The Diverticular Inflammation and Complication Assessment (DICA) endoscopic scale is a scoring system that predicts diverticulitis and related surgery. Briefly, this scale takes into account (1) diverticular extension into the proximal colon; (2) the number of diverticula (less than or more than 15) in each district (proximal vs distal); (3) the presence of inflammation, such as edema\/hyperemia, erosions, and segmental colitis associated with diverticula; and (4) complications, such as rigidity, stenosis, pus, and bleeding. Depending on the total points, DICA is classified as a score of 1, 2, or 3, with a score of 3 having the highest risk of diverticulitis and surgery within the next 3 years. <\/p>\n\n\n\n
A new study from 43 centers in Europe and South America prospectively followed 2198 patients. The 3-year cumulative probabilities of diverticulitis and surgery were 3.3% and 0.15% in DICA 1, 11.6% and 3% in DICA 2, and 22% and 11% in DICA 3, respectively.<\/p>\n\n\n\n
Developed for this study, the Combined Overview on Diverticular Assessment (CODA) scale incorporates the DICA endoscopic score but also includes abdominal pain as a continuous variable and age as a dichotomous variable (younger than 65 years and age 65 or older). The CODA score also is grouped into 3 categories: A, B, and C. The 3-year probabilities of diverticulitis and surgery were \u22644% and \u22640.7% in CODA-A, <10% and <2.5% in CODA-B, and >10% and >2.5% in CODA-C, respectively. CODA had optimal performance in predicting the risk of surgery.<\/p>\n","protected":false},"excerpt":{"rendered":"
The Diverticular Inflammation and Complication Assessment (DICA) endoscopic scale is a scoring system that predicts diverticulitis and related surgery. Briefly, this scale takes into account (1) diverticular extension into the proximal colon; (2) the number of diverticula (less than or more than 15) in each district (proximal vs distal); (3) the presence of inflammation, such … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[3079,2058,3080,3078,3077],"class_list":["post-11345","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-coda","tag-colon-2","tag-combined-overview-on-diverticular-assessment","tag-dica","tag-diverticular-inflammation-and-complication-assessment"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/11345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=11345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=11345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=11345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}