scholarly journals A case-control study of acute appendicitis and diet in children.

1986 ◽  
Vol 40 (4) ◽  
pp. 316-318 ◽  
Author(s):  
M Nelson ◽  
J Morris ◽  
D J Barker ◽  
S Simmonds
Author(s):  
K. S. Vaidya ◽  
A. MacGregor ◽  
J. M. M. Evans ◽  
A. D. McMahon ◽  
M. M. McGilchrist ◽  
...  

2019 ◽  
Vol 7 (12) ◽  
pp. 1393-1402
Author(s):  
Yosuke Sasaki ◽  
Fumiya Komatsu ◽  
Naoyasu Kashima ◽  
Takahiro Sato ◽  
Ikutaka Takemoto ◽  
...  

2008 ◽  
Vol 38 (4) ◽  
pp. 235-236 ◽  
Author(s):  
João Guilherme Bezerra Alves ◽  
José Natal Figueiroa ◽  
Isabela Barros

Breast feeding stimulates a more tolerant lymphoid tissue at the base of the appendix and this could provide protection against acute appendicitis. Two studies reported that children and adolescents with appendicitis were less likely to have been breast fed. In a case-control study of 200 children with histologically confirmed acute appendicitis matched by 200 siblings with the same sex and difference age – up to three-year-old – we found breast feeding in at least the first two months of life and for more than four months provides protection against acute appendicitis. These findings suggesting that breast feeding may possibly give protection against the development of appendicitis.


2007 ◽  
Vol 8 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Dennis Raahave ◽  
Elsebeth Christensen ◽  
Henrik Moeller ◽  
Lene T. Kirkeby ◽  
Franck B. Loud ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Chantelle Ip ◽  
Edward H. Wang ◽  
Michael Croft ◽  
Wanyin Lim

Introduction. This manuscript aims to investigate the amount of intraluminal gas in acute, nonperforated appendicitis identified on computed tomography (CT) in diagnosing gangrenous appendicitis. Methods. This is a retrospective observational, case-control study with consecutive data collected at a tertiary institution over a two-year period, of patients with CT-diagnosed acute appendicitis who subsequently went on for surgery within 48 hours. Patients who were less than 16 years old, who had an interval between CT and surgery of more than 48 hours, or with CT evidence of appendiceal perforation were excluded. Images were independently assessed by 3 radiologists for intraluminal gas, and the results were then correlated with reference standards obtained from surgical and histopathology reports for the diagnosis of nongangrenous versus gangrenous appendicitis. The sensitivity, specificity, and predictive values of CT intraluminal gas in gangrenous appendicitis were calculated. Results. Our study identified 93 patients with nonperforated acute appendicitis who underwent surgery within the stated timeframe. Intraluminal gas in the appendix was identified in 26 patients (28%), of which 54% had macroscopic and/or microscopic evidence of gangrenous appendicitis. This is in contrast to the subgroup of patients who did not have intraluminal gas (72%), of which only 33% had gangrenous appendicitis. The specificity of intraluminal gas for gangrenous appendicitis is 79%, with a negative predictive value of 86% and likelihood ratio of 1.85. Conclusion. In cases of established acute appendicitis, the presence of intraluminal gas is a moderately specific sign for gangrenous complication. This is worth reporting as it can help prognosticate and triage patients accordingly, for a timelier surgical management and a better outcome.


1998 ◽  
Vol 31 (11) ◽  
pp. 2221-2225
Author(s):  
Keiichi Kimura ◽  
Kouki Ido ◽  
Hideki Nagano ◽  
Kyotaro Toshimitsu

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Amitai Bickel ◽  
Samer Ganam ◽  
Ibrahim Abu Shakra ◽  
Inbal Farkash ◽  
Rola Francis ◽  
...  

Abstract Background During a global crisis like the current COVID-19 pandemic, delayed admission to hospital in cases of emergent medical illness may lead to serious adverse consequences. We aimed to determine whether such delayed admission affected the severity of an inflammatory process regarding acute appendicitis, and its convalescence. Methods In a retrospective observational cohort case-control study, we analyzed the medical data of 60 patients who were emergently and consecutively admitted to our hospital due to acute appendicitis as established by clinical presentation and imaging modalities, during the period of the COVID-19 pandemic (our study group). We matched a statistically control group consisting of 97 patients who were admitted during a previous 12-month period for the same etiology. All underwent laparoscopic appendectomy. The main study parameters included intraoperative findings (validated by histopathology), duration of abdominal pain prior to admission, hospital stay and postoperative convalescence (reflecting the consequences of delay in diagnosis and surgery). Results The mean duration of abdominal pain until surgery was significantly longer in the study group. The rate of advanced appendicitis (suppurative and gangrenous appendicitis as well as peri-appendicular abscess) was greater in the study than in the control group (38.3 vs. 21.6%, 23.3 vs. 16.5%, and 5 vs. 1% respectively), as well as mean hospital stay. Conclusions A global crisis like the current viral pandemic may significantly affect emergent admissions to hospital (as in case of acute appendicitis), leading to delayed surgical interventions and its consequences.


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