Classification of deep endometriosis (DE) including bowel endometriosis: From r-ASRM to #Enzian-classification

J. Keckstein, Jörg Keckstein, Gernot Hudelist, Hudelist G
Best practice & research. Clinical obstetrics & gynaecology · 2020 · vol. 71 , pp. 27–37 · doi:10.1016/j.bpobgyn.2020.11.004 · PMID:33558167 · W3112941847
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This paper compares the r-ASRM classification system for deep endometriosis with the newer #Enzian classification, providing a detailed analysis of their application and differences.

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Abstract

Endometriotic lesions may affect peritoneal and ovarian tissues, cause secondary adhesions, and - in case of deep endometriosis (DE), invade organs such as the urinary bladder, ureters, and bowel. Over decades, several classification systems have been proposed with the rASRM score being the most widely accepted one to date. However, the rASRM classification has certain limitations regarding the description of DE. In contrast, the Enzian classification, which has been updated and modified recently in the form of the so-called #Enzian classification, has proved to be the most suitable tool for staging DE and now also includes peritoneal or ovarian diseases as well as adhesions. In the ideal scenario, a classification for endometriosis can be used with both diagnostic and surgical methods. The present work discusses the pros and cons of scores for endometriosis and highlights the need for using one universal classification system.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Endometriosis Ureter Female Humans Retrospective Studies Urinary Bladder

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (40)

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