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

Core Tip

Core Tip: For ulcerative colitis (UC), the degree of inflammatory activity can vary along the length of the colon, ranging from the rectum to the proximal colon. Currently, achieving endoscopic healing is a long-term goal in the management of UC, with the UC Endoscopic Index of Severity score and Mayo Endoscopic Subscore being the most suggested indices to evaluate this target. However, both scores only consider the most severely affected area in their final assessment. Recently, the Toronto Inflammatory Bowel Disease Global Endoscopic Reporting score has shown its usefulness in determining the extent and severity of inflammatory activity across various segments of the colon and rectum. Despite this, there is no consensus regarding the endoscopic method (total colonoscopy or sigmoidoscopy) for evaluating the achievement of endoscopic healing in UC patients.