{"id":14637,"date":"2022-12-16T20:57:48","date_gmt":"2022-12-16T20:57:48","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=14637"},"modified":"2023-08-07T21:05:23","modified_gmt":"2023-08-07T21:05:23","slug":"diverticulose-do-colon-classificacao-dica-diverticular-inflammation-and-complication-assessment-porque-usar-na-rotina","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/diverticulose-do-colon-classificacao-dica-diverticular-inflammation-and-complication-assessment-porque-usar-na-rotina\/","title":{"rendered":"Diverticulose do c\u00f3lon &#8211; Classifica\u00e7\u00e3o DICA \u2013 \u201cDiverticular Inflammation and Complication Assessment\u201d \u2013 porque usar na rotina?"},"content":{"rendered":"\n<p>A diverticulose do c\u00f3lon \u00e9 uma deformidade adquirida que pode afetar at\u00e9 cerca de 75% dos pacientes acima de 70 anos, sendo que at\u00e9 20% desses podem apresentar-se de forma sintom\u00e1tica, configurando a chamada doen\u00e7a diverticular (DD).<\/p>\n\n\n\n<p>Existem v\u00e1rias classifica\u00e7\u00f5es descritas na caracteriza\u00e7\u00e3o da DD, principalmente baseadas em imagem, entre elas a Hinchey modificada \u00e9 a mais conhecida. Em sua maioria, as classifica\u00e7\u00f5es se focam na gravidade e complica\u00e7\u00f5es da DD, ao inv\u00e9s de estratificarem a doen\u00e7a em seu espectro global, oferecendo um cen\u00e1rio de previsibilidade de risco.&nbsp;<\/p>\n\n\n\n<p>Em 2015, atrav\u00e9s de um estudo de um grupo italiano, foi proposta uma classifica\u00e7\u00e3o eminentemente endosc\u00f3pica chamada DICA \u2013 \u201cDiverticular Inflammation and Complication Assessment\u201d. Os principais pontos que justificaram a cria\u00e7\u00e3o dessa classifica\u00e7\u00e3o s\u00e3o:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>aumento significativo na realiza\u00e7\u00e3o de colonoscopia nos \u00faltimos anos com base no cen\u00e1rio de rastreamento colorretal;&nbsp;<\/li>\n\n\n\n<li>achado frequente em exames de rotina de sinais de atividade inflamat\u00f3ria diverticular sem qualquer suspeita de diverticulite (at\u00e9 1% dos casos);<\/li>\n\n\n\n<li>extens\u00e3o da diverticulose no c\u00f3lon \u00e9 um fator de risco para recorr\u00eancia da diverticulite;&nbsp;<\/li>\n\n\n\n<li>detec\u00e7\u00e3o de inflama\u00e7\u00e3o endosc\u00f3pica persistente ap\u00f3s um quadro de diverticulite aguda \u00e9 uma fator de risco para recorr\u00eancia da doen\u00e7a;<\/li>\n<\/ul>\n\n\n\n<p>Considerando todos os aspecto anteriormente elencados, \u00e9 esperado que pacientes com divert\u00edculos esparsos em c\u00f3lon tenham evolu\u00e7\u00e3o cl\u00ednica diferente daqueles com&nbsp;diverticulose difusa e altera\u00e7\u00f5es inflamat\u00f3rias ou mesmo fibr\u00f3ticas associadas;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"226\" height=\"169\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/12\/DICA-Fig-1.jpg\" alt=\"\" class=\"wp-image-14638\"\/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center\"><em>Figura 1. Divert\u00edculos esparsos em c\u00f3lon&nbsp;<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"237\" height=\"178\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/12\/DICA-Fig-2.jpg\" alt=\"\" class=\"wp-image-14639\"\/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center\"><em>Figura 2. Diverticulose difusa<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"238\" height=\"191\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/12\/DICA-FIg-3.jpg\" alt=\"\" class=\"wp-image-14640\"\/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center\"><em>Figura 3. Sinais de complica\u00e7\u00e3o diverticular (pus)<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"240\" height=\"180\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/12\/DICA-FIg-4.jpg\" alt=\"\" class=\"wp-image-14641\"\/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center\"><em>Figura 4. Sinais de complica\u00e7\u00e3o diverticular (sangramento\/ aplica\u00e7\u00e3o de hemoclipe)<\/em><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>A Classifica\u00e7\u00e3o DICA<\/strong><\/h2>\n\n\n\n<p>Os principais pontos envolvidos na classifica\u00e7\u00e3o