Endometriose do Trato Gastrintestinal - Correlações Clínicas e Laparoscópicas Endometriosis of the Gastrointestinal Tract - Clinical and Laparoscopic Correlations

ABSTRACT : The peritoneal organs of 40 patients with pelvic endometriosis were scanned for endometriosis in this study bythe videolaparoscopic method to verify the relation of their complaints with lesions found in the gastrointestinal tract. Twentyone of these patients who had gastrointestinal signs and symptoms and 19 who did not, were evaluated in order to establishassociations and correlations between clinical parameters pointing to endometriotic lesions and sites of these lesions in eachsegment of the gastrointestinal tract as well as to correlate between the staging of the endometriosis and intestinal injury.Research significantly confirmed the correlation between gastrointestinal symptoms as a consequence of lesions in thegastrointestinal tract. Gastrointestinal signs and symptoms, significantly related with gynecological endometriosis in therectum and sigmoid segment and/or ileum and with injury of the gastrointestinal tract, were cyclic tenesmus, cyclic colic pain,cyclic obstipation, cyclic diarrhea, acyclic pain, thin stools and cyclic intestinal bleeding. The ASRM l996 Stage IV correlatedwith the presence of endometriosis in the gastrointestinal tract. The study demonstrates the positive correlation ofgastrointestinal and gynecological signs and symptoms and the staging of the gynecological disease with gastrointestinalinjury from the disease.Key words: Endometriosis; Gastrointestinal Tract; Laparoscopy / Methods; Clinical Diagnosis / Classification.