The Prevalence of People Underwent Appendectomy Procedure in Saudi Arabia

Alosayfir, Ziyad Ali; Alshammari, Abdulaziz Ayed M; Alsadi, Yousef Ateeg Awad; Alshammari, Hamoud Meshal Farhan; Alshammari, Hussam Salem; Ghamdi, Saleh Ali Saleh Kharshan Al; Alghaffari, Firas osama

doi:10.21608/ejhm.2018.17208

Cited by 2 publications

(4 citation statements)

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“…Our study supports reports in medical literature indicating that acute appendicitis is the most common indication for appendicectomy [20], while acute appendicitis is the most common indication for emergency abdominal surgery worldwide. Our study also confirmed that acute appendicitis is most common among young individuals, and has male dominance [19,23]. However, unlike Alahmari et al [19], most of our patients were Saudi citizens.…”

Section: Discussionsupporting

confidence: 88%

Clinical, Radiological and Pathological Appraisal of Acute Appendicitis in Al Qassim, Saudi Arabia: A Single-Center Retrospective Analysis

Alnuaymah¹,

Etonyeaku²,

Alsaeed³

et al. 2022

Cureus

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BackgroundAcute appendicitis can occur at any age but is rare among people of extreme age; it is more common in teenagers and young adults. Traditionally diagnosis is made on clinical grounds. In recent times imaging techniques have been deployed to improve diagnosis and reduce negative appendicectomy rates. The aim of the study was to describe the common clinical features of acute appendicitis among our patients, highlight the role of medical imaging, and compare all these with the histological report of the excised appendix. MethodsA 24-months retrospective review of all patients who underwent appendicectomy (July 1, 2019-June 30, 2021) for suspected acute appendicitis was performed. Medical records numbers of patients who had appendicectomies were retrieved from the operating room register. These numbers were used to access the hospital's electronic medical records database for the patients' records. These records were reviewed for biodata, clinical features, laboratory, medical imaging findings, and histological reports. ResultIn this hospital, 354 appendicectomies were performed. Only 336 had complete data set suitable for further review. There were more males (N=257; 76.5%) than females (N=79, 23.5%), yielding a male to female ratio of 4:1. There were also more Saudi citizens (n=266, 79.2%), with the predominant age group being 11-30 years. Abdominal pain was the predominant symptom (100%) and was localized to the right iliac region in 331 (98.7%) of patients. Other symptoms recorded were anorexia (n=247, 73.5%), vomiting (n=190, 56.5%), and nausea (n=93, 27.7%). Atypical symptoms included diarrhoea (n=27, 8%) and constipation (n=12, 3.6%). Acute appendicitis, complicated appendicitis, and no appendicitis were the reported histological disposition in 174 (51.8%), 124 (36.9%), and 38 (11.3%) cases respectively. Abdominal CT scan had a higher sensitivity (98.6% vs 70.5%), higher diagnostic odd ratio (2.5 vs 1.4) and a lower miss (false negative) rate (1.4% vs 29.5%) compared to ultrasonography. However, the CT scan, from this study, has a rather low specificity (3.4%) and high false positive rates (96.5%). Open (n=205; 61%) and laparoscopic (n=131;39%) approaches were used for the appendicectomies. In our study, 44 patients were diagnosed with the decision to operate based on clinical grounds; and of this, 42 (95.4%; n=44) had confirmatory histology reports of appendicitis. Also, 38 patients had negative appendicectomy; giving a negative appendicectomy rate of 11.3%. This high rate may be due to the lower specificity and high false positive rate observed in this study. The postoperative complication rate was 21.4%, and this was solely due to surgical site infection, and this was more common with the open approach (p=0.001). ConclusionSuspected acute appendicitis was the sole indication for our appendicectomies. A computerized tomography scan was a more reliable diagnostic tool than ultrasonography. Despite the fact that acute appendicitis is majorly a clinical diagnosis, and good clinical acumen is an excelle...

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Section: Discussionsupporting

confidence: 88%

Clinical, Radiological and Pathological Appraisal of Acute Appendicitis in Al Qassim, Saudi Arabia: A Single-Center Retrospective Analysis

Alnuaymah¹,

Etonyeaku²,

Alsaeed³

et al. 2022

Cureus

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“…The association between appendicitis and a low-fiber diet was proposed for the first time in 1920 by Rendle Short (Short, 1920) Regarding the benefits of appendices, we found that a significantly higher percentage of the normal control group thought there are benefits for the appendices, whereas more than one-half of appendicitis patients reported no benefits for appendices. In a previous Saudi study, only 41.1% reported the knowledge of some information about appendicitis (Alosayfir et al, 2018). Our findings and the previous findings (Alosayfir et al, 2018) indicate that the knowledge regarding the benefits of appendices and appendicitis is low, and there should be awareness programs among the population in order to increase their awareness about appendicitis and reduce the incidence and complications of appendicitis.…”

Section: Discussioncontrasting

confidence: 39%

“…In a previous Saudi study, only 41.1% reported the knowledge of some information about appendicitis (Alosayfir et al, 2018). Our findings and the previous findings (Alosayfir et al, 2018) indicate that the knowledge regarding the benefits of appendices and appendicitis is low, and there should be awareness programs among the population in order to increase their awareness about appendicitis and reduce the incidence and complications of appendicitis.…”

Section: Discussioncontrasting

confidence: 39%

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Case-control: A low-fiber diet increases the risk of appendicitis in main Qassim, Saudi Arabia hospitals 2020-2021

Alkhamiss¹,

Almosallam²,

Abdulmonem³

et al. 2022

Medical Science

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Background: Appendicitis is caused by the occlusion of the appendiceal lumen; it is the most cause of abdominal surgery emergency. The low fiber diet can cause the blockage of the appendiceal lumen. It is necessary to know the impact of the low fiber diet on the risk of appendicitis. Aim: To assess the association between a low fiber diet and the increased risk of appendicitis.Methods: This study is a case-control study that was conducted at 15 main hospitals in Qassim region during the period from 01 January 2020 to 01 June 2021. The study investigated the demographics and the nutritional habits of participants related to fibers using a fat & fiber behavior questionnaire "FFBQ" survey. The data were analyzed using the SPSS program. Results: Two groups were included; the patient group, which included 115 appendicitis patients, and the normal control group, which included 230 participants without history of appendicitis. There was a group match regarding the demographics of all the participants. The normal control group significantly tended to consume more different types of fiber diet compared to the patients' group. Also, between the two groups, there was a significant difference regarding the overall fiber diet frequency (P=0.0001). Conclusion: A low fiber diet is a major risk factor for appendicitis; the patients suffering appendicitis consume low fiber diets compared to normal individuals.

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The Prevalence of People Underwent Appendectomy Procedure in Saudi Arabia

Cited by 2 publications

References 0 publications

Clinical, Radiological and Pathological Appraisal of Acute Appendicitis in Al Qassim, Saudi Arabia: A Single-Center Retrospective Analysis

Clinical, Radiological and Pathological Appraisal of Acute Appendicitis in Al Qassim, Saudi Arabia: A Single-Center Retrospective Analysis

Case-control: A low-fiber diet increases the risk of appendicitis in main Qassim, Saudi Arabia hospitals 2020-2021

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