s\u00e3o:<\/p>\n\n\n\n<ul type=\"1\" class=\"has-background wp-block-list\" style=\"background-color:#7bdbb56e\">\n<li><strong>Extens\u00e3o da diverticulose&nbsp;<\/strong>\n<ul class=\"wp-block-list\">\n<li>C\u00f3lon esquerdo (2 pontos)<\/li>\n\n\n\n<li>C\u00f3lon direito (1 ponto)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-background wp-block-list\" style=\"background-color:#7bdbb56e\">\n<li><strong>N\u00fameros de divert\u00edculos em cada segmento<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u2264 15: grau I (0 pontos)<\/li>\n\n\n\n<li>&gt; 15: grau II (1 ponto)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-background wp-block-list\" style=\"background-color:#7bdbb56e\">\n<li><strong>Presen\u00e7a de inflama\u00e7\u00e3o&nbsp;<\/strong>\n<ul class=\"wp-block-list\">\n<li>Edema ou hiperemia (1 ponto)<\/li>\n\n\n\n<li>Eros\u00f5es (2 pontos)<\/li>\n\n\n\n<li>Colite segmentar associada a diverticulose (3 pontos)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-background wp-block-list\" style=\"background-color:#7bdbb56e\">\n<li><strong>Presen\u00e7a de complica\u00e7\u00f5es (4 pontos cada)<\/strong>\n<ul class=\"wp-block-list\">\n<li>Rigidez<\/li>\n\n\n\n<li>Estenose<\/li>\n\n\n\n<li>Pus<\/li>\n\n\n\n<li>Sangramento<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-background wp-block-list\" style=\"background-color:#7bdbb56e\">\n<li><strong>Escore num\u00e9rico final (somat\u00f3rio dos pontos anteriores) \/ Classifica\u00e7\u00e3o<\/strong>\n<ul class=\"wp-block-list\">\n<li>1 \u2013 3 pontos \u2013 DICA 1<\/li>\n\n\n\n<li>4 \u2013 7 pontos \u2013 DICA 2<\/li>\n\n\n\n<li>&gt; 7 pontos \u2013 DICA 3<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>A elabora\u00e7\u00e3o da classifica\u00e7\u00e3o no seu artigo original sofreu valida\u00e7\u00e3o interna com boa concord\u00e2ncia interobservador entre os principais pontos citados. Foi observada significativa correla\u00e7\u00e3o entre os n\u00edveis s\u00e9ricos de prote\u00edna C reativa (PCR), velocidade de hemossedimenta\u00e7\u00e3o (VHS), calprotectina fecal e escala de dor com os escores de DICA mais elevados.&nbsp;<\/p>\n\n\n\n<p>Posteriormente a classifica\u00e7\u00e3o ainda foi validada em estudos multic\u00eantricos internacionais e em s\u00e9ries retrospectivas e prospectivas. As s\u00e9ries demonstram interessantes dados sobre a capacidade preditiva da classifica\u00e7\u00e3o em rela\u00e7\u00e3o a recorr\u00eancia de diverticulite e necessidade de cirurgia<\/p>\n\n\n\n<p class=\"has-background\" style=\"background-color:#abb7c27d\"><strong>Risco de diverticulite em 3 anos&nbsp;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>DICA 1 \u2013 3,3%&nbsp;&nbsp;&nbsp;<\/li>\n\n\n\n<li>DICA 2 \u2013 11,6%<\/li>\n\n\n\n<li>DICA 3 \u2013 22%&nbsp;&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"has-background\" style=\"background-color:#abb7c27d\"><strong>Risco de cirurgia em 3 anos&nbsp;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>DICA 1 \u2013 0,15%&nbsp;&nbsp;&nbsp;<\/li>\n\n\n\n<li>DICA 2 \u2013 3%&nbsp;&nbsp;<\/li>\n\n\n\n<li>DICA 3 \u2013 11%&nbsp;&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p>Em um dos estudos, de modo interessante, ainda foi observado que pacientes DICA 2 quando submetidos a terapia baseada em mesalazina apresentaram redu\u00e7\u00e3o do risco de diverticulite aguda &#8211; HR = 0.2103 (95% CI 0.122\u20130.364); e risco de cirurgia &#8211; HR= 0.459 (95% CI 0.258\u20130.818)<\/p>\n\n\n\n<p>Por fim, fica claro o interessante papel potencial da classifica\u00e7\u00e3o DICA na classifica\u00e7\u00e3o da diverticulose e doen\u00e7a diverticular do c\u00f3lon. A classifica\u00e7\u00e3o usa dados simples e corriqueiros do exame endosc\u00f3pico, com boa reprodutibilidade nos trabalhos apresentados. Indubitavelmente, ao promover a parametriza\u00e7\u00e3o da DD, a classifica\u00e7\u00e3o DICA permite ainda a realiza\u00e7\u00e3o mais fidedigna de estudos cl\u00ednicos que possam alterar desfechos dessa doen\u00e7a.&nbsp;<\/p>\n\n\n\n<p>E voc\u00eas, j\u00e1 vem utilizando essa classifica\u00e7\u00e3o em sua rotina?