Brief Article
Copyright ©2010 Baishideng.
World J Gastroenterol. May 28, 2010; 16(20): 2537-2541
Published online May 28, 2010. doi: 10.3748/wjg.v16.i20.2537
Table 1 Macroscopic scoring of mucosal damage in colitis[15]
Macroscopic damageScore
Ulceration and inflammation
None0
Local hyperemia, no ulcer1
One site of ulcer not accompanied by congestion or thickening of the intestinal wall2
One site of ulcer accompanied by inflammation3
≥ 2 sites of ulcer accompanied by inflammation4
1 cm > inflammed segment + ulcer site ≥ 25
1 cm < inflammed segment + ulcer site ≥ 26
2 cm ≤ inflammed segment (the score increases 1 with each 1 cm enlargement of the inflammed segment)7-10
Adhesions
None0
Mild (easy to seperate colon from other tissues)1
Severe2
Diarrhea
None0
Present1
Table 2 Microscopic scoring of colitis[15]
Histological lesionScore
Ulcer
None0
Ulcer < 3 mm1
Ulcer > 3 mm2
Inflammation
None0
Mild1
Severe2
Granuloma
None0
Present1
Depth of the disease
None0
Submucosal layer1
Muscular layer2
Serosal layer3
Fibrosis
None0
Mild1
Severe2
Table 3 Comparison of study groups
ShamBudesonideLevobupivacaineSalineP
Weight loss10 (0-20)10 (0-25)10 (0-20)0 (0-10)0.016
Macroscopic damage score0 (0-1)1(0-4)2 (0-5)4.5 (2-9)0.001
Microscopic damage score0 (0-0.66)1.33 (0-3.33)0 (0-5.66)1.66 (0-4.33)0.014
IL-60 (0-38.59)37.6 (20.3-85.4)32.3 (0-43.8)31.9 (7.7-144.8)0.004
TNF-α0.1 (0-3.7)0.5 (0.2-45.7)0.2 (0.1-312)0.5 (0.2-255.9)0.152