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  1. Article ; Online: Endometriosis, ultrasound and #Enzian classification: the need for a common language for non-invasive diagnostics.

    Keckstein, Jörg / Hoopmann, Markus

    Ultraschall in der Medizin (Stuttgart, Germany : 1980)

    2023  Volume 44, Issue 3, Page(s) 233–239

    Title translation Endometriose, Ultraschall und #Enzian-Klassifikation: Die Notwendigkeit einer gemeinsamen Sprache für die nicht invasive Diagnostik.
    MeSH term(s) Female ; Humans ; Endometriosis/diagnostic imaging ; Retrospective Studies ; Ultrasonography
    Language German
    Publishing date 2023-06-06
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 801064-x
    ISSN 1438-8782 ; 1439-0914 ; 1431-4894 ; 0172-4614
    ISSN (online) 1438-8782
    ISSN 1439-0914 ; 1431-4894 ; 0172-4614
    DOI 10.1055/a-2055-6712
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1572: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  2. Article: CME Zertifizierte Fortbildung. Endometriose im Intestinaltrakt. Wissenswertes für Diagnose und Therapie. Endometriosis in the intestinal tract. Important facts for diagnosis and therapy / Fragebogen. Assessment

    Keckstein, J.

    Coloproctology

    2017  Volume 39, Issue 2, Page(s) 121/132

    Language German ; English
    Document type Article
    ZDB-ID 1445332-0
    ISSN 0174-2442
    Database Current Contents Medicine

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  3. Article: Klassifizierung der Endometriose - Die neue #Enzian-Klassifikation, eine umfassende Darstellung der Endometriose

    Keckstein, J. / Hudelist, G.

    Gyn-aktiv

    2021  Volume -, Issue 1, Page(s) 22

    Language German
    Document type Article
    ZDB-ID 2213296-X
    ISSN 1605-8828
    Database Current Contents Medicine

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  4. Article: Operative Therapie der ausgedehnten tief infiltrierenden Endometriose

    Hudelist, G. / Keckstein, J.

    Gyn-aktiv

    2021  Volume -, Issue 1, Page(s) 28

    Language German
    Document type Article
    ZDB-ID 2213296-X
    ISSN 1605-8828
    Database Current Contents Medicine

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6202: Show issues Location:
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  5. Article: Endometriosis, ultrasound and #Enzian classification: the need for a common language for non-invasive diagnostics

    Keckstein, Jörg / Hoopmann, Markus

    Ultraschall in der Medizin - European Journal of Ultrasound

    2023  Volume 44, Issue 03, Page(s) 233–239

    Language English
    Publishing date 2023-06-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 801064-x
    ISSN 1438-8782 ; 0172-4614 ; 1439-0914 ; 1431-4894
    ISSN (online) 1438-8782
    ISSN 0172-4614 ; 1439-0914 ; 1431-4894
    DOI 10.1055/a-2055-6712
    Database Thieme publisher's database

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1572: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  6. Article: Exakte Diagnostik ist die Basis einer erfolgreichen Endometriose-Operation

    Klein, P. / Wölfler, M. M. / Keckstein, J.

    Frauenarzt

    2022  Volume 63, Issue 8, Page(s) 505

    Language German
    Document type Article
    ZDB-ID 80364-9
    ISSN 0016-0237
    Database Current Contents Medicine

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    Zs.B 1244: Show issues Location:
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  7. Article: Horizons in Endometriosis: Proceedings of the Montreux Reproductive Summit, 14-15 July 2023.

    Vallée, A / Saridogan, E / Petraglia, F / Keckstein, J / Polyzos, N / Wyns, C / Gianaroli, L / Tarlatzis, B / Ayoubi, J M / Feki, A

    Facts, views & vision in ObGyn

    2024  Volume 16, Issue 16 Suppl 1, Page(s) 1–32

    Abstract: Endometriosis is a complex and chronic gynaecological disorder that affects millions of women worldwide, leading to significant morbidity and impacting reproductive health. This condition affects up to 10% of women of reproductive age and is ... ...

