What Patients and Surgeons Should Know About the Consequences of Appendectomy for Acute Appendicitis After Long-Term Follow-Up: Factors Influencing the Incidence of Chronic Abdominal Complaints

Ditzel, Max; Ginhoven, Tessa M. van; Wal, J. B. C. van der; Hop, Wim C. J.; Coene, P. P. L. O.; Lange, Johan F.; Harst, Erwin van der

doi:10.1007/s11605-013-2235-0

Cited by 11 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is equivalent to other retrospective quality-of-life studies reporting follow-up percentages between 37 and 52% after 2.5 to 7 years of follow-up [2, 42-44]. Baseline characteristics did not significantly differ between R and NR suggesting that the R group reflects the whole study population.…”

Section: Discussionsupporting

confidence: 74%

“…It has been suggested that traction of adhesions on the peritoneum and viscera, nerve fibers in adhesions itself, or changes in the nervous system might contribute to chronic abdominal pain caused by adhesions when other organic and functional diseases are excluded [1, 4]. However, other studies and this data do not support that relationship [2, 3]. …”

Section: Discussionmentioning

confidence: 72%

“…They were excluded from analyses if postoperative pathology reports showed malignancy instead of diverticulitis. The study design was analogous to an earlier follow-up report of our research group [2]. Data on demography, clinical presentation, histopathology, operative reports, long-term outcomes, and postoperative complications were reviewed.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up

et al. 2018

View full text Add to dashboard Cite

Background: Diverticulitis can lead to localized or generalized peritonitis and consequently induce abdominal adhesion formation. If adhesions would lead to abdominal complaints, it might be expected that these would be more prominent after operation for perforated diverticulitis with peritonitis than after elective sigmoid resection. Aims: The primary outcome of the study was the incidence of abdominal complaints in the long-term after acute and elective surgery for diverticulitis. Methods: During the period 2003 through 2009, 269 patients were operated for diverticular disease. Two hundred eight of them were invited to fill out a questionnaire composed of the gastrointestinal quality of life index and additional questions and finally 109 were suitable for analysis with a mean follow-up of 7.5 years. Results: Analysis did not reveal any significant differences in the incidence of abdominal complaints or other parameters. Conclusion: This retrospective study on patients after operation for diverticulitis shows that in the long term, the severity of the abdominal complaints is influenced neither by the stage of the disease nor by the fact of whether it was performed in an acute or elective setting.

show abstract

Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 72%

See 1 more Smart Citation

Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The literature on outpatient/day case appendicectomy focuses on feasibility and safety of the procedure, with most large volume studies focussing on outcomes such as complication rate of surgery [[6], [7], [8], [9], [10]], with follow-up periods of less than 6 months [1,11]. …”

Section: Introductionmentioning

confidence: 99%

Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients

Som

Seymour

Thrumurthy

et al. 2018

Annals of Medicine and Surgery

View full text Add to dashboard Cite

IntroductionEmergency appendicectomy (EA) is a commonly performed operation, with an increasing number of EAs being performed as day-case. The aim of this study is to establish if there is a need for post-operative follow-up and if this could prevent adverse outcomes.MethodsA retrospective analysis of patients who underwent EA at multiple centres over a six-month period was undertaken. They were contacted by telephone and a standardised questionnaire was used to ascertain post-operative outcomes, including duration of analgesia use, duration before return to normal daily activity (ADLs), surgical site infection rates (SSI) and rates of re-presentation to medical services. Patients were stratified into those who underwent laparoscopic versus open appendicectomy, smokers versus non-smokers, and body mass index (BMI).ResultsA total of 145 patients were included in the study. Patients undergoing open surgery (vs. laparoscopic surgery) required analgesia for significantly longer periods, with a significantly longer return to ADLs. Smokers, when compared to non-smokers experienced a significantly longer return to work/school; and significantly higher risk of SSI and re-presenting to accident & emergency; as did patients with a BMI >30 when compared to those with a BMI <30.ConclusionMost patients do not need formal outpatient assessment after EA. However, there is clearly a subset of higher risk patients who may benefit from this – patients who are smokers or obese. They have prolonged recovery times, and are at greater risk of SSI. Earlier surgical outpatient follow-up of these patients could prevent adverse outcomes.

show abstract

“…6,37,38 A 2013 study did a 7-year follow-up of patients after appendectomy and found no difference in long term belly complaints between patients undergoing open or laparoscopic appendectomy. 39 …”

mentioning

confidence: 99%

Acute Appendicitis

Cudworth¹

2014

Rev LibrOfMed

View full text Add to dashboard Cite

SummaryAcute appendicitis is a very common problem in well developed countries. There seems to be a dietary influence involved but this has not been proven. The most common cause of acute appendicitis is blockage of the inside of the appendix by a fecalith (stool or fecal stone). History and physical examination and blood work results are usually enough to correctly make the diagnosis. X-ray tests such as ultrasound, CT scans or MRI may help in confirming the diagnosis. The treatment of choice is surgical removal of the irritated appendix, which can be safely done by an open or a laparoscopic technique. AbstractAcute appendicitis is a very common disease where the appendix becomes blocked, and leads to irritation and infection. When the appendix becomes irritated the patient can feel belly pain. The belly pain is first felt near the belly button and after a while it can move to the right lower area of the belly. The pain may go along with a loss of wanting to eat, nausea and vomiting. Many things can block the appendix opening leading to loss of blood supply and appendicitis. This includes waste produced from the food we eat, inflamed lymph nodes around the appendix or a growth in the appendix. Treatment is usually surgery to remove the appendix (appendectomy) as well as antibiotics given through a vein. The diagnosis is usually made by talking to and examining the patient and checking with different types of tests. Surgery works well in most patients who have appendicitis. The risk of having a problem or complication is low. Surgery to remove the appendix may be safely done with an open technique with a larger incision (laparotomy) or using small incisions and a camera (laparoscopic). They both have small short term and long term risks.

show abstract

What Patients and Surgeons Should Know About the Consequences of Appendectomy for Acute Appendicitis After Long-Term Follow-Up: Factors Influencing the Incidence of Chronic Abdominal Complaints

Cited by 11 publications

References 25 publications

Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up

Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up

Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients

Acute Appendicitis

Contact Info

Product

Resources

About