Endoscopic scoring system used in initial endoscopic investigation for evaluation of bleeding lesion, for the prediction of rebleeding.

Classification

• Forrest I: Acute hemorrhage
  • Forrest Ia (Spurting hemorrhage)
  • Forrest Ib (Oozing hemorrhage)
• Forrest II: Signs of recent hemorrhage
  • Forrest IIa (Non bleeding visible vessel)
  • Forrest IIb (Adherent clot)
  • Forrest IIc (Flat pigmented haematin: coffee ground base on ulcer base)
• Forrest III: Old lesions
  • Forrest IIIa (Lesions without active bleeding)
  • Forrest IIIb (Lesions without signs of recent hemorrhage or fibrin-covered clean ulcer base)