A., Exacoustos, C., Lannino, G., Capece, R., Perone, C., Rasile, M., & Iuzzolino, D. (2016) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2015.09.024 · Cited by 87
Hudelist, G., Pashkunova, D., Darici, E., Rath, A., Mitrowitz, J., Dauser, B., Senft, B., & Bokor, A. (2023) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.14676 · Cited by 23
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Flammang, I., Eichelmann, A.-K., Schäfer, S., Ramspott, J. P., Bungert, A., Pascher, A., & Merten, J. (2026) · Scientific Reports · doi:10.1038/s41598-026-47171-9 · Cited by 1
Metadata
- Authors
- Coll, S., Hurni, Y., Barbany‐Freixa, N., La Torre, F., Vilarrubí‐Jordà, C., Montaño‐Serrano, M., Lázaro‐García, L., Cabrera, S., Tresserra, F., Barri‐Soldevila, P. N., & Lequerica‐Cabello, M. A.
- Affiliations
- Hospital Universitario Dexeus (ES)
- Universitat Autònoma de Barcelona (ES)
- Department of Obstetrics, Gynecology and Reproduction Dexeus Mujer. Dexeus University Hospital Barcelona Spain
- Corresponding author
- Hurni, Yannick
- ORCID
- Venue
- Colorectal Disease
- Publisher
- Wiley
- Published
- 2025-05
- Volume
- 27
- Issue
- 5
- Pages
- e70113-e70113
- ISSN
- 1462-8910 (ISSN-L)
- 1463-1318
- OpenAlex
- W4410110253
- Cited by
- 2
- References
- 5
- Citations by year
- 2026: 2
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Colorectal Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Oncology › Colorectal Cancer Surgical Treatments
- Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
- Keywords
- low anterior resection syndrome, deep infiltrating endometriosis, rectosigmoid endometriosis, parametrial resection, risk factors, LARS score, long-term outcomes, surgical planning
- MeSH terms
- Proctectomy, Low Anterior Resection Syndrome, Adult, Endometriosis, Female, Follow-Up Studies, Humans, Middle Aged, Postoperative Complications, Rectal Diseases, Rectum, Retrospective Studies, Risk Factors, Sigmoid Diseases, Syndrome, Prevalence, Logistic Models
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