Deep invasive gastrointestinal endometriosis (DIGIE) is a frequent and severe presentation of endometriosis. Although most cases invade the rectosigmoid colon, DIGIE can involve any portion of the gastrointestinal tract from the stomach to the rectum, and is commonly multifocal and multicentric. Although histopathologic confirmation with surgery remains the gold standard for diagnosis, ultrasound (US) and magnetic resonance imaging (MRI) are the key non-invasive imaging modalities for initial assessment. US may be preferred as a screening study because of its easy availability and low-cost. Pelvic MRI and magnetic resonance enterography (MRE) provide substantial advantages for disease mapping in the pre-operative period, particularly in extensive bowel endometriosis. Although medical management of DIGIE with hormonal therapy can help control symptoms, disease course can be relentless and require surgical intervention. Surgical options depend on, the location; length; depth; circumference; multicentric or multifocal disease. With procedures including simple excision, fulguration of superficial lesions, shaving, disc excision, and segmental resection. A successful treatment outcome is largely dependent on good communication between the treating surgeon and the radiologist, who can provide vital information for effective surgical planning by reporting the key elements that we elaborate upon in this paper.

中文翻译：

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胃肠道子宫内膜异位症的影像学：放射科医生应了解的内容。

浸润性胃肠道子宫内膜异位症（DIGIE）是子宫内膜异位症的常见和严重表现。尽管大多数情况下会侵袭到乙状结肠，但DIGIE可以累及从胃到直肠的胃肠道的任何部分，并且通常是多灶性和多中心性的。尽管手术的组织病理学确认仍然是诊断的金标准，但超声（US）和磁共振成像（MRI）是进行初始评估的关键非侵入性成像方式。美国可能是首选的筛查研究，因为它容易获得且成本低廉。骨盆MRI和磁共振小肠造影（MRE）在术前尤其是广泛的肠道子宫内膜异位症中为疾病定位提供了实质性的优势。尽管通过激素疗法对DIGIE进行医学管理可以帮助控制症状，但疾病进程可能很漫长，需要手术干预。手术选择取决于位置。长度; 深度; 圆周; 多中心或多灶性疾病。手术包括简单切除，浅表病变灶，刮胡，椎间盘切除和节段切除。成功的治疗结果在很大程度上取决于外科医生与放射科医生之间的良好沟通，放射科医生可以通过报告我们在本文中阐述的关键要素，为有效的手术计划提供重要信息。手术包括简单切除，浅表病变灶，刮胡，椎间盘切除和节段切除。成功的治疗结果在很大程度上取决于主治医生与放射科医生之间的良好沟通，放射科医生可以通过报告我们在本文中阐述的关键要素，为有效的手术计划提供重要信息。手术包括简单切除，浅表病变灶，刮胡，椎间盘切除和节段切除。成功的治疗结果很大程度上取决于主治医生与放射科医生之间的良好沟通，放射科医生可以通过报告我们在本文中阐述的关键要素，为有效的手术计划提供重要信息。