    Abstract Endometriosis is a complex and chronic gynaecological disorder that affects millions of women worldwide, leading to significant morbidity and impacting reproductive health. This condition affects up to 10% of women of reproductive age and is characterised by the presence of endometrial-like tissue outside the uterus, potentially leading to symptoms such as chronic pelvic pain, dysmenorrhoea, dyspareunia, and infertility. The Montreux summit brought a number of experts in this field together to provide a platform for discussion and exchange of ideas. These proceedings summarise the six main topics that were discussed at this summit to shed light on future directions of endometriosis classification, diagnosis, and therapeutical management. The first question addressed the possibility of preventing endometriosis in the future by identifying risk factors, genetic predispositions, and further understanding of the pathophysiology of the condition to develop targeted interventions. The clinical presentation of endometriosis is varied, and the correlation between symptoms severity and disease extent is unclear. While there is currently no universally accepted optimal classification system for endometriosis, several attempts striving towards its optimisation - each with its own advantages and limitations - were discussed. The ideal classification should be able to reconcile disease status based on the various diagnostic tools, and prognosis to guide proper patient tailored management. Regarding diagnosis, we focused on future tools and critically discussed emerging approaches aimed at reducing diagnostic delay. Preserving fertility in endometriosis patients was another debatable aspect of management that was reviewed. Moreover, besides current treatment modalities, potential novel medical therapies that can target underlying mechanisms, provide effective symptom relief, and minimise side effects in endometriotic patients were considered, including hormonal therapies, immunomodulation, and regenerative medicine. Finally, the question of hormonal substitution therapy after radical treatment for endometriosis was debated, weighing the benefits of hormone replacement.
    Language English
    Publishing date 2024-04-11
    Publishing country Belgium
    Document type Journal Article
    ZDB-ID 2701574-9
    ISSN 2032-0418 ; 2684-4230
    ISSN 2032-0418 ; 2684-4230
    DOI 10.52054/FVVO.16.s1.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Classification of deep endometriosis (DE) including bowel endometriosis: From r-ASRM to #Enzian-classification.

    Keckstein, Jörg / Hudelist, Gernot

    Best practice & research. Clinical obstetrics & gynaecology

    2020  Volume 71, Page(s) 27–37

    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 ... ...

    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.
    MeSH term(s) Endometriosis/diagnosis ; Female ; Humans ; Retrospective Studies ; Ureter ; Urinary Bladder
    Language English
    Publishing date 2020-12-11
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2050090-7
    ISSN 1532-1932 ; 1521-6934
    ISSN (online) 1532-1932
    ISSN 1521-6934
    DOI 10.1016/j.bpobgyn.2020.11.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

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  9. Article: A European survey on the conservative surgical management of endometriotic cysts on behalf of the European Society for Gynaecological Endoscopy (ESGE) Special Interest Group (SIG) on Endometriosis.

    Pados, G / Daniilidis, A / Keckstein, J / Papandreou, P / Gordts, S

    Facts, views & vision in ObGyn

    2020  Volume 12, Issue 2, Page(s) 105–108

    Abstract: The mainstay of endometrioma management, when treatment is required, is surgical. Although laparoscopy is considered to be the gold standard for endometriosis surgery, there is no clarity on the preferred laparoscopic technique, which may depend on ... ...

    Abstract The mainstay of endometrioma management, when treatment is required, is surgical. Although laparoscopy is considered to be the gold standard for endometriosis surgery, there is no clarity on the preferred laparoscopic technique, which may depend on whether the primary goalis treatment of infertility or pelvic pain, prevention of recurrence or preservation of ovarian reserve. The aim of this survey to assess the surgical practice of the members of the European Society for Gynaecological Endoscopy (ESGE) on the conservative management of endometiotic cysts in women of reproductive age. The current survey showed that practice for the conservative management of endometriotic cysts was that laparoscopy accounted for 84.9% of the cases, expectant management for 12.1%, and laparotomy for 3%. The preferred surgical approach was cystectomy in 69% of the cases, while the parameters that determined the preferred surgical method were the diameter of the cyst (62%) and the bilaterality or non-location (53%). The type of energy used was in most cases bipolar (83%), 71.4% of surgeons did not reconstitute the ovary and 41% of responses included the administration of adhesion barrier agents. The primary surgical end-point was ovarian reserve (50%), which was tested preoperatively in 51.8%, mainly with an anti-mullerian hormone. In case of an incidentally deep-infiltrating endometriosis, 55.4% of the responses included concomitant treatment thereof, while 71% of the participants considered that a "pelvic surgeon", who could more effectively treat co- existing pelvic and intestinal disease, should be the ideal one to effectively manage endometriosis. The majority of participants (74%) in this survey consider that there is insufficient scientific evidence regarding the conservative management of endometriotic cysts. The treatment of ovarian endometrioma should be individualised, taking into consideration not only the relief of symptoms, pregnancy rates or recurrence rates, but also ovarian function and reserve after surgery.
    Language English
    Publishing date 2020-08-05
    Publishing country Belgium
    Document type Journal Article
    ZDB-ID 2701574-9
    ISSN 2032-0418 ; 2684-4230
    ISSN 2032-0418 ; 2684-4230
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Die #Enzian-Klassifikation für die nicht invasive und invasive Diagnostik der Endometriose

    Keckstein, Jörg / Hoopmann, Markus / Hudelist, Gernot

    Frauenheilkunde up2date

    2023  Volume 17, Issue 03, Page(s) 237–251

    Keywords #Enzian ; Endometriose ; Klassifikation ; Sonografie ; MRI
    Language German
    Publishing date 2023-06-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2272764-4
    ISSN 1611-650X ; 1439-3719
    ISSN (online) 1611-650X
    ISSN 1439-3719
    DOI 10.1055/a-1719-9474
    Database Thieme publisher's database

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