Original Article
Retrospective analysis of endoscopic retrograde appendicitis therapy in management of acute appendicitis in China
Bingrong Liu, Hongguang Wang, Xiangzhao Sun, Liping Ye, Jian Tian, Jia Feng, Donglin Zheng, Zhuo Yang, Bo Qu, Jibin Yin, Mantong Wang, Ying Ye, Dianrong Lu, Dongxu Wang, Jing Zhang, Zitan Feng, Shuren Ma, Xiao Ma
Published 2016-08-20
Cite as Chin J Dig Endosc, 2016, 33(8): 514-518. DOI: 10.3760/cma.j.issn.1007-5232.2016.08.003
Abstract
ObjectiveTo evaluate the safety and efficacy of endoscopic retrograde appendicitis therapy (ERAT) by analyzing application of the technique at different centers in China.
MethodsData of patients who underwent ERAT at 8 tertiary hospitals in China from 2009 to 2014 were retrospectively studied for the success rate of cannulation, clinical success rate, hospital stay, complications and recurrent rate.
ResultsThere were 107 in 118 patients(91%)whose appendiceal orifice was successfully cannulated. Acute appendicitis(AA) was excluded in 7 patients. One hundred (including 6 patients with peri-appendiceal abscess) had definite diagnosis of AA and received ERAT. The mean time of abdominal pain and abdominal tenderness relief was 12 hours (6-72 hours) and 24 hours (24-72 hours) respectively. The clinical success rate was 97%. The mean time of hospital stay was 3 days (2-4 days). The rate of complications was 2%. During the mean time of follow-up (12 months), the recurrent rate was 7%.
ConclusionERAT is safe and effective for the diagnosis and treatment of acute appendicitis and peri-appendiceal abscess.
Key words:
Appendicitis; Surgical procedures, minimally invasive; Endoscopic retrograde appendicitis theray
Contributor Information
Bingrong Liu
Department of Gastroenterology, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China
Hongguang Wang
Xiangzhao Sun
Liping Ye
Jian Tian
Jia Feng
Donglin Zheng
Zhuo Yang
Bo Qu
Jibin Yin
Mantong Wang
Ying Ye
Dianrong Lu
Dongxu Wang
Jing Zhang
Zitan Feng
Shuren Ma
Xiao Ma
