Table 1

Endoscopic disease activity indices for Crohn's disease

Endoscopic scoreStrengthsWeaknesses
CDEIS62 Gold standard, fairly reproducible by trained endoscopistsComplex, time-consuming, difficult for beginners and daily routine, no definition of mucosal healing, inactive disease reflects absence of ulcers only
SES-CD63 Simplified version with correlation to CDEIS, easier to useOne validation study only, less frequently used than CDEIS, no definition of mucosal healing
Rutgeerts score64 Adapted for assessment of postoperative recurrence, prediction of clinical relapse of diseaseNo use outside of postoperative settings, used by few studies so far
Crohn's disease endomicroscopic activity score (CDEAS)67 First score for in vivo histology, based on crypt structure, angiogenesis and inflammation assessmentOne validation study only, special endomicroscopes and fluorescein administration required
Watson score* 68 Three grades only, prediction of clinical relapse of disease, first score for functional in vivo imagingOne validation study only, special endomicroscopes and fluorescein administration required
  • * Has also been used for ulcerative colitis.