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Yoshiaki Ota, Masaaki Andou, Ikuko Ota
Deep infiltrating endometriosis (DIE) is the most severe form of endometriosis. It causes chronic pelvic pain, severe dysmenorrhea, deep dyspareunia, dyschezia, and dysuria, markedly impairing the quality of life of women of reproductive age. A number of randomized controlled trials on surgical and medical treatments to reduce the pain associated with endometriosis have been reported, but few have focused on this in DIE. DIE causes not only pain but also functional invasion to the urinary organs and bowel, such as hydronephrosis and bowel stenosis...
February 2018: Asian Journal of Endoscopic Surgery
Neil P Johnson, Lone Hummelshoj, G David Adamson, Jörg Keckstein, Hugh S Taylor, Mauricio S Abrao, Deborah Bush, Ludwig Kiesel, Rulla Tamimi, Kathy L Sharpe-Timms, Luk Rombauts, Linda C Giudice
STUDY QUESTION: What is the global consensus on the classification of endometriosis that considers the views of women with endometriosis? SUMMARY ANSWER: We have produced an international consensus statement on the classification of endometriosis through systematic appraisal of evidence and a consensus process that included representatives of national and international, medical and non-medical societies, patient organizations, and companies with an interest in endometriosis...
February 2017: Human Reproduction
Maria Francesca Perelló, Maria Ángeles Martínez-Zamora, Ximena Torres, Jordina Munrós, Juan Balasch Cortina, Francisco Carmona
BACKGROUND: The identification of presurgical clinical markers may be helpful to allow the staging of endometriosis severity. It has been suggested that pain characteristics orientate the gynecologist about the anatomical involvement of endometriosis. The study was performed to analyze the correlation between pain symptoms and the anatomical location of endometriosis. METHODS: One hundred fifty-five consecutive patients with a complete removal of deep infiltrating endometriosis (DIE) were included...
2017: Gynecologic and Obstetric Investigation
Alison M Beieler, Timothy H Dellit, Jeannie D Chan, Shireesha Dhanireddy, Leslie K Enzian, Tamera J Stone, Edward Dwyer-O'Connor, John B Lynch
BACKGROUND: Outpatient parenteral antimicrobial therapy (OPAT) is a safe way to administer intravenous (IV) antimicrobial therapy to patients with the potential to decrease hospital length of stay (LOS). Often, homeless patients with complex infections, who could otherwise be treated as an outpatient, remain in the hospital for the duration of IV antibiotic treatment. Injection drug use (IDU) is a barrier to OPAT. OBJECTIVE: To evaluate our experience with administering OPAT to homeless patients at a medical respite facility and determine if patients could complete a successful course of antibiotics...
August 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Antonio Pellegrino, Gianluca Raffaello Damiani, Claudia Trio, Paolo Faccioli, Paolo Croce, Fulvio Tagliabue, Emanuele Dainese
Minimally invasive surgery represents the gold standard for the management of deep infiltrating endometriosis (DIE) involving the rectovaginal septum (RVS). This analysis aimed to evaluate the feasibility of robotic-assisted laparoscopy (RAL) and clinical outcomes in terms of long-term complications, pain relief, and recurrence rate for the treatment of DIE of the RVS. A prospective cohort study of robotic procedures was performed between October 2010 and July 2014, including removal of endometriotic nodules from the RVS with rectal shaving alone or in combination with accessory procedures...
November 2015: Journal of Minimally Invasive Gynecology
V Trendelenburg, N Enzian, J Bellach, S Schnadt, B Niggemann, K Beyer
BACKGROUND: Currently, there is no mandatory labelling of allergens for non-pre-packed foods in the EU. Therefore, consumers with food allergy rely on voluntary information provided by the staff. The aim of this study was to characterize allergic reactions to non-pre-packed foods and to investigate whether staff in bakery shops were able to give advice regarding a safe product choice. METHODS: Questionnaires were sent to 200 parents of children with a food allergy...
May 2015: Allergy
V Di Paola, R Manfredi, F Castelli, R Negrelli, S Mehrabi, R Pozzi Mucelli
PURPOSE: To determine the accuracy of ENZIAN score, as detected on MR imaging, compared to surgical-pathologic findings. MATERIALS AND METHODS: This retrospective study was approved by the investigational review board and the requirement for informed patient consent was waived. 115 patients were included according to following criteria: tubo-ovarian and/or deep endometriosis suspected at physical examination and transvaginal ultrasound; availability of MR examination; histopathological results from laparoscopic or surgical treatment...
April 2015: European Journal of Radiology
G David Adamson
PURPOSE OF REVIEW: Endometriosis is a complex disease, one aspect being the existence of multiple staging systems. The recent Endometriosis Fertility Index (EFI) is compared with other endometriosis infertility staging systems and three new studies assessing the EFI are reported. RECENT FINDINGS: The revised American Fertility Society classification system has historically been most widely used but does not predict pregnancy rates. The ENZIAN classification system is designed to describe more severe disease as an adjunct to the ASRM system, but does not predict pregnancy rates...
June 2013: Current Opinion in Obstetrics & Gynecology
Dietmar Haas, Peter Oppelt, Omar Shebl, Andreas Shamiyeh, Wolfgang Schimetta, Richard Mayer
OBJECTIVE: To assess the extent to which the Enzian classification correlates with the revised American Society for Reproductive Medicine (rASRM) score and clinical symptoms in women with deeply infiltrating endometriosis. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: Endometriosis competence center specializing in minimally invasive surgery. PATIENTS: Between 1 January 2009 and 31 December 2011, a total of 194 women underwent surgery due to deeply infiltrating endometriosis...
