SES-CD

Score each of the five segments for ulcer size, ulcerated surface, affected surface and narrowing. Leave a segment blank if it was not seen.

Ileum

Size of ulcersNone(0)Aphthous, 0.1 to 0.5 cm(+1)Large, 0.5 to 2 cm(+2)Very large, over 2 cm(+3)

Ulcerated surfaceNone(0)Under 10%(+1)10 to 30%(+2)Over 30%(+3)

Affected surfaceUnaffected(0)Under 50%(+1)50 to 75%(+2)Over 75%(+3)

NarrowingNone(0)Single, can be passed(+1)Multiple, can be passed(+2)Cannot be passed(+3)

Right colon

Size of ulcersNone(0)Aphthous, 0.1 to 0.5 cm(+1)Large, 0.5 to 2 cm(+2)Very large, over 2 cm(+3)

Ulcerated surfaceNone(0)Under 10%(+1)10 to 30%(+2)Over 30%(+3)

Affected surfaceUnaffected(0)Under 50%(+1)50 to 75%(+2)Over 75%(+3)

NarrowingNone(0)Single, can be passed(+1)Multiple, can be passed(+2)Cannot be passed(+3)

Transverse colon

Size of ulcersNone(0)Aphthous, 0.1 to 0.5 cm(+1)Large, 0.5 to 2 cm(+2)Very large, over 2 cm(+3)

Ulcerated surfaceNone(0)Under 10%(+1)10 to 30%(+2)Over 30%(+3)

Affected surfaceUnaffected(0)Under 50%(+1)50 to 75%(+2)Over 75%(+3)

NarrowingNone(0)Single, can be passed(+1)Multiple, can be passed(+2)Cannot be passed(+3)

Left and sigmoid colon

Size of ulcersNone(0)Aphthous, 0.1 to 0.5 cm(+1)Large, 0.5 to 2 cm(+2)Very large, over 2 cm(+3)

Ulcerated surfaceNone(0)Under 10%(+1)10 to 30%(+2)Over 30%(+3)

Affected surfaceUnaffected(0)Under 50%(+1)50 to 75%(+2)Over 75%(+3)

NarrowingNone(0)Single, can be passed(+1)Multiple, can be passed(+2)Cannot be passed(+3)

Rectum

Size of ulcersNone(0)Aphthous, 0.1 to 0.5 cm(+1)Large, 0.5 to 2 cm(+2)Very large, over 2 cm(+3)

Ulcerated surfaceNone(0)Under 10%(+1)10 to 30%(+2)Over 30%(+3)

Affected surfaceUnaffected(0)Under 50%(+1)50 to 75%(+2)Over 75%(+3)

NarrowingNone(0)Single, can be passed(+1)Multiple, can be passed(+2)Cannot be passed(+3)

Enter the values above.

Reference

Daperno M, D'Haens G, Van Assche G, et al. Development and validation of a new, simplified endoscopic activity score for Crohn's disease: the SES-CD. Gastrointest Endosc. 2004;60(4):505-512.