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ENZIAN-Score, eine Klassifikation der tief infiltrierenden Endometriose
Abstract
The ENZIAN-Score is presented as a new instrument to classify the deep infiltrating endometriosis. Especially the retroperitoneal part of the severe endometriosis is focussed on. In analogy to an oncological staging four different stages are pronounced. The localisation and the expansion of the endometriosis nodule was indicated to different subgroups. The still used rAFS-score is of no clinical evidence, as we pointed out in a retrospective study of our patients with severe intestinal endometriosis.
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“A refinement of the rAFS/rASRM criteria is the ENZIAN classification system, developed to describe more severe disease.25”
From Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France (2013) · cites this paper as [25]
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Lermann, J. H., Topal, N., Renner, S. P., Beckmann, M. W., Burghaus, S., Adler, W., & Heindl, F. (2019) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2019.05.007 · Cited by 12
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Correlation Between Surgical Phenotype and Pain Improvement After Endometriosis Surgery
Bafort, C., Dancet, E. A. F., Mellaerts, J., Meuleman, C., & Tomassetti, C. (2024) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2024.02.012 · Cited by 11
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The Expression of Kisspeptins and Matrix Metalloproteinases in Extragenital Endometriosis
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Preoperative pain and recurrence risk in patients with peritoneal endometriosis
Renner, S. P., Rix, S., Boosz, A. S., Lermann, J. H., Strissel, P. L., Thiel, F. C., Oppelt, P., Beckmann, M. W., & Fasching, P. A. (2010) · Gynecological Endocrinology · doi:10.3109/09513590903159623 · Cited by 11
Horizons in Endometriosis: Proceedings of the Montreux Reproductive Summit, 14-15 July 2023
Vallée, A., Sarıdoğan, E., Petraglia, F., Keckstein, J., Polyzos, N. P., Wyns, C., Gianaroli, L., Tarlatzis, B. C., Ayoubi, J. M., & Féki, A. (2024) · Facts Views and Vision in ObGyn · doi:10.52054/fvvo.16.s1.011 · Cited by 10
Self-citationEndometriosis classification systems: an international survey to map current knowledge and uptake
International Working Group of AAGL, E., Zondervan, K. T., Missmer, S. A., Abrão, M. S., Einarsson, J. I., Horne, A. W., JOHNSON, N. P., Lee, T. T. M., Petrozza, J. C., Tomassetti, C., et al. (2022) · Human Reproduction Open · doi:10.1093/hropen/hoac002 · Cited by 10
Histotyping and grading of endometriosis and its association with clinico-pathological parameters
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“Other classification systems that were tested include ENZIAN classification, endometriosis fertility index (EFI), and American Association of Gynecological Laparoscopists (AAGL) classification (Tuttlies et al. 2005, Endometriosis Classification Committee 2007, Adamson and Pasta 2010).”
MethodΠρωτόπαπας, Α., Giannoulis, G., Chatzipapas, I., Athanasiou, S., Grigoriadis, T., Haidopoulos, D. A., Loutradis, D., & Antsaklis, A. J. (2014) · ISRN Obstetrics and Gynecology · doi:10.1155/2014/853902 · Cited by 10
The Serum Levels of the Soluble Factors sCD40L and CXCL1 Are Not Indicative of Endometriosis
Pateisky, P., Pils, D., Kuessel, L., Szabo, L., Walch, K., Obwegeser, R., Wenzl, R. J., & Yotova, I. (2016) · BioMed Research International · doi:10.1155/2016/2857161 · Cited by 10
Condous, G. S., Gerges, B., Thomassin‐Naggara, I., Becker, C. M., Tomassetti, C., Krentel, H., van Herendael, B. J., Malzoni, M., Abrão, M. S., Sarıdoğan, E., et al. (2024) · Facts Views and Vision in ObGyn · doi:10.52054/fvvo.16.2.012 · Cited by 10
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Endometriosis Classification-The Quest for the Holy Grail?
Khazali, S. (2016) · PubMed · Cited by 9
Blontzos, N., Mavrogianni, D., Ntzeros, K., Kathopoulis, N., Moustogiannis, A., Philippou, Α., Koutsilieris, M., & Πρωτόπαπας, Α. (2023) · Biomolecules · doi:10.3390/biom14010007 · Cited by 9
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MethodTowards an understanding of the molecular mechanisms of endometriosis-associated symptoms (Review)
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Is the Deep Endometriosis or the Surgery the Cause of Postoperative Bladder Dysfunction?
