Simple Endoscopic Score (SES-CD)

For more information on the SES-CD Score, see the ECCO Skills Video on Endoscopic Scoring Systems in CD

Ileum

The segment has been

Examined

Resected

Not explored

Presence and size of ulcers (0-3)

None (0)

Aphthous ulcers (0.1 to 0.5 cm) (1)

Large ulcers (0.5 to 2 cm) (2)

Very large ulcers (>2 cm) (3)

Extent of ulcerated surface (0-3)

None (0)

<10% (1)

10-30% (2)

>30% (3)

Extent of ulcerated surface (0-3)

<10% (1)

10-30% (2)

>30% (3)

Extent of affected surface (0-3)

Unaffected Segment (0)

<50% (1)

50-75% (2)

>75% (3)

If presence of narrowing, the option “Unaffected segment” cannot be selected

Extent of affected surface (0-3)

<50% (1)

50-75% (2)

>75% (3)

If presence of narrowing, the option “Unaffected segment” cannot be selected

Presence and type of narrowing (0-3)

None (0)

Single, can be passed (1)

Multiple, can be passed (2)

Cannot be passed (3)

Total Ileum

Right Colon

The segment has been

Examined

Resected

Not explored

Presence and size of ulcers (0-3)

None (0)

Aphthous ulcers (0.1 to 0.5 cm) (1)

Large ulcers (0.5 to 2 cm) (2)

Very large ulcers (>2 cm) (3)

Extent of ulcerated surface (0-3)

None (0)

<10% (1)

10-30% (2)

>30% (3)

Extent of ulcerated surface (0-3)

<10% (1)

10-30% (2)

>30% (3)

Extent of affected surface (0-3)

Unaffected Segment (0)

<50% (1)

50-75% (2)

>75% (3)

If presence of narrowing, the option “Unaffected segment” cannot be selected

Extent of affected surface (0-3)

<50% (1)

50-75% (2)

>75% (3)

If presence of narrowing, the option “Unaffected segment” cannot be selected

Presence and type of narrowing (0-3)

None (0)

Single, can be passed (1)

Multiple, can be passed (2)

Cannot be passed (3)

Total Right Colon

Transverse Colon

The segment has been

Examined

Resected

Not explored

Presence and size of ulcers (0-3)

None (0)

Aphthous ulcers (0.1 to 0.5 cm) (1)

Large ulcers (0.5 to 2 cm) (2)

Very large ulcers (>2 cm) (3)

Extent of ulcerated surface (0-3)

None (0)

<10% (1)

10-30% (2)

>30% (3)

Extent of ulcerated surface (0-3)

<10% (1)

10-30% (2)

>30% (3)

Extent of affected surface (0-3)

Unaffected Segment (0)

<50% (1)

50-75% (2)

>75% (3)

If presence of narrowing, the option “Unaffected segment” cannot be selected

Extent of affected surface (0-3)

<50% (1)

50-75% (2)

>75% (3)

If presence of narrowing, the option “Unaffected segment” cannot be selected

Presence and type of narrowing (0-3)

None (0)

Single, can be passed (1)

Multiple, can be passed (2)

Cannot be passed (3)

Total Transverse Colon

Left Colon

The segment has been

Examined

Resected

Not explored

Presence and size of ulcers (0-3)

None (0)

Aphthous ulcers (0.1 to 0.5 cm) (1)

Large ulcers (0.5 to 2 cm) (2)

Very large ulcers (>2 cm) (3)

Extent of ulcerated surface (0-3)

None (0)

<10% (1)

10-30% (2)

>30% (3)

Extent of ulcerated surface (0-3)

<10% (1)

10-30% (2)

>30% (3)

Extent of affected surface (0-3)

Unaffected Segment (0)

<50% (1)

50-75% (2)

>75% (3)

If presence of narrowing, the option “Unaffected segment” cannot be selected

Extent of affected surface (0-3)

<50% (1)

50-75% (2)

>75% (3)

If presence of narrowing, the option “Unaffected segment” cannot be selected

Presence and type of narrowing (0-3)

None (0)

Single, can be passed (1)

Multiple, can be passed (2)

Cannot be passed (3)

Total Left Colon

Rectum

The segment has been

Examined

Resected

Not explored

Presence and size of ulcers (0-3)

None (0)

Aphthous ulcers (0.1 to 0.5 cm) (1)

Large ulcers (0.5 to 2 cm) (2)

Very large ulcers (>2 cm) (3)

Extent of ulcerated surface (0-3)

None (0)

<10% (1)

10-30% (2)

>30% (3)

Extent of ulcerated surface (0-3)

<10% (1)

10-30% (2)

>30% (3)

Extent of affected surface (0-3)

Unaffected Segment (0)

<50% (1)

50-75% (2)

>75% (3)

If presence of narrowing, the option “Unaffected segment” cannot be selected

Extent of affected surface (0-3)

<50% (1)

50-75% (2)

>75% (3)

If presence of narrowing, the option “Unaffected segment” cannot be selected

Presence and type of narrowing (0-3)

None (0)

Single, can be passed (1)

Multiple, can be passed (2)

Cannot be passed (3)

Total rectum

Total

Source: Daperno M, D'Haens G, Van Assche G, Baert F, Bulois P, Maunoury V, Sostegni R, Rocca R, Pera A, Gevers A, Mary JY, Colombel JF, Rutgeerts P. Development and validation of a new, simplified endoscopic activity score for Crohn's disease: the SES-CD. Gastrointest Endosc 2004; 60 (4): 505-512. with permission from Elsevier.

Disclaimer: Please re-check the results of your calculation: All information published on this platform is intended for educational purposes only and should not replace clinical judgement.

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