A Clinical Scoring System for Chronic Inflammatory Bowel Disease in Children

  • J. D. Lloyd-Still
  • H. U. Wessel
Part of the Developments in Gastroenterology book series (DIGA, volume 1)


Schachter and Kirsner (1) have attempted a definition of inflammatory bowel disease [IBD] of unknown origin in adults. None of the presently available methods of assessment of disease activity (2–4) satisfactorily encompass the wide variety of clinical manifestations of IBD in the pediatric population. In 1979 we reported (5) a new clinical score modified from the Shwachman clinical score for cystic fibrosis (6) specifically designed for use in the pediatric population that could be used for both Crohn’s disease and ulcerative colitis. This report extends our observations to a present total of 92 patients seen between 1975–80.


Inflammatory Bowel Disease Cystic Fibrosis Ulcerative Colitis Growth Failure Chronic Inflammatory Bowel Disease 
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  1. 1.
    Schachter H, Kirsner JB. (1975) Definitions of inflammatory bowel disease of unknown etiology. Gastroenterology 68:591–600PubMedGoogle Scholar
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    Truelove SC, Witts LJ. (1955) Cortisone in ulcerative colitis: final report on therapeutical trial. Brit.Med.J. 2:1041–1048PubMedCrossRefGoogle Scholar
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    Best WR, Becktel JM, Singleton JW, Kern F Jr. (1976) Development of a Crohn’s disease activity index. Gastroenterology 70:439–444PubMedGoogle Scholar
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    Whittington PF, Barnes HV, Bayless TO. (1977) Medical management of Crohn’s disease in adolescence. Gastroenterology 72:1338–1344PubMedGoogle Scholar
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    Lloyd-Still JD, Green OC. (1979) A clinical scoring system for chronic inflammatory bowel disease in children. Dig. Dis.Sci. 24:620–624PubMedCrossRefGoogle Scholar
  6. 6.
    Shwachman H, Kulczycki LL.(1958) Long-term study of 105 patients with cystic fibrosis. Am.J.Dis.Child. 96:6–15Google Scholar

Copyright information

© Martinus Nijhoff Publishers bv, The Hague 1981

Authors and Affiliations

  • J. D. Lloyd-Still
  • H. U. Wessel

There are no affiliations available

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