Development and usefulness of the new endoscopic classification: DICA

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Ginevra Cambiè
Alessandra Violi
Chiara Miraglia
Alberto Barchi
Antonio Nouvenne
Mario Capasso
Gioacchino Leandro
Tiziana Meschi
Gian Luigi de' Angelis
Francesco Di Mario


DICA classification, diverticular disease, endoscopy, colonoscopy, colonic diverticulosis, diverticulitis


Colonic Diverticulosis is one of the most common anatomical findings during colonoscopy. This condition has 60% incidence in the population over 60 years old. About 20% of patients will develop Diverticular Disease, and 5% of them will evolve into Diverticulitis. Until the last years there weren’t any approaches for the endoscopic classification of this pathology. In 2013, in Florence, the first endoscopic classification was developed: DICA (Diverticular Inflammation and Complication Assessment). The aim of this article is to focus on the process of the development and the validation of the classification by the pool of gastroenterology experts, and, as well, its usefulness during the clinical practice.


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