Endoscopic retrograde appendicitis therapy: a pilot minimally invasive technique (with videos) - 17/09/12
Reprint requests: Bing-Rong Liu, MD, Digestive Endoscopy Center, Department of Gastroenterology and Hepatology, The Second Affiliated Hospital of Harbin Medical University, 246 Xue-Fu Road, Nan-Gang District, Harbin 150086, People's Republic of ChinaRiassunto |
Background |
Inspired by the success of ERCP for the treatment of suppurative cholangitis, we investigated a new minimally invasive method for the treatment of acute uncomplicated appendicitis, which we call endoscopic retrograde appendicitis therapy.
Objective |
To investigate the feasibility and efficacy of endoscopic retrograde appendicitis therapy for the treatment of acute uncomplicated appendicitis.
Design and Setting |
A retrospective, single-center study at an academic medical center.
Patients |
Four patients with acute uncomplicated appendicitis.
Interventions |
There were 5 steps after insertion of a colonoscope into the cecum and identification of the appendiceal orifice: (1) endoscopic appendiceal intubation; (2) appendiceal decompression; (3) retrograde appendicography; (4) stent drainage; and (5) cleansing the appendiceal lumen.
Main Outcome Measurements |
The rate of successful endoscopic intubation and decompression, the time to symptom relief, the time to disappearance of signs, increased white blood cell count, procedure-related complications, and recurrence, if any.
Results |
All 4 endoscopic appendiceal intubations were successful. Pain was relieved immediately after endoscopic decompression and stent drainage. Leukocytosis returned to normal within 24 hours. There were no complications and no recurrences during 4 to 19 months of follow-up.
Limitations |
Small sample size, single-center study without controls.
Conclusion |
Endoscopic retrograde appendicitis therapy is a feasible and effective endoscopic treatment modality for acute uncomplicated appendicitis.
Il testo completo di questo articolo è disponibile in PDF.Abbreviation : ERAT
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| DISCLOSURE: The authors disclosed no financial relationships relevant to this publication. |
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| If you would like to chat with an author of this article, you may contact Dr. Liu at 13704510648@126.com. |
Vol 76 - N° 4
P. 862-866 - ottobre 2012 Ritorno al numero
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