https://m2.mtmt.hu/ hun 2026-09-22 13:35 JournalArticle 36148231 VALIDATED true Department of Gynecology, Center for Endometriosis, Hospital St. John of God, Vienna, Austria Department of Obstetrics &Gynecology, Floridsdorf Hospital, Vienna, Austria Department of Obstetrics and Gynecology, Center for Endometriosis, Semmelweis University, Budapest, Hungary Department of Gynaecology and IVF, Acibadem University Hospital, Atakent, Istanbul, Turkey Paracelsus Medical University, Nuernberg, Germany Rudolfinerhaus Private Clinic and Campus, Vienna, Austria Department of Gynyecology, Jagiellonian University, Poland Export Date: 05 June 2025; Cited By: 0; Correspondence Address: G. Hudelist; Center for Endometriosis, Hospital St. John of God, Vienna, Johannes Gott Platz 1, 1020, Austria; email: gernot.hudelist@meduniwien.ac.at; CODEN: AOGSA 0 false 2026-05-24T20:44:03.029+0000 2025-07-29T12:07:21.457+0000 2025-05-18T19:45:01.284+0000 true 10080205 Szalóky-Siki Ágnes /api/admin/10080205 Admin true 2026-01-01T10:31:30.478+0000 2025-07-29T12:07:21.664+0000 true 10062250 Molnár-Taga Márta /api/admin/10062250 Admin true 10062250 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Pashkunova, Daria Long-term gastrointestinal function outcomes of women undergoing nerve-vessel sparing segmental or full-thickness discoid resection for deep colorectal endometriosis true true /api/journal/68 REVIEWED true false 68 false 68 true 0001-6349 1600-0412 Journal FOREIGN 104 8 1550 1557 1550 8 2025 Introduction: Patients undergoing colorectal surgery for symptomatic deep endometriosis may experience postoperative impairment of gastrointestinal function. However, there is limited information on long-term follow-up of this surgical sequela. We aimed to analyze 5-year postsurgical outcomes of gastrointestinal function in these patients, reflected by lower anterior resection syndrome (LARS) scores and gastrointestinal quality of life index (GIQLI). Material and Methods: This prospective study included patients who either underwent nerve-vessel-sparing segmental resection (NVSSR) or full-thickness discoid resection (FTDR) for symptomatic colorectal deep endometriosis from April 2017 to May 2022 at two tertiary referral centers. As published previously, gastrointestinal function was evaluated by LARS and GIQLI scores pre- and postsurgically (postoperative visit 1) and was now re-evaluated (postoperative visit 2) to gain information on long-term outcomes. Results: Out of 121 patients, 92 were eligible for the final analysis at postoperative visit 2. The mean follow-up interval was 58.5 +/- 17.9 months in the NVSSR group and 61.6 +/- 10.7 months in the FTDR group. As published previously, presurgical LARS-like symptoms were observed in 42/92 (45.7%) of patients, including 37/76 (48.7%) in the NVSSR group and 5/16 (31.3%) in the FTDR group. Compared to preoperative LARS scores, patients in the NVSSR group showed a significant reduction of LARS scores at long-term postoperative visit 2 (p = <0.001), with LARS scores remaining stable over postoperative visit 1 and visit 2 (p = 0.09) at 5 years postoperatively. In women following FTDR, presurgical and long-term postoperative visit 2 LARS scores remained statistically unchanged (p < 0.73), with worsening of LARS scores between postoperative visit 1 and visit 2 (p = 0.02). In contrast, significant improvement of GIQLI was observed between the preoperative visit and postoperative visit 2 at 5 years follow-up in both NVSSR and FTDR groups (p <= 0.001 and p = 0.001, respectively). Conclusions: Compared to presurgical values, long-term gastrointestinal function reflected by LARS scores remains improved following NVSSR, whereas it remains unchanged following FTDR. However, when GIQLI is applied as patient-reported outcome measurement (PROM), patients show permanent, long-term improvement of gastrointestinal function following either NVSSR or FTDR for symptomatic colorectal endometriosis. true true 2025 true true true false true false NONE 2026-05-24 false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 13 D1 false false false false 2025-07-28T12:07:21.325+0000 Szülészeti és Nőgyógyászati Klinika Baross utca... (SE / AOK / K / SZSZNK) 2 6 1 6 0 true Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 126592821 /api/authorship/126592821 1 0.16666667 true false false Pashkunova Daria true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 126592822 /api/authorship/126592822 2 0.167 false false false Author 10096148 /api/author/10096148 Darici Ezgi true true Kurt Ezgi Darici true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 126592823 /api/authorship/126592823 3 0.16666667 false false false Hudelist Theresa true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 126592824 /api/authorship/126592824 4 0.16666667 false false false Rath Anna true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 126592825 /api/authorship/126592825 5 0.167 false false false Author 10026013 /api/author/10026013 Bokor Attila true 10026013 true Bokor Attila true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 126592826 /api/authorship/126592826 6 0.16666667 false true true Hudelist Gernot true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PublicationIdentifier 29385365 /api/publicationidentifier/29385365 PlainSource 6 /api/publicationsource/6 PublicationSourceType 10001 /api/publicationsourcetype/10001 true true true DOI DOI https://doi.org/@@@ true true 6 true IDENTICAL 10.1111/aogs.15142 https://doi.org/10.1111/aogs.15142 false true PublicationIdentifier 29385366 /api/publicationidentifier/29385366 PlainSource 1 /api/publicationsource/1 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true WoS WoS https://www.webofscience.com/wos/woscc/full-record/@@@ true true 1 true IDENTICAL 001480120100001 https://www.webofscience.com/wos/woscc/full-record/001480120100001 false true PublicationIdentifier 29385368 /api/publicationidentifier/29385368 PlainSource 3 /api/publicationsource/3 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true Scopus Scopus http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-@@@ true true 3 true IDENTICAL 105004325460 http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105004325460 false true PublicationIdentifier 29385367 /api/publicationidentifier/29385367 PlainSource 17 /api/publicationsource/17 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true PubMed PubMed http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=@@@&dopt=Abstract true true 17 true IDENTICAL 40312895 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=40312895&dopt=Abstract false true Classification 12217 /api/classification/12217 true true Keyword 311 /api/keyword/311 true 311 true Keyword 1031356 /api/keyword/1031356 true 1031356 true Keyword 1148959 /api/keyword/1148959 true 1148959 true Keyword 1893961 /api/keyword/1893961 true true Keyword 2066241 /api/keyword/2066241 true true Keyword 2066253 /api/keyword/2066253 true true Keyword 2561647 /api/keyword/2561647 true true Keyword 3869717 /api/keyword/3869717 true true SjrRating 11608707 /api/sjrrating/11608707 22 0.1 journal RatingType 10002 /api/ratingtype/10002 sjr true true ClassificationExternal 2729 /api/classificationexternal/2729 true 2729 true D1 DIRECT true true /api/publication/36148231 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" >Pashkunova Daria </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10096148"><a href="/gui2/?type=authors&mode=browse&sel=10096148" target="_blank">Kurt Ezgi Darici (<span class="authorship-author-name">Darici Ezgi</span> <span class="authorAux-mtmt"> Orvostudomány</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Szülészeti és Nőgyógyászati Klinika">SZSZNK</span>/Szülészeti és Nőgyógyászati Klinika Baross utcai részleg</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Hudelist Theresa </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Rath Anna </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10026013"><a href="/gui2/?type=authors&mode=browse&sel=10026013" target="_blank">Bokor Attila (<span class="authorship-author-name">Bokor Attila</span> <span class="authorAux-mtmt"> szülészet, nőgyógyászat</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Szülészeti és Nőgyógyászati Klinika">SZSZNK</span>/Szülészeti és Nőgyógyászati Klinika Baross utcai részleg</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Hudelist Gernot ✉ </span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;36148231" target="_blank">Long-term gastrointestinal function outcomes of women undergoing nerve-vessel sparing segmental or full-thickness discoid resection for deep colorectal endometriosis</a></div> <div> <span class="journal-title">ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0001-6349">0001-6349</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1600-0412">1600-0412</a>)</span>: <span class="journal-volume">104</span> <span class="journal-issue">8</span> <span class="page"> pp 1550-1557 </span> <span class="year">(2025)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1111/aogs.15142" target="_blank" href="https://doi.org/10.1111/aogs.15142"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="001480120100001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/001480120100001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="105004325460" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105004325460"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="40312895" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=40312895&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Obstetrics and Gynecology&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Medicine (miscellaneous)&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> </div></OnlyViewableByAuthor> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;36148231&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 13 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 36148231</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">WOS TAGGED</span> </div> <div class="lastModified">Utolsó módosítás: 2025.07.29. 14:07 Molnár-Taga Márta (SE 4-es admin) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Department of Gynecology, Center for Endometriosis, Hospital St. John of God, Vienna, Austria Department of Obstetrics &Gynecology, Floridsdorf Hospital, Vienna, Austria Department of Obstetrics and Gynecology, Center for Endometriosis, Semmelweis University, Budapest, Hungary Department of Gynaecology and IVF, Acibadem Uni...</pre> </div></div>