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Endometriose im Intestinaltrakt
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Endometriose – gynäkologische Diagnostik und Therapie
Burghaus, S., & Beckmann, M. W. (2021) · Der Schmerz · doi:10.1007/s00482-021-00541-w · Cited by 7
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“The #Enzian system has been endorsed by the international consensus working group as the standard for describing deep endometriosis, with applicability across surgery, MRI, and transvaginal ultrasound [44].”
InfluentialSurgical Treatment of Deep Endometriosis
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“The Enzian score was initially published in 2005 as an independent postoperative assessment for DE [7].”
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“Leider wird in dieser Klassifikation die retroperitoneale und tief infiltrierende Form der Endometriose nicht berucksichtigt. Dieses Defizit soll durch die ENZIAN-Klassifikation, welche von einer Arbeitsgruppe der Stiftung Endometrioseforschung erstellt wurde, verbessert werden [”
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“ENZIAN, first published in 2005, pays particular attention to retroperitoneal and deep disease (Tuttlies et al., 2005) and its latest version, #ENZIAN simplifies the original system, whilst also includes the peritoneum, ovaries and fallopian tubes, and provides comprehensive definition of deep…”
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Endometriose: Klinik und Therapie
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Self-citationKüpker, W., & Agic, A. (2019) · Springer Reference Medizin · doi:10.1007/978-3-662-55601-6_35-1 · Cited by 1
Elsadawy, M. E. I., & Ibrahim, H. (2023) · The Egyptian Journal of Radiology and Nuclear Medicine · doi:10.1186/s43055-023-01130-w · Cited by 1
Operative Therapie der Endometriose
Keckstein, J., Hucke, J., & Ulrich, U. A. (2007) · Der Gynäkologe · doi:10.1007/s00129-007-2014-7 · Cited by 1
“Der Vorteil des endoskopischen Operierens liegt in der Gewebeschonung, bei deutlich geringerem Blutverlust sowie besseren Darstellung von Strukturen in sehr tief gelegenen Beckenstrukturen (Paraproktien, Parametrien, Beckenwand etc.).”
BackgroundInfluentialSelf-citationPrävalenz von Depressionen und Angststörungen und ihre Einflussfaktoren bei Frauen mit Endometriose
Schute, L. K. (2011) · Universitätsbibliothek der FU Berlin Hochschulschriftenstelle u. Dokumentenserver · doi:10.17169/refubium-4506 · Cited by 1
Endometriose des Beckens mit Obstruktion des rechten Ureters
Janssen, M., Shahin, O., Hämmerle, B., et al. (2008) · Swiss Medical Forum ‒ Schweizerisches Medizin-Forum · doi:10.4414/smf.2008.06547
Invasive Diagnostik der Endometriose und Adenomyose
Küpker, W., & Knoll, M. (2010) · Der Gynäkologe · doi:10.1007/s00129-010-2588-3
Rezidivierende Endometriose bei Kinderwunsch: Operieren oder stimulieren?
Brunbauer, M. (2012) · Journal für Kardiologie (Krause & Pachernegg GmbH)
Pelvic Endometriosis: A MR Pictorial Review
Francesco, R., Del, R., Luigi, R., et al. (2012) · InTech eBooks · doi:10.5772/31395
Metadata
- Authors
- Tuttlies, F., Keckstein, J., Ulrich, U., Possover, M., Schweppe, K., Wustlich, M., Buchweitz, O., Greb, R., Kandolf, O., Mangold, R., Masetti, W., Neis, K., Rauter, G., Reeka, N., Richter, O., Schindler, A., Sillem, M., Terruhn, V., & Tinneberg, H.
- Venue
- Zentralblatt für Gynäkologie
- Publisher
- Georg Thieme Verlag KG
- Published
- 2005-09-29
- Volume
- 127
- Issue
- 05
- Pages
- 275-281
- ISSN
- 0044-4197 (ISSN-L)
- 1438-9762
- OpenAlex
- W1232911261
- Cited by
- 233
- References
- 0
- Citations by year
- 2026: 7 · 2025: 19 · 2024: 17 · 2023: 22 · 2022: 25 · 2021: 19 · 2020: 17 · 2019: 15 · 2018: 11 · 2017: 9 · 2016: 11 · 2015: 8 · 2014: 8 · 2013: 6 · 2012: 11
- FWCI
- 3.51
- Type
- journal article
- Language
- de
- Open access
- closed
- Locations
- Zentralblatt für Gynäkologie (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Health Sciences › Medicine › Infectious Diseases › Diagnosis and treatment of tuberculosis
- Keywords
- deep infiltrating endometriosis, retroperitoneal endometriosis, endometriosis staging, classification systems, intestinal endometriosis
- MeSH terms
- Endometriosis, Female, Humans, Neoplasm Staging, Endometrial Neoplasms
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