Travis et al reported the Ulcerative Colitis endoscopic Index of Severity (UCEIS). This correlates with the severity of the ulcerative colitis. The authors are from multiple institutions in Europe and North America.
Patient selection: ulcerative colitis
Parameters:
(1) vascular pattern
(2) bleeding
(3) erosions and ulcers
|
Parameter |
Finding |
Point on Likert Scale |
|
vascular pattern |
normal |
1 |
|
|
patchy obliteration |
2 |
|
|
obliterated |
3 |
|
bleeding |
none |
1 |
|
|
mucosal |
2 |
|
|
luminal, mild |
3 |
|
|
luminal, moderate or severe |
4 |
|
erosions and ulcers |
none |
1 |
|
|
erosions (<= 5 mm) |
2 |
|
|
superficial ulcer (> 5 mm) |
3 |
|
|
deep ulcer |
4 |
There are 48 possible combinations with 8 considered improbable.
The severity of ulcerative colitis increased as the parameters increased.
|
Erosions/Ulcers |
Bleeding |
Vascular Patter |
Severity (0 to 100) |
|
1 |
1 |
1 |
4 |
|
1 |
1 |
2 |
18 |
|
1 |
1 |
3 |
28 |
|
1 |
2 |
1 |
9 |
|
1 |
2 |
2 |
29 |
|
1 |
2 |
3 |
45 |
|
1 |
3 |
1 |
21 |
|
1 |
3 |
2 |
41 |
|
1 |
3 |
3 |
56 |
|
1 |
4 |
1 |
NA |
|
1 |
4 |
2 |
54 |
|
1 |
4 |
3 |
67 |
|
2 |
1 |
1 |
8 |
|
2 |
1 |
2 |
25 |
|
2 |
1 |
3 |
49 |
|
2 |
2 |
1 |
35 |
|
2 |
2 |
2 |
41 |
|
2 |
2 |
3 |
54 |
|
2 |
3 |
1 |
33 |
|
2 |
3 |
2 |
46 |
|
2 |
3 |
3 |
63 |
|
2 |
4 |
1 |
NA |
|
2 |
4 |
2 |
69 |
|
2 |
4 |
3 |
78 |
|
3 |
1 |
1 |
39 |
|
3 |
1 |
2 |
44 |
|
3 |
1 |
3 |
60 |
|
3 |
2 |
1 |
52 |
|
3 |
2 |
2 |
56 |
|
3 |
2 |
3 |
65 |
|
3 |
3 |
1 |
NA |
|
3 |
3 |
2 |
64 |
|
3 |
3 |
3 |
73 |
|
3 |
4 |
1 |
NA |
|
3 |
4 |
2 |
59 |
|
3 |
4 |
3 |
80 |
|
4 |
1 |
1 |
52 |
|
4 |
1 |
2 |
61 |
|
4 |
1 |
3 |
73 |
|
4 |
2 |
1 |
NA |
|
4 |
2 |
2 |
75 |
|
4 |
2 |
3 |
80 |
|
4 |
3 |
1 |
NA |
|
4 |
3 |
2 |
NA |
|
4 |
3 |
3 |
78 |
|
4 |
4 |
1 |
NA |
|
4 |
4 |
2 |
92 |
|
4 |
4 |
3 |
93 |
Specialty: Gastroenterology
