|i0||post-surgery endoscopic remission|
|i1||post-surgery endoscopic remission|
|i2||post-surgery substantial recurrence|
|i3||post-surgery advanced Recurrence|
|i4||post-surgery advanced recurrence|
The score is attributed directly, by selecting the appropriate degree (5 degrees, from i0 to i4) with single-choice selection menu.
Rutgeerts score should only be used for evaluation of post-surgical recurrences at ileocolic anastomosis level. The lesions that should be considered for its calculation have to be on the ileal side of the anastomosis or on the part of the neoterminal ileum that precedes it. The score should not be affected by the activity of the disease downstream of the anastomosis, in the colon. The ileocolonscopic index examination can be performed between 3 and 12 months after surgery or after the closure of an ileostomy diversion upstream of the anastomosis.
The presence of the more serious injury determines the level of score to be given, with a unique hierarchy. Lesions present in isolation in a blind defunctionalized recess should not contribute to the evaluation of post-surgical score, or anyway should be considered not relevant to the subsequent prognosis of the patient.