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Published on: August 24, 2019
Diseases of the appendix recognized during colonoscopy
1Department of Gastroenterology, King Fahad Hospital, Al Madinah Al Munawarrah, Saudi Arabia. drkhawaja@yahoo.com
Summary
This review highlights uncommon appendiceal orifice abnormalities found during colonoscopy. Careful inspection aids in diagnosing appendiceal neoplasms, intussusception, and ulcerative colitis involvement, improving patient management.
Area of Science:
- Gastroenterology and Endoscopy
- Surgical Pathology
- Colorectal Surgery
Background:
- The appendiceal orifice is a common finding during colonoscopy, yet abnormalities are infrequently reported.
- Recent literature shows increasing case reports detailing endoscopic features of appendiceal pathologies.
- Awareness of these endoscopic findings is crucial for accurate diagnosis and management.
Purpose of the Study:
- To review and synthesize the literature on endoscopic features of appendiceal abnormalities.
- To increase endoscopists' awareness and recognition of uncommon appendiceal conditions.
- To emphasize the importance of careful appendiceal orifice inspection during colonoscopy.
Main Methods:
- Comprehensive literature review of appendiceal orifice abnormalities.
- Analysis of endoscopic findings for various appendiceal pathologies.
- Focus on appendiceal neoplasms, intussusception, acute appendicitis, and ulcerative colitis involvement.
Main Results:
- Appendiceal neoplasms and intussusception are the most frequently reported abnormalities.
- New endoscopic features of appendiceal involvement in acute appendicitis and ulcerative colitis are described.
- Appendiceal involvement in ulcerative colitis may impact disease prognosis and management strategies.
Conclusions:
- Routine, careful inspection of the appendiceal orifice during colonoscopy is essential for detecting abnormalities.
- Enhanced knowledge of endoscopic appearances aids in diagnosing rare appendiceal entities.
- Colonoscopy plays an emerging role in diagnosing and managing complicated appendicitis, potentially guiding non-operative approaches.
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