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Table 1 Cryer and modified Lanza scores according to gastroduodenal mucosal injury

From: Rebamipide does not protect against naproxen-induced gastric damage: a randomized double-blind controlled trial

Score Cryer score Modified Lanza score
0 Normal or erythema No hemorrhage or erosion observed
1 Any amount of submucosal hemorrhage or edema without erosions. One or two hemorrhages or erosions observed in one gastric area.
2 1 erosion ± submucosal hemorrhage or edema. Three to five hemorrhages or erosions observed in one gastric area.
3 2–4 erosions ± submucosal hemorrhage or edema. Hemorrhages or erosions observed in two gastric areas; six or more hemorrhages or erosions observed in one gastric area, with the total number not exceeding ten in the entire stomach.
4 5 or more erosions and/or a single ulcer ± submucosal hemorrhage or edema. Hemorrhages or erosions observed in three or more gastric areas; eleven or more hemorrhages or erosions observed widely in the entire stomach.
5 Multiple ulcers ± submucosal hemorrhage or edema. Ulcer.