Appendicectomy in older patients with acute appendicitis is not an indication for routine colonoscopy

Hamid, Hytham K. S.; Hamedelneel, Ahmed O.

doi:10.1007/s00384-019-03264-8

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…However, with the higher rate of utilization of more accurate imaging modalities, there has been a trend away from this in the absence of other risk factors [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Risk of colorectal cancer in patients with appendicitis over the age of 40 years

et al. 2022

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Aim Acute appendicitis in late adulthood is hypothesized to be associated with an increased risk of colorectal cancer (CRC). This study aimed to establish whether patients over the age of 40 years presenting with appendicitis had an increased risk of being diagnosed with CRC over the subsequent 3 years. Method This is a retrospective review of patients aged 40 years and over presenting to Canterbury District Health Board with appendicitis from January 2010 to December 2015. Clinical details were obtained for these patients and cross‐referenced with the New Zealand Cancer Registry for the 3 years following diagnosis. The incidence ratio rate (IRR) and standardized incidence ratio (SIR) were calculated by establishing the incidence of CRC in this cohort and comparing it with the Canterbury population data. Results A total of 1099 patients met the inclusion criteria. The majority (75%) underwent CT as part of their initial work‐up. The rate of colonoscopy increased with age from around 10% between 40 and 49 years to 27% for those 70 years and over. Eleven cases of CRC were identified, resulting in an IRR 2.35 (95% CI 1.17–4.21). The SIR for this population was 3.28 (95% CI 1.82–5.92). Conclusion The rate of CRC is significantly increased compared with the background population in this cohort. The results of this study support luminal investigation of adults aged 40 years and over who present with acute appendicitis as CT alone was insufficient to detect the pathology.

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“…However, with the higher rate of utilization of more accurate imaging modalities, there has been a trend away from this in the absence of other risk factors [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Historically, luminal examination was recommended after appendicectomy in older patients to exclude colorectal cancer (CRC). However, with the higher rate of utilization of more accurate imaging modalities, there has been a trend away from this in the absence of other risk factors [4, 5].…”

Section: Introductionmentioning

confidence: 99%

Risk of colorectal cancer in patients with appendicitis over the age of 40 years

et al. 2022

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Is schistosomiasis japonica a negative short-term or long-term prognostic factor in patients with acute appendicitis?

Hamid¹

2020

Jpn J Radiol

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Appendicectomy in older patients with acute appendicitis is not an indication for routine colonoscopy

Cited by 2 publications

References 6 publications

Risk of colorectal cancer in patients with appendicitis over the age of 40 years

Risk of colorectal cancer in patients with appendicitis over the age of 40 years

Is schistosomiasis japonica a negative short-term or long-term prognostic factor in patients with acute appendicitis?

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