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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch

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Recurrent abdominal pain before and after appendectomy.

Ron Shaoul¹, Nabil Ghrayeb, Daniel M Hardoff

¹Department of Pediatrics, Bnei Zion Medical Center, Haifa, Israel. shaoul_r@012.net.il

The Israel Medical Association Journal : IMAJ

|December 17, 2008

Summary

Children undergoing appendectomy for non-inflamed appendices do not show increased recurrent abdominal pain or psychosocial issues compared to those with appendicitis. This study clarifies outcomes for appendectomy patients.

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Area of Science:

Pediatric Surgery
Gastroenterology
Psychosocial Health

Background:

Previous reports suggest higher hospitalizations and emotional disorders in patients with non-inflamed appendices post-operation.
This observation necessitates further investigation into potential differences in outcomes.

Purpose of the Study:

To compare abdominal pain characteristics, demographic, and psychosocial data in children with confirmed appendicitis versus those with non-inflamed appendices.
To evaluate the long-term impact of appendectomy on children's well-being.

Main Methods:

Retrospective chart review of children undergoing appendectomy for suspected appendicitis.
Post-operative phone interviews using detailed questionnaires on symptoms and psychosocial factors.

Main Results:

156 children included: 117 appendicitis, 39 normal appendices. 82 patients interviewed.
No significant difference in recurrent abdominal pain incidence between appendicitis and normal appendix groups.
No significant differences in school performance, behavior, or social interaction observed.

Conclusions:

Appendectomy for a non-inflamed appendix did not correlate with increased recurrent abdominal pain.
No significant psychosocial morbidity was identified in children operated on for non-inflamed appendices.