|
Endoscopic scores for ulcerative colitis |
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| Score [ref] |
0 |
1 |
2 |
3 |
4 |
|
|
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| Baron [ 21] |
Normal: matt mucosa, ramifying vascular patter clearly visible, no spontaneous bleeding, no bleeding to light touch |
Abnormal, but non-haemorrhagic: appearances between 0 and 2 |
Moderately haemorrhagic: bleeding to light touch, but no spontaneous bleeding seen ahead of the instrument on initial inspection |
Severely haemorrhagic: spontaneous bleeding seen ahead of instrument at initial inspection and bleeds to light touch |
- |
| Powell-Tuck [4] |
Non-haemorrhagic (no bleeding spontaneously or on light touch) |
Haemorrhagic (bleeding on light touch, but no spontaneous bleeding ahead of instrument) |
Haemorrhagic (spontaneous bleeding seen ahead of instrument on initial inspection and bleeding to light touch) |
- |
- |
| Rachmilewitz [7] |
No granulation scattering light, normal vascular pattern, no mucosal vulnerability, no mucosal damage (mucus, fibrin, exudates, ulcer) |
Faded or disturbed vascular pattern |
Granulation scattering light, completely absent vascular pattern, contact bleeding, slight mucosal damage |
Spontaneous bleeding,, pronounced mucosal damage |
- |
| Lémann [16] |
Normal mucosa |
Oedema and/or loss of mucosal vascularity, granularity |
Friability (visible, induced bleeding on examination), petechiae |
Spontaneous haemorrhage, visible ulcers |
- |
| Schroeder [5] |
Normal or inactive disease |
Mild (erythema, decreased vascular pattern, mild friability) |
Moderate (marked erythema, absent vascular pattern, friability, erosions) |
Severe (spontaneous bleeding, ulceration) |
- |
| Sutherland [6] |
Normal |
Mild friability |
Moderate friability |
Exudation, spontaneous haemorrhage |
- |
| Feagan [14] |
Normal, smooth, glistening mucosa, with vascular pattern visible; not friable |
Granular mucosa; vascular pattern not visible; not friable; hyperaemia |
As 1, with a friable mucosa, but not spontaneously bleeding |
As 2, but mucosa spontaneously bleeding |
As 3, but clear ulceration; denuded mucosa |
Cooney et al. Trials 2007 8:17 doi:10.1186/1745-6215-8-17 |
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