Table 1.
Score | Grade | Features | Score |
Inflammation | Mild | Aphthous ulcers affected surface <50%; cryptitis <50%; inflammation limited to mucosa | 1 |
Moderate | Large, superficial ulcers (0.5–2 cm) Ulcerated surface <50%; affected surface 50%–100% Cryptitis >50%; crypt abscesses; submucosal inflammation |
2 | |
Severe | Deepa ulcers or ulcers >2 cm in size; circumferential ulcers; deepa fissures; transmural inflammation | 3 | |
Fibrosis | None | None or minimal fibrosis limited to submucosa (<25% thickness) | 0 |
Mild/moderate | Mild stricture (>15 mm) with nondilated lumen Submucosal fibrosis and muscular hyperplasia >25%b with preserved layers |
1 | |
Severe | Massive transmural fibrosis; effacement of normal layers; severe stricture | 2 |
Deep—beyond the submucosa.
Includes muscular propria hyperplasia >25%, muscularis mucosae hyperplasia >25%, and/or splayed muscularis mucosae (without cellular hyperplasia) >25%.