\u00a0<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">P<a href=\"https:\/\/gastropedia.com.br\/cirurgia\/doenca-diverticular-do-colon-epidemiologia-e-fisiopatologia\/\">ara saber mais sobre este tema, acesse o site Gastropedia clicando aqui<\/a>!<\/h3>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancias:<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\">\n<li>Tursi A, Brandimarte G, Di Mario F, et al.&nbsp;Development and validation of an endoscopic classification of diverticular disease of the colon: the DICA classification. Dig Dis. 2015;33:68\u201376.&nbsp;<\/li>\n\n\n\n<li>Tursi A. Diverticulosis today: unfashionable and still under-researched. Ther Adv Gastroenterol. 2016;9:213\u201328.<\/li>\n\n\n\n<li>Tursi A, Scarpignato C, Strate LL, Lanas A, Kruis W, Lahat A, Danese S. Colonic diverticular disease. Nat Rev Dis Primers. 2020;6:20.<\/li>\n\n\n\n<li>Peery AF, Crockett SD, Murphy CC, et al. Burden and cost of gastrointestinal, liver, and pancreatic diseases in the United States: update 2018. Gastroenterology. 2019;156:254\u201372.&nbsp;<\/li>\n\n\n\n<li>Ghorai S, Ulbright TM, Rex DK. Endoscopic findings of diverticular inflammation in colonoscopy patients without clinical acute diverticulitis: prevalence and endoscopic spectrum. Am J Gastroenterol. 2003;98:802\u20136.&nbsp;<\/li>\n\n\n\n<li>Tursi A, Brandimarte G, Di Mario F, et al.&nbsp;International Consensus on Diverticulosis and Diverticular Disease. Statements from the 3rd International Symposium on Diverticular Disease. J Gastrointestin Liver Dis. 2019;28(suppl. 4):57\u201366.&nbsp;18. Tursi A, Brandimarte G, Di Mario F, et al.&nbsp;DICA Italian group. The &#8220;DICA&#8221; endoscopic classification for diverticular disease of the colon shows a significant interobserver agreement among community endoscopists. J Gastrointestin Liver Dis. 2019;28:23\u20137.&nbsp;<\/li>\n\n\n\n<li>Tursi A, Brandimarte G, Di Mario F, et al.&nbsp;The DICA endoscopic classification for diverticular disease of the colon shows a significant interobserver agreement among community endoscopists: an International Study. J Gastrointestin Liver Dis. 2019;28(suppl. 4):39\u201344. 20. Tursi A, Brandimarte G, Di Mario F, et al. Predictive value of the Diverticular Inflammation and Complication Assessment (DICA) endoscopic classification on the outcome of diverticular disease of the colon: an international study. United European Gastroenterol J. 2016;4:604\u201313.&nbsp;<\/li>\n\n\n\n<li>Tursi A, Violi A, Cambie&#8217; G, et al. Risk factors for endoscopic severity of diverticular disease of the colon and its outcome: a real-life case-control study. Eur J Gastroenterol Hepatol. 2020;32:1123\u20139.<\/li>\n\n\n\n<li>Tursi A, Brandimarte G, Di Mario F, Elisei W, Picchio M, Allegretta L, Annunziata ML, Bafutto M, Bassotti G, Bianco MA, Colucci R, Conigliaro R, Dumitrascu D, Escalante R, Ferrini L, Forti G, Franceschi M, Graziani MG, Lammert F, Latella G, Maconi G, Nardone G, Camara de Castro Oliveira L, Chaves Oliveira E, Papa A, Papagrigoriadis S, Pietrzak A, Pontone S, Poskus T, Pranzo G, Reichert MC, Rodin\u00f2 S, Regula J, Scaccianoce G, Scaldaferri F, Vassallo R, Zampaletta C, Zullo A, Piovani D, Bonovas S, Danese S; DICA International Group. Prognostic performance of the &#8216;DICA&#8217; endoscopic classification and the &#8216;CODA&#8217; score in predicting clinical outcomes of diverticular disease: an international, multicentre, prospective cohort study.&nbsp;Gut. 2022 Jul;71(7):1350-1358.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>A diverticulose do c\u00f3lon \u00e9 uma deformidade adquirida que pode afetar at\u00e9 cerca de&hellip;<\/p>\n","protected":false},"author":726,"featured_media":14640,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[544,541,542],"ano":[309],"tipo":[156],"volume":[147],"class_list":["post-14637","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-dica","tag-diverticular-disease","tag-doenca-diverticular","ano-309","tipo-colonoscopia","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Diverticulose do c\u00f3lon - Classifica\u00e7\u00e3o DICA \u2013 \u201cDiverticular Inflammation and Complication Assessment\u201d \u2013 porque usar na rotina? &#8226; 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