Cornerstones Health IBD Tools™

The Neo-Terminal Ileum:

The Rutgeerts Score

i0 i1 i2 i3 i4

No lesions <5 aphthous >5 aphthous Diffuse Diffuse ileal

lesions lesions with aphthous ileitis inflammation
normal mucosa with diffusely with larger
between the inflamed ulcers, nodules,
lesions, or mucosa or narrowing
skip areas of
larger lesions,
or lesions
confined to
the ileocolonic
anastomotic
lining (< 1 cm)

Recurrence of inflammation in the neoterminal ileum is graded for severity as follows:

no or mild recurrence, (i.e., i0 or i1) and severe recurrence, (i.e., i2-i4 severe diffuse
aphthous or ulcerative ileitis). Most studies adjust therapy for findings >i1.

Modified from Rutgeerts P. Gastroenterology 1990; 99:950-963.

Images courtesy of David T. Rubin, MD

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