May 2013: Acta Obstetricia et Gynecologica Scandinavica
Dietmar Haas, Peter Wurm, Andreas Shamiyeh, Omar Shebl, Radek Chvatal, Peter Oppelt
PURPOSE: The most widely accepted classification for endometriosis is the Revised American Society for Reproductive Medicine (rASRM) system, but this does not take deeply infiltrating endometriosis (DIE) into account. The Enzian classification enables clinicians to classify DIE. Due to complexity and partial overlap with rASRM, it was revised for a second time in February 2011. Using both the systems to classify lesions would be inappropriate, as they refer to different locations. The aim of this study was to analyze whether the revised Enzian classification is easier to use and avoids duplicate classifications...
May 2013: Archives of Gynecology and Obstetrics
Dietmar Haas, Radek Chvatal, Alwin Habelsberger, Wolfgang Schimetta, Wolfgang Wayand, Andreas Shamiyeh, Peter Oppelt
OBJECTIVE: To use the ENZIAN classification for preoperative estimation of laparoscopic operating time in patients with deeply infiltrating endometriosis (DIE). STUDY DESIGN: Retrospective study of women with DIE (n=151) who underwent laparoscopic surgery. RESULTS: 151 of 470 patients had DIE (n=205 lesions) exclusively in compartments A (rectovaginal septum, vagina), B (sacrouterine ligament to the pelvic wall) and C (rectum, sigmoid colon)...
January 2013: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Dietmar Haas, Omar Shebl, Andreas Shamiyeh, Peter Oppelt
The revised American Society for Reproductive Medicine (rASRM) score is currently the best-known classification of endometriosis and is the one most widely used throughout the world. It is relatively easy to use, but it does not take into account the involvement of retroperitoneal structures with deeply infiltrating endometriosis. For this reason, the Enzian classification was developed as a supplement to the rASRM score, in order to provide a morphologically descriptive classification of deeply infiltrating endometriosis...
January 2013: Acta Obstetricia et Gynecologica Scandinavica
G David Adamson
PURPOSE OF REVIEW: Endometriosis remains an enigmatic disease for many reasons, not the least being a continued inability to stage its clinical presentation so that prognosis and treatment for both pain and infertility patients can be facilitated. This article reviews issues with current staging systems. RECENT FINDINGS: The revised American Fertility Society (rAFS) classification system has historically been the only classification system. Recently, the ENZIAN classification system, developed as an adjunct to the rAFS to describe more severe disease, has been introduced but is rarely used...
August 2011: Current Opinion in Obstetrics & Gynecology
Dietmar Haas, Radek Chvatal, Alwin Habelsberger, Peter Wurm, Wolfgang Schimetta, Peter Oppelt
OBJECTIVE: To develop a classification that takes deep infiltrating endometriosis into account, the ENZIAN score was introduced. The ENZIAN classification supplements the revised American Fertility Society (AFS) score with regard to the description of deep infiltrating endometriosis, retroperitoneal structures, and other organs. The null hypothesis was that classifying a lesion by the revised AFS as well as the ENZIAN system is not meaningful, because the two systems express different locations...
April 2011: Fertility and Sterility
H E Hummel, M Bertossa
The western corn rootworm Diabrotica v.virgifera (D.v.v.) (Coleoptera:Chrysomelidae) is endemic to the New World. On at least 3 occasions, it invaded Europe (Miller et al. 2005). The first of these invasions took place in or before 1992 (Baca 1993) to Belgrade, Serbia, and gave rise to a rapidly expanding beetle population in SE Europe. Its larvae are causing economic damage to Zea mays for the last ten years, with increasing severity both in acreage and density. Meanwhile Germany is still without proven infestations as of 2005, but is surrounded by countries invaded by D...
2006: Communications in Agricultural and Applied Biological Sciences
F Tuttlies, J Keckstein, U Ulrich, M Possover, K W Schweppe, M Wustlich, O Buchweitz, R Greb, O Kandolf, R Mangold, W Masetti, K Neis, G Rauter, N Reeka, O Richter, A E Schindler, M Sillem, V Terruhn, H R Tinneberg
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.
October 2005: Zentralblatt Für Gynäkologie
H E Hummel
Diabrotica v. virgifera LeConte (Coleoptera: Chrysomelidae), (in short D.v.v.), with common name western corn rootworm, is endemic to the New World. Originating in the regions from South America to Mexico where it was in biological equilibrium with its natural enemies, predators and pathogens, it moved north with its food plants. Probably due to human agricultural farm practices with preference for monoculture of maize, the insect found open niches for expanding to the midwestern US where LeConte first described the species in Nebraska in 1867...
2003: Communications in Agricultural and Applied Biological Sciences
M Loeffler, V Diehl, M Pfreundschuh, U Rühl, D Hasenclever, H Nisters-Backes, M Sieber, H Tesch, J Franklin, W Geilen, H Bartels, C Cartoni, G Dölken, J Enzian, R Fuchs, W Gassmann, H Gerhartz, U Hagen-Aukamp, E Hiller, H Hinkelbein, W Hinterberger, H Kirchner, P Koch, B Krüger, E W Schwarze
PURPOSE: To determine the appropriate irradiation dose after four cycles of modern combination chemotherapy in nonbulky involved field (IF/BF) and noninvolved extended-field (EF/IF) sites in patients with intermediate-stage Hodgkin's disease (HD). MATERIALS AND METHODS: HD patients in stage I to IIIA with a large mediastinal mass, E stage, or massive spleen involvement were treated with two double cycles of alternating cyclophosphamide, vincristine, procarbazine, and prednisone (COPP) plus doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) followed by EF irradiation in two successive trials (HD1 and HD5)...
June 1997: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
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