Bruno Rosa¹, Rolando Pinho^2,3, Susana Mão De Ferro⁴, Nuno Almeida^5,6, José Cottera^7,8, Miguel Mascarenhas Saraiva^3,9

¹Gastroenterology Department, Centro Hospitalar do Alto Ave, Guimarães, Portugal
²Gastroenterology Department, Centro Hospitalar De Vila Nova De Gaia/Espinho, Vila Nova De Gaia, Portugal
³Gastroenterology Center, ManopH, Instituto CUF, Porto, Portugal
⁴Gastroenterology Department, Instituto Português De Oncologia De Lisboa Francisco Gentil, Lisbon, Portugal
⁵Faculdade De Medicina, Universidade De Coimbra, Coimbra, Portugal
⁶Gastroenterology Department, Centro Hospitalar E Universitário De Coimbra, Coimbra, Portugal
⁷Instituto De Investigacão Em Ciências Da Vida E Saúde (ICVS), Escola De Ciências Da Saúde, Universidade Do Minho, Braga, Portugal
⁸Laboratório Associado ICVS/3B’s, Braga, Portugal
⁹ManopH-Laboratório De Endoscopia E Motilidade Digestiva, Porto, Portugal

ABSTRACT

The small bowel is affected in the vast majority of patients with Crohn’s Disease (CD). Small bowel capsule endoscopy (SBCE) has a very high sensitivity for the detection of CD-related pathology, including early mucosal lesions and/or those located in the proximal segments of the small bowel, which is a major advantage when compared with other small bowel imaging modalities. The recent guidelines of European Society of Gastrointestinal Endoscopy (ESGE)and European Crohn’s and Colitis Organisation (ECCO) advocate the use of validated endoscopic scoring indices for the classification of inflammatory activity in patients with CD undergoing SBCE, such as the Lewis Score or the Capsule Endoscopy Crohn’s Disease Activity Index (CECDAI). These scores aim to standardize the description of lesions and capsule endoscopy reports, contributing to increase inter-observer agreement and enabling a stratification of the severity of the disease. On behalf of the Grupo de Estudos Português do Intestino Delgado (GEPID) --- Portuguese Small Bowel Study Group, we aimed to summarize the general principles and clinical applications of current endoscopic scoring systems for SBCE in the setting of CD, covering the topic of suspected CD as well as the evaluation of disease extent (with potential prognostic and therapeutic impact), evaluation of mucosal healing in response to treatment and evaluation of post-surgical recurrence in patients with previously established diagnosis of CD.

© 2015 Sociedade Portuguesa de Gastrenterologia. Published by Elsevier España, S.L.U.

This is na open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/).

LINK: http://www.gastroinsights.pt/media/k2/attachments/gepjg_endoscopic_scores_for_valuation_16.pdf