1. Endoscopic Retrograde Appendicography: An Alternative Diagnostic Method for Acute Appendicitis.
- Author
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Liu, Zhenzhen, Ma, Xiao, Ullah, Saif, Song, Jitao, Kong, Lingjian, Li, Deliang, Pan, Chao, and Liu, Bingrong
- Subjects
APPENDICITIS ,APPENDECTOMY ,DIAGNOSIS ,ACUTE diseases ,APPENDIX (Anatomy) - Abstract
Purpose: To evaluate the role of endoscopic retrograde appendicography for the diagnosis of acute appendicitis. Patients and Methods: We retrospectively analyzed 33 patients (20 men and 13 women, average age 44± 18 years) with suspected acute appendicitis between December 2016 and November 2018. Endoscopic direct-vision imaging or fluoroscopic endoscopic retrograde appendicography was performed to separate suspected acute appendicitis from actual acute appendicitis. The success rate, complications, and recurrence rate were recorded. Results: Acute appendicitis was ruled out by normal endoscopic retrograde appendicography in 8 (24%) and confirmed in 23 patients (70%). In 2 patients (6%), appendiceal orifice cannulation failed. Colonoscopic findings in acute appendicitis were mucosal hyperemia and edema of appendiceal orifice (83%), outpouring of pus from the appendiceal orifice (74%), and swollen cecal mucosa (61%). Appendicograpic findings were either normal or in acute disease showed diffuse luminal dilation (diameter: 0.8± 0.4 mm), partial stenosis (43%), stiffness or inflexibility (87%) and filling defects (22%). There were no complications during or after follow-up for a median of 13 months (IQR: 9– 24 months). Conclusion: Endoscopic retrograde appendicography appears to be a reliable and safe method to confirm or exclude the diagnosis of acute appendicitis and prevent unnecessary appendectomy. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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