The #Enzian classification: A comprehensive non-invasive and surgical description system for endometriosis.
#Enzian classification
classification system
endometriosis
r-ASRM classification
Journal
Acta obstetricia et gynecologica Scandinavica
ISSN: 1600-0412
Titre abrégé: Acta Obstet Gynecol Scand
Pays: United States
ID NLM: 0370343
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
09
12
2020
received:
06
09
2020
accepted:
11
01
2021
pubmed:
24
1
2021
medline:
28
8
2021
entrez:
23
1
2021
Statut:
ppublish
Résumé
Advances in preoperative diagnostics as well as in surgical techniques for the treatment of endometriosis, especially for deep endometriosis, call for a classification system, that includes all aspects of the disease such as peritoneal endometriosis, ovarian endometriosis, deep endometriosis, and secondary adhesions. The widely accepted revised American Society for Reproductive Medicine classification (rASRM) has certain limitations because of its incomplete description of deep endometriosis. In contrast, the Enzian classification, which has been implemented in the last decade, has proved to be the most suitable tool for staging deep endometriosis, but does not include peritoneal or ovarian disease or adhesions. To overcome these limitations, a comprehensive classification system for complete mapping of endometriosis, including anatomical location, size of the lesions, adhesions and degree of involvement of the adjacent organs, that can be used with both diagnostic and surgical methods, has been created through a consensus process and will be described in detail-the #Enzian classification.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1165-1175Informations de copyright
© 2021 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG).
Références
Classification of endometriosis. The American Fertility Society. Fertil Steril. 1979;32:633-634.
American Society for Reproductive. Revised American Society for Reproductive Medicine classification of endometriosis: 1996. Fertil Steril. 1997;67(5):817-821.
Vercellini P, Fedele L, Aimi G, De Giorgi O, Consonni D, Crosignani PG. Reproductive performance, pain recurrence and disease relapse after conservative surgical treatment for endometriosis: the predictive value of the current classification system. Hum Reprod. 2006;21:2679-2685.
Gerges B, Li W, Leonardi M, Mol BW, Condous G. Meta-analysis and systematic review to determine the optimal imaging modality for the detection of rectosigmoid deep endometriosis. Ultrasound Obstet Gynecol. 2020. https://doi.org/10.1002/uog.23148. Epub ahead of print.
Guerriero S, Condous G, van den Bosch T, et al. Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. Ultrasound Obstet Gynecol. 2016;48:318-332.
Keckstein J, Ulrich U, Possover M, Schweppe KW. ENZIAN-Klassifikation der tief infiltrierenden Endometriose.[ENZIAN classification of deeply infiltrating endometriosis.], German. Zentralbl Gynäkol. 2003;125:291.
Di Paola V, Manfredi R, Castelli F, Negrelli R, Mehrabi S, Pozzi MR. Detection and localization of deep endometriosis by means of MRI and correlation with the ENZIAN score. Eur J Radiol. 2015;84:568-574.
Montanari E, Dauser B, Keckstein J, Kirchner E, Nemeth Z, Hudelist G. Association between disease extent and pain symptoms in patients with deep infiltrating endometriosis. Reprod Biomed Online. 2019;39:845-851.
Burla L, Scheiner D, Samartzis EP, et al. The ENZIAN score as a preoperative MRI-based classification instrument for deep infiltrating endometriosis. Arch Gynecol Obstet. 2019;300:109-116.
Ulrich U, Buchweitz O, Greb R, et al. Interdisciplinary S2k guidelines for the diagnosis and treatment of endometriosis: short version - AWMF registry No. 015-045, August 2013. Geburtshilfe Frauenheilkd. 2013;73:890-898.
Working group of ESGE E, WES, Keckstein J, Becker CM, et al. Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis. Facts Views Vis Obgyn. 2019;11:269-297.
Timmerman D, Valentin L, Bourne TH, et al. Terms, definitions and measurements to describe the sonographic features of adnexal tumors: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) Group. Ultrasound Obstet Gynecol. 2000;16:500-505.
Koninckx PR, Martin DC. Deep endometriosis: a consequence of infiltration or retraction or possibly adenomyosis externa? Fertil Steril. 1992;58:924-928.
Van den Bosch T, Dueholm M, Leone FPG, et al. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol. 2015;46:284-298.
Carfagna P, De Cicco Nardone C, De Cicco Nardone A, et al. Role of transvaginal ultrasound in evaluation of ureteral involvement in deep infiltrating endometriosis. Ultrasound Obstet Gynecol. 2018;51:550-555.
Pateman K, Mavrelos D, Hoo WL, Holland T, Naftalin J, Jurkovic D. Visualization of ureters on standard gynecological transvaginal scan: a feasibility study. Ultrasound Obstet Gynecol. 2013;41:696-701.
Wustlich M. Laparoskopisch-assistierte Sigmasegmentresektionbei Endometriose mit Darmbeteiligung.[Laparoscopic assisted segmental resection in endometriosis with bowel involvement]. (Thesis, in German). Ulm, Germany: Universität Ulm; 2002.
Haas D, Chvatal R, Habelsberger A, Wurm P, Schimetta W, Oppelt P. Comparison of revised American Fertility Society and ENZIAN staging: a critical evaluation of classifications of endometriosis on the basis of our patient population. Fertil Steril. 2011;95:1574-1578.
Haas D, Oppelt P, Shebl O, Shamiyeh A, Schimetta W, Mayer R. Enzian classification: does it correlate with clinical symptoms and the rASRM score? Acta Obstet Gynecol Scand. 2013;92:562-566.
Mutuku T. Prä-operative Abschätzung einer tief infiltrierenden Darmendometriose mittels Untersuchungsbefund in der ENZIAN-Klassifikation und der Symptomatik sowie Vergleich mit dem intra-operativen ENZIAN-Befund. [The assessment of deep infiltrating endometriosis according to the preoperative investigation and symptoms in comparison to intraoperative findings with the ENZIAN- Classification] [MD Thesis]. Ulm, Germany: Universität Ulm; 2016. https://d-nb.info/1081212837/34. Accessed February 16, 2021.
Haas D, Chvatal R, Habelsberger A, et al. Preoperative planning of surgery for deeply infiltrating endometriosis using the ENZIAN classification. Eur J Obstet Gynecol Reprod Biol. 2013;166:99-103.
Roman H, Moatassim-Drissa S, Marty N, et al. Rectal shaving for deep endometriosis infiltrating the rectum: a 5-year continuous retrospective series. Fertil Steril. 2016;106(6):1438-1445.e2.
Johnson NP, Hummelshoj L, Adamson GD, et al. World Endometriosis Society consensus on the classification of endometriosis. Hum Reprod. 2017;32:315-324.
Vanhie A, Meuleman C, Tomassetti C, et al. Consensus on recording deep endometriosis surgery: the CORDES statement. Hum Reprod. 2016;31:2660.
Saridogan E, Becker CM, Feki A, et al. Recommendations for the surgical treatment of endometriosis-part 1: ovarian endometrioma. Gynecol Surg. 2017;14:27.