ToolsCalculators
Simplified Endoscopic Activity Score for Crohn's Disease (SES-CD)
Endoscopic severity score for Crohn's disease across five bowel segments.
Simplified Endoscopic Activity Score for Crohn's Disease (SES-CD)
Size of ulcers — rectum
Ulcerated surface — rectum
Affected surface (any lesion) — rectum
Presence of narrowing/stenosis — rectum
Size of ulcers — sigmoid & left colon
Ulcerated surface — sigmoid & left colon
Affected surface (any lesion) — sigmoid & left colon
Presence of narrowing/stenosis — sigmoid & left colon
Size of ulcers — transverse colon
Ulcerated surface — transverse colon
Affected surface (any lesion) — transverse colon
Presence of narrowing/stenosis — transverse colon
Size of ulcers — right colon
Ulcerated surface — right colon
Affected surface (any lesion) — right colon
Presence of narrowing/stenosis — right colon
Size of ulcers — ileum
Ulcerated surface — ileum
Affected surface (any lesion) — ileum
Presence of narrowing/stenosis — ileum
Result0 points
Endoscopic remission.
- Category
- Endoscopic remission
When to use
- Quantifying endoscopic Crohn's disease activity at ileocolonoscopy and tracking mucosal healing on treatment.
Formula
Sum, across 5 segments (rectum, sigmoid/left colon, transverse colon, right colon, ileum), of 4 descriptors each scored 0-3: size of ulcers, ulcerated surface, affected surface, and presence of stenosis.
Pearls and pitfalls
- A segment that cannot be intubated because of stenosis is scored as stenosis = 3 for that segment and the other 3 items as 0 unless otherwise assessable.