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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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Items 201–234 of 234
Posada, D. L. R., & Fernando, J. F. (2012) · Revista Colombiana de Obstetricia y Ginecología
Waegner, R. H., Schmid, M., Trojan, L., & Ahyai, S. (2016) · Der Urologe · doi:10.1007/s00120-016-0119-0
Severe endometriosis in a young woman with unexpected end-organ failure
Waters, N., Kent, A., Rockall, T., & Hussain, F. F. (2015) · Oxford University Press eBooks · doi:10.1093/med/9780199654994.003.0002
Reichert, V. M., Isermann, R., Frick, N., Schmidt-Feuerheerd, N., & Ulrich, U. A. (2017) · gynäkologie + geburtshilfe · doi:10.1007/s15013-017-1054-x
Self-citationBurla, L., Fink, D. A., & Imesch, P. (2020) · Praxis · doi:10.1024/1661-8157/a003481
Roman, H., Marabha, J., Polexa, A., Prosszer, M., Huet, E., Hennetier, C., Tuech, J., & Marpeau, L. (2020) · Journal de Chirurgie Viscérale · doi:10.1016/j.jchirv.2020.08.004
Stasienko, E., & Wicherek, Ł. (2016) · Ginekologia Onkologiczna/Current Gynecologic Oncology
Postsurgical adhesion formation score pitfalls in endometriosis surgery
Mynbaev, O. A., Baimaganbetov, A. K., & Stark, M. M. (2021) · Langenbeck s Archives of Surgery · doi:10.1007/s00423-021-02247-0
“The authors presented endometriosis scores in two classification systems (Table 1): the rASRM [3] and ENZIAN [4].”
MethodMalik, E., & Vogt, J. (2009) · Springer eBooks · doi:10.1007/978-3-540-89760-6_21
Endometriosis classification systems: an international survey to map current knowledge and uptake
Zondervan, K. T., Missmer, S., Abrao, M. S., Einarsson, J. I., Horne, A. W., Johnson, N. P., Lee, T. T. M., Petrozza, J., Tomassetti, C., Vermeulen, N., et al. (2022) · Facts Views and Vision in ObGyn · doi:10.52054/fvvo.14.1.001 · Cited by 1
“…were the three systems most commonly used: the Revised American Society for Reproductive Medicine (rASRM) classification (American Society for Reproductive Medicine, 1997), the endometriosis fertility index (EFI) (Adamson and Pasta, 2010), and the ENZIAN classification (Tuttlies et al., 2005).”
MethodMakolkin, M. A. A., & Kalugina, A. S. (2022) · Journal of obstetrics and women s diseases · doi:10.17816/jowd72255
Endometriose des Uro-Genitaltraktes
Janetschek, G., Janschek, E., & Heers, H. (2022) · Springer Reference Medizin · doi:10.1007/978-3-642-41168-7_79-2
Endometriosis del tabique rectovaginal
Faller, É., Martel, C., Boisramé, T., Lecointre, L., & Akladios, C. Y. (2023) · EMC - Cirugía General · doi:10.1016/s1634-7080(23)47646-x
Rábade, P., Vara, J., & Alcázar, J. L. (2023) · Clínica e Investigación en Ginecología y Obstetricia · doi:10.1016/j.gine.2023.100885
Endometriose des Uro-Genitaltraktes
Janetschek, G., Janschek, E., & Heers, H. (2023) · Springer Reference Medizin · doi:10.1007/978-3-662-63400-4_79
Anić, K., & Skala, C. (2023) · Springer eBooks · doi:10.1007/978-3-662-65371-5_9
Fertility Prediction in Patients with Endometriosis (Endometriosis Fertility Index)
Fang, T., & Wang, W. (2024) · Springer eBooks · doi:10.1007/978-3-031-50662-8_4
(2000) · Time to knit · doi:10.1016/s2211-0666(22)43859-x
(2000) · Time to knit · doi:10.1016/s1762-0953(16)73912-4
Tofan, B. Y. (2025) · Bulletin of Problems Biology and Medicine · doi:10.29254/2077-4214-2025-1-176-305-314
Modern use of radiological diagnostic methods in patients with deep infiltrating endometriosis
Tcybuk, E. M., Валерьевна, Ш. Е., Tsypurdeeva, A. A., & Yarmolinskaya, M. I. (2025) · Journal of obstetrics and women s diseases · doi:10.17816/jowd642740
Dhankhar, S. (2024) · ShodhKosh Journal of Visual and Performing Arts · doi:10.29121/shodhkosh.v5.i6.2024.6160
Caron-Racine, G., Bergeron, A.-M., Lemyre, M., Arendas, K., Lefebvre, J., & Maheux‐Lacroix, S. (2025) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2025.103130
Compromised concept: Link between endometriosis, pregnancy complications and infertility
Feduniw, S., Żeber‐Lubecka, N., Włodarczyk, M., Abramiuk, M., Kacperczyk-Bartnik, J. P., Bartnik, P., & Ciebiera, M. (2025) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.1177/22840265251386969
Ruano, A., Munrós, J., Mañalich, L., Monreal, S., Guerrero, D., & Suárez-Salvador, E. (2025) · Clínica e Investigación en Ginecología y Obstetricia · doi:10.1016/j.gine.2025.101072
Peterek, R., Kowalczyk, K., Leziak, A., Stojko, R., & Drosdzol-Cop, A. B. (2026) · Frontiers in Reproductive Health · doi:10.3389/frph.2025.1700299
Morell-Hofert, D., Kremser, C., Josip, E., Plaikner, M., Schullian, P., Seeber, B., & Henninger, B. (2026) · Abdominal Radiology · doi:10.1007/s00261-026-05445-w
Cheng, L., Wang, C., Xia, Y., et al. (2026) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2026.03.014
From Gene Networks to Repurposed Drugs: A Systems Biomedicine Approach to Endometriosis Management
Taş, F. D., & Aydın, B. (2026) · Genel Tıp Dergisi · doi:10.54005/geneltip.1812858
Endometriosis: surgical management for fertility enhancement
Aase, D., & Khan, Z. (2026) · Frontiers in Endocrinology · doi:10.3389/fendo.2026.1861188 · Cited by 1
Endometriosis classification: an update
Adamson, G. D. (2011) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/gco.0b013e328348a3ba · Cited by 119
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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