Obesity should not influence the management of appendicitis

Towfigh, Shirin; Chen, F.; Katkhouda, Namir; Kelso, Rebecca; Sohn, Helen J.; Berne, Thomas V.; Mason, Rodney J.

doi:10.1007/s00464-008-9847-6

Cited by 25 publications

(35 citation statements)

References 21 publications

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“…3,7 Besides these reports, some authors report that obesity does not affect appendicitis treatment except for a longer hospital stay. 5 However, our results did not confirm that obese children had a longer duration of hospitalization. 7 The relation between obesity and an increase in the incidence of wound infection has been more clearly demonstrated in adults.…”

Section: Discussioncontrasting

confidence: 72%

“…[3][4][5][6] Although there is limitted data in adult groups, the relationship between the BMI of patients undergoing surgery and their response to surgery has not been adequately studied in the field of pediatric surgery. 7 We therefore chose a group that was more likely to encounter surgical problems and tried to obtain data regarding the selection of less invasive interventions and a more cautious approach in this group.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 Besides these physiological differences, the technical difficulties during surgery in obese patients and the resultant prolonged surgery time have been blamed for the postoperative problems in this group. [3][4][5][6][7] However, it has been suggested that obesity may challenge the diagnosis of appendicitis; Towfigh et al showed no influence on time of diagnosis in adult population. 5 Similarly, our results confirm that patients with high BMI have similar time of diagnosis with low and normal-weight children.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7] However, it has been suggested that obesity may challenge the diagnosis of appendicitis; Towfigh et al showed no influence on time of diagnosis in adult population. 5 Similarly, our results confirm that patients with high BMI have similar time of diagnosis with low and normal-weight children.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 It has been thought that obesity increases the risk of surgical technical difficulty and problems that may develop during surgery and postoperatively in adult patients. [3][4][5][6] In addition, it has been considered as an independent factor increasing the risk of wound infection. 6 However, this matter has not been proven for the pediatric population.…”

mentioning

confidence: 99%

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The Effect of Body Mass Index on the Clinical Course of Appendicitis in Children

Aslan¹,

Cesur²,

Soyer³

et al. 2012

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : A retrospective study was performed to evaluate the effect of body mass index (BMI) on the clinical course of appendicitis in children. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Patients between 6 and 18 years of age, who had undergone appendectomy in the last 2 years, were evaluated for age, sex, BMI, time from the beginning of complaints to diagnosis, acute or perforated appendicitis, duration of hospitalization and complications retrospectively. BMI was evaluated according to percentiles developed for Turkish children between 6 and 18 years of age. Patients with percentiles between 10 to 75 were accepted as the normal BMI group, lower than 10 was the low BMI group and more than 75 was assessed as the high BMI group. R Re es su ul lt ts s: : Ninety-six patients were included in the study. The median age was 13 (min: 6, max:16) in the normal BMI group [n=37, male/female (M/F)=1.84], 12 (6-16) in the low BMI group (n=38, M/F=1.53) and 9 (6-15) in the high BMI group (n=21, M/F=3.2). The acute/perforated appendicitis ratios were 3.1, 2.8 and 1.3, respectively in the normal, low and high BMI groups. There was no significant difference between the groups regarding the time from the beginning of complaints to diagnosis and duration of hospitalization (p>0.05). Although complication rates showed no difference between the normal and low BMI groups, the high BMI group had a higher incidence of complications compared to the normal and low BMI groups (p=0.04 and p=0.018,respectively). The follow-up period of the patients were 2 months to 2 years and the most common complication was wound infection. C Co on nc cl lu us si io on n: : Children with high BMI have higher complication rates during the clinical course of appendicitis compared to children with low and normal BMI. K Ke ey y W Wo or rd ds s: : Body mass index; appendicitis; child Ö ÖZ ZE ET T A Am ma aç ç: : Apendektomi yapılan çocuklarda beden kitle indeksi (BKİ)'nin klinik seyire etkisini değerlendirmek amacıyla retrospektif bir çalışma yapılmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Son 2 yıl içeri-sinde apendektomi yapılan 6-18 yaş aralığındaki olgular; yaş, cinsiyet, BKİ, şikâyetlerin başla-masından tanı anına kadar geçen süre, akut veya perfore apandisit olma durumu, yatış süresi ve komplikasyonlar açısından incelenmiştir. BKİ değerleri 6-18 yaş Türk çocukları için geliştirilen yaşa göre persentil eğirlerine göre değerlendirildi. Persentil değerleri 10-75 arası olan hastalar normal BKİ grubunu, 10'nun altında olanlar düşük BKİ grubunu, 75 üzerinde olanlar ise yüksek BKİ grubunu oluşturdu. B Bu ul lg gu ul la ar r: : Çalışmaya 96 hasta dâhil edildi. Normal BKİ grubunda [n: 37, erkek/kız (E/K):1,84] yaş ortancası 13 [çeyrekler arası aralık (çaa): 11-14], düşük BKİ grubunda (n: 38, E/K: 1,53) 12 (çaa: 10,5-14) ve yüksek BKİ grubunda (n:21, E/K: 3,2) 9 (çaa:7-10,5) idi. Normal, düşük ve yüksek BKİ gruplarında akut/perfore apandisit oranları sırasıyla 3,1, 2,8 ve 1,3 olara...

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Section: Discussioncontrasting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

The Effect of Body Mass Index on the Clinical Course of Appendicitis in Children

Aslan¹,

Cesur²,

Soyer³

et al. 2012

Turkiye Klinikleri J Med Sci

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Laparoscopic Appendectomy: New Concepts

2011

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Over the last three decades more surgeons have used laparoscopic appendectomy as their surgical approach of choice in the management of patients with appendicitis. This includes special groups of patients, namely, pediatric, pregnant, and obese patients. Laparoscopy has the benefit of lower morbidity, decreased rate of wound complications, faster recovery, shorter length of hospital stay, and faster return to work over open appendectomy.

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Laparoscopic Appendectomy: Risk Factors for Postoperative Intraabdominal Abscess

et al. 2017

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Obesity should not influence the management of appendicitis

Abstract: Obese patients had no greater delay in diagnosis, had no greater need for CT scan, gained no additional benefit from laparoscopy, and did not incur significantly worse outcomes after appendectomy except for an increased LOS among those with perforation.

Cited by 25 publications

References 21 publications

The Effect of Body Mass Index on the Clinical Course of Appendicitis in Children

The Effect of Body Mass Index on the Clinical Course of Appendicitis in Children

Laparoscopic Appendectomy: New Concepts

Laparoscopic Appendectomy: Risk Factors for Postoperative Intraabdominal Abscess

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