Rutgeerts Score (post-op Crohn’s recurrence)

Rutgeerts score (Rutgeerts 1990): endoscopic grade of post-operative Crohn’s recurrence in the neoterminal ileum (i0–i4); ≥ i2 predicts clinical recurrence.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Neoterminal-ileum endoscopic finding
i2 — > 5 aphthous lesions (normal mucosa between), skip areas, or…

Result: Rutgeerts i2 — predicts clinical recurrence (≥ i2).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Grades
i0 no lesions; i1 ≤5 aphthous lesions; i2 >5 aphthous lesions / skip areas / anastomosis-confined; i3 diffuse aphthous ileitis; i4 diffuse inflammation with large ulcers/nodules/stenosis.
Prognosis
A grade ≥ i2 predicts clinical recurrence; i0–i1 is low risk.

What you enter

  • Neoterminal-ileum endoscopic finding (Rutgeerts grade)
How this is calculated

Rutgeerts P, Geboes K, Vantrappen G, et al. Predictability of the postoperative course of Crohn’s disease. Gastroenterology. 1990;99(4):956-963. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.