Are we ready to use new endoscopic scores for ulcerative colitis?

Rodrigo Quera, Paulina F. Núñez*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

For ulcerative colitis (UC), the variability in inflammatory activity along the colon poses a challenge in management. The focus on achieving endoscopic healing in UC is evident, where the UC Endoscopic Index of Severity and Mayo Endoscopic Subscore are commonly used for evaluation. However, these indices primarily consider the most severely affected region. Liu et al recent study validates the Toronto Inflammatory Bowel Disease Global Endoscopic Reporting (TIGER) score offering a comprehensive assessment of inflammatory activity across diverse segments of the colon and rectum and a reliable index correlating strongly with UC Endoscopic Index of Severity and moderately with Mayo Endoscopic Subscore (MES). Despite recommendation, certain aspects warrant further investigation. Fecal calprotectin, an intermediate target, correlates with TIGER and should be explored. Determining TIGER scores defining endoscopic remission and response, evaluating agreement with histological activity, and assessing interendoscopist agreement for TIGER require scrutiny. Exploring the correlation between TIGER and intestinal ultrasound, akin to MES, adds value.

Original languageEnglish
Pages (from-to)1466-1469
Number of pages4
JournalWorld Journal of Gastroenterology
Volume30
Issue number10
DOIs
StatePublished - 14 Mar 2024

Bibliographical note

Publisher Copyright:
©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.

Keywords

  • Colitis, Ulcerative/diagnostic imaging
  • Colonoscopy
  • Feces
  • Humans
  • Intestinal Mucosa/diagnostic imaging
  • Rectum/pathology
  • Severity of Illness Index

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