Inflammatory Bowel Disease and Endometriosis: Diagnosis and Clinical Characteristics
<b>Background/Objectives:</b> Endometriosis and inflammatory bowel disease (IBD) share some epidemiological, clinical and pathogenetic features. A differential diagnosis between pelvic endometriosis and IBD may be challenging, even for expert clinicians. In the present review, we aimed t...
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MDPI AG
2024-11-01
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| author | Mariasofia Fiorillo Benedetto Neri Roberto Mancone Consuelo Russo Federica Iacobini Sara Concetta Schiavone Elena De Cristofaro Stefano Migliozzi Caterina Exacoustos Livia Biancone |
| author_facet | Mariasofia Fiorillo Benedetto Neri Roberto Mancone Consuelo Russo Federica Iacobini Sara Concetta Schiavone Elena De Cristofaro Stefano Migliozzi Caterina Exacoustos Livia Biancone |
| author_sort | Mariasofia Fiorillo |
| collection | DOAJ |
| description | <b>Background/Objectives:</b> Endometriosis and inflammatory bowel disease (IBD) share some epidemiological, clinical and pathogenetic features. A differential diagnosis between pelvic endometriosis and IBD may be challenging, even for expert clinicians. In the present review, we aimed to summarize the currently available data regarding the relationship between endometriosis and IBD and their possible association. <b>Methods:</b> The PubMed and Scopus database were considered, by searching the following terms: “Crohn’s Disease”, “Ulcerative Colitis”, “Endometriosis”, “Adenomyosis”, and “Inflammatory Bowel Disease”, individually or combined. Full-text papers published in English with no date restriction were considered. <b>Results:</b> Few studies have researched the possible association between endometriosis and IBD. Both conditions are characterized by chronic recurrent symptoms, which may be shared (abdominal pain, fatigue, infertility, menstrual irregularities, diarrhea, constipation). Deep infiltrating endometriosis (DIE) can cause bowel symptoms. In a large Danish study, a 50% increased risk of IBD was observed in women with endometriosis. A missed diagnosis of endometriosis and an increased risk of endometriosis has been reported in IBD. Current evidence does not support an association between endometriosis and IBD characteristics. However, IBD may be associated with DIE, characterized by pelvic symptoms (dyschezia, dyspareunia). Preliminary observations suggest an increased IBD risk in patients with endometriosis treated with hormonal therapy. <b>Conclusions:</b> Current findings suggest that a careful search is needed for concomitant endometriosis in subgroups of patients with IBD showing compatible symptoms and vice versa. A multidisciplinary approach including dedicated gastroenterologists and gynecologists is required for a proper search for IBD and endometriosis in subgroups of patients. This approach may avoid diagnostic delays or overtreatments for these conditions. |
| format | Article |
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| institution | OA Journals |
| issn | 2227-9059 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
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| series | Biomedicines |
| spelling | doaj-art-cae0c1924cd44434b196ab1a7643ac9d2025-08-20T02:28:11ZengMDPI AGBiomedicines2227-90592024-11-011211252110.3390/biomedicines12112521Inflammatory Bowel Disease and Endometriosis: Diagnosis and Clinical CharacteristicsMariasofia Fiorillo0Benedetto Neri1Roberto Mancone2Consuelo Russo3Federica Iacobini4Sara Concetta Schiavone5Elena De Cristofaro6Stefano Migliozzi7Caterina Exacoustos8Livia Biancone9Gastroenterological Unit, Department of Systems Medicine, University “Tor Vergata” of Rome, 00133 Roma, ItalyGastroenterological Unit, Department of Systems Medicine, University “Tor Vergata” of Rome, 00133 Roma, ItalyGastroenterological Unit, Department of Systems Medicine, University “Tor Vergata” of Rome, 00133 Roma, ItalyObstetrics and Gynecological Unit, Department of Surgical Sciences, University “Tor Vergata” of Rome, 00133 