Research Article
Unsuspected Small-Bowel Crohn’s Disease in Elderly Patients Diagnosed by Video Capsule Endoscopy
Table 1
Lewis video capsule endoscopy scoring index.
| Parameters | Number | Longitudinal extent | Descriptor |
| Villous appearance (separate score for each small bowel tertile) | Normal: 0 Edematous: 1 | Short segment: 8 Long segment: 12 Whole tertile: 20 | Single:1 Patchy:14 Diffuse:17 | Ulcer (separate score for each small bowel tertile) | None: 0 Single: 3 Few: 5 Multiple: 10 | Short segment: 5 Long segment: 10 Whole tertile: 15 | <1/4—9 1/4–1/2—12 >1/2—18 | Stenosis (for whole study only) | None: 0 Single: 14 Multiple: 20 | Ulcerated: 24 Nonulcerated: 2 | Traversed:7 Not traversed: 10 | Total score: maximum tertile score [(villous parameter × extent × descriptor) + (ulcer parameter × extent × size)] for tertile 1 or [(villous parameter × extent × descriptor) + (ulcer parameter × extent × size)] for tertile 2 or [(villous parameter × extent × descriptor) + (ulcer parameter × extent × size)] for tertile 3} + (stenosis number × ulcerated × traversed). |
|
|
Reprinted with permission from Gralnek et al., Alimentary Pharmacology & Therapeutics, 2008 [ 8]. |