AGA Clinical Practice Update on Endoscopic Scoring Systems in Inflammatory Bowel Disease: Commentary (Clinical Gastroenterology & Hepatology)

The American Gastroenterological Association (AGA) recently reviewed endoscopic scoring systems used to evaluate the severity of inflammation and mucosal healing in inflammatory bowel disease (IBD), such as Crohn’s disease (CD) and ulcerative colitis (UC). These systems provide standardized, objective reporting and are vital for assessing the effectiveness of medical treatment and predicting disease prognosis. For UC, the Mayo Endoscopic Score (MES) and Ulcerative Colitis Endoscopic Index of Severity (UCEIS) are commonly used, while for CD, the Crohn’s Disease Endoscopic Index of Severity (CDEIS) and Simple Endoscopic Score for CD (SES-CD) are standard. Despite their utility, these scoring systems face challenges in clinical application due to subjectivity and validation issues.