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Description

Dean et al have proposed an endoscopic grading system for diverticulosis as seen on endoscopy. The severity correlates with the need for surgery. The authors are from the Cleveland Clinic and University of Kansas.


Patient selection: colonoscopy pf the sigmoid colon

 

Number of Diverticuli

Size of Diverticuli

Other Findings

Grade

scattered

small

normal

mild

multiple

small to large

minimal muscular hypertrophy; some tortuosity

moderate

multiple

mostly large

rigid colon; intrusive muscular hypertrophy; significant tortuosity

severe

 

Criteria for acute: pus emerging from a diverticular opening


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