Rome, ItalyObstetrics and Gynecological Unit, Department of Surgical Sciences, University “Tor Vergata” of Rome, 00133 Rome, ItalyGastroenterological Unit, Department of Systems Medicine, University “Tor Vergata” of Rome, 00133 Roma, ItalyGastroenterological Unit, Department of Systems Medicine, University “Tor Vergata” of Rome, 00133 Roma, ItalyGastroenterological Unit, Department of Systems Medicine, University “Tor Vergata” of Rome, 00133 Roma, ItalyObstetrics and Gynecological Unit, Department of Surgical Sciences, University “Tor Vergata” of Rome, 00133 Rome, ItalyGastroenterological Unit, Department of Systems Medicine, University “Tor Vergata” of Rome, 00133 Roma, Italy<b>Background/Objectives:</b> Endometriosis and inflammatory bowel disease (IBD) share some epidemiological, clinical and pathogenetic features. A differential diagnosis between pelvic endometriosis and IBD may be challenging, even for expert clinicians. In the present review, we aimed to summarize the currently available data regarding the relationship between endometriosis and IBD and their possible association. <b>Methods:</b> The PubMed and Scopus database were considered, by searching the following terms: “Crohn’s Disease”, “Ulcerative Colitis”, “Endometriosis”, “Adenomyosis”, and “Inflammatory Bowel Disease”, individually or combined. Full-text papers published in English with no date restriction were considered. <b>Results:</b> Few studies have researched the possible association between endometriosis and IBD. Both conditions are characterized by chronic recurrent symptoms, which may be shared (abdominal pain, fatigue, infertility, menstrual irregularities, diarrhea, constipation). Deep infiltrating endometriosis (DIE) can cause bowel symptoms. In a large Danish study, a 50% increased risk of IBD was observed in women with endometriosis. A missed diagnosis of endometriosis and an increased risk of endometriosis has been reported in IBD. Current evidence does not support an association between endometriosis and IBD characteristics. However, IBD may be associated with DIE, characterized by pelvic symptoms (dyschezia, dyspareunia). Preliminary observations suggest an increased IBD risk in patients with endometriosis treated with hormonal therapy. <b>Conclusions:</b> Current findings suggest that a careful search is needed for concomitant endometriosis in subgroups of patients with IBD showing compatible symptoms and vice versa. A multidisciplinary approach including dedicated gastroenterologists and gynecologists is required for a proper search for IBD and endometriosis in subgroups of patients. This approach may avoid diagnostic delays or overtreatments for these conditions.https://www.mdpi.com/2227-9059/12/11/2521inflammatory bowel diseaseCrohn’s diseaseulcerative colitisendometriosisdeep infiltrating endometriosis (DIE) |
| spellingShingle | Mariasofia Fiorillo Benedetto Neri Roberto Mancone Consuelo Russo Federica Iacobini Sara Concetta Schiavone Elena De Cristofaro Stefano Migliozzi Caterina Exacoustos Livia Biancone Inflammatory Bowel Disease and Endometriosis: Diagnosis and Clinical Characteristics Biomedicines inflammatory bowel disease Crohn’s disease ulcerative colitis endometriosis deep infiltrating endometriosis (DIE) |
| title | Inflammatory Bowel Disease and Endometriosis: Diagnosis and Clinical Characteristics |
| title_full | Inflammatory Bowel Disease and Endometriosis: Diagnosis and Clinical Characteristics |
| title_fullStr | Inflammatory Bowel Disease and Endometriosis: Diagnosis and Clinical Characteristics |
| title_full_unstemmed | Inflammatory Bowel Disease and Endometriosis: Diagnosis and Clinical Characteristics |
| title_short | Inflammatory Bowel Disease and Endometriosis: Diagnosis and Clinical Characteristics |
| title_sort | inflammatory bowel disease and endometriosis diagnosis and clinical characteristics |
| topic | inflammatory bowel disease Crohn’s disease ulcerative colitis endometriosis deep infiltrating endometriosis (DIE) |
| url | https://www.mdpi.com/2227-9059/12/11/2521 |
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