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Published on: August 24, 2019
[Remission of ulcerative colitis after appendectomy: a case report]
Chee Ho Noh1, Dae Young Cheung, Tae Ho Kim
1Departments of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Appendectomy may offer therapeutic benefits for ulcerative colitis, potentially inducing clinical remission. This case report suggests a positive impact on the disease course, contrary to prevailing views.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Inflammatory Bowel Disease
Background:
- The relationship between appendectomy and ulcerative colitis (UC) is complex, with its effect on disease course remaining debated.
- While many believe appendectomy offers no therapeutic advantage for UC, some studies suggest potential benefits.
Observation:
- A 35-year-old male with ulcerative colitis, previously managed with immunosuppressants, underwent appendectomy for acute appendicitis.
- Following the appendectomy, the patient experienced a significant and sustained clinical remission of his ulcerative colitis.
Findings:
- The appendectomy for acute appendicitis was followed by a notable improvement in the patient's ulcerative colitis symptoms.
- The patient achieved a prolonged period of remission, suggesting a potential therapeutic effect of appendectomy.
Implications:
- This case suggests appendectomy could be a beneficial intervention for select ulcerative colitis patients.
- Further research is warranted to explore the therapeutic potential of appendectomy in managing ulcerative colitis.
- The findings challenge the conventional understanding of appendectomy's role in ulcerative colitis management.
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