Management
Rutgeerts' Scoring Index for Endoscopic Recurrence
Assessed in the Neoterminal Ileum
a. i0, no lesions
a
b. i1, <5 aphthous lesions
a
c. i2, >5 aphthous lesions with normal intervening mucosa
d. i3, diffuse aphthous ileitis with diffusely inflamed mucosa
e. i4, diffuse inflammation with large ulcers, nodules, and/or narrowing. Rutgeerts' scores of
i0 and i1 are considered endoscopic remission, whereas Rutgeerts' scores of i2, i3 and i4 are
considered endoscopic recurrence. Note that ulceration limited to the anastomosis, but not in
the neoterminal ileum, is not considered endoscopic recurrence of CD.
a
Considered endoscopic remission.
