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Abstract

On March 2012, a group of Italians gastroenterologists began to develop a new classification for diverticular disease. Some classifications are based on imaging, in particular on the appearance of the disease by abdominal computerized tomography (e.g. Buckey or Ambrosetti of Hinchey�s modified classification). Surprisingly, an endoscopic classification of the disease is still lacking. DICA (Diverticular Inflamation Complication Assessment) consider endoscopic parameter to classifiy the disease: extension of diverticulosis (right or left), number of diverticula (more than 15 or less than 15), inflamation (absccess, edema/ hyperaemia, erosions and segmental colitis) and complications (pus, rigidity, stenosis and bleeding). All of these parameters are summarized in a DICA clasification from Grade I to Grade III. A multicentric retrospective study was done in 26 centers (Italy, Norway, Brazil and Venezuela). The study enrolled 1651 patients. The median (interquartile range) follow-up was 24 (9- 38) months. The results states that this classification has a predictive value. It is is simple to use, has excellent reproducibility, a significant correlation with some clinical and laboratory markers of diverticular disease. DICA endoscopic classification would seem to be a good way to evaluate the clinical outcome of patients with diverticular disease diagnosed by colonoscopy. In this moment, a multicentric prospective clinical trials is done with the aim to validate this classification, evaluate its reproducibility and to assess its impact in the natural history of diverticular disease. In this moment, more than eight countries are involved in a prospective study.

Biography

Email: r_escalanteg@hotmail.com