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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...

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Updated: May 13, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Appendicitis in obese children.

Balazs Kutasy1, Prem Puri

  • 1National Children's Research Center, Our Lady's Children's Hospital, Dublin, Ireland. bkutasy@hotmail.com

Pediatric Surgery International
|March 12, 2013
PubMed
Summary
This summary is machine-generated.

Childhood obesity presents unique challenges for pediatric surgeons, complicating appendicitis diagnosis and treatment. Obese children often experience longer hospital stays and higher morbidity, with minimally invasive surgery showing better outcomes.

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Acupoint Catgut Embedding Therapy for Abdominal Obesity Treatment
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Last Updated: May 13, 2026

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Published on: November 22, 2024

Area of Science:

  • Pediatric Surgery
  • Obesity Medicine
  • Gastrointestinal Health

Background:

  • Childhood obesity rates have risen globally over the last 20 years.
  • Obesity is linked to physiological changes impacting surgical outcomes.
  • Pediatric surgeons need to understand obesity-specific management and outcomes.

Purpose of the Study:

  • To highlight the diagnostic and management challenges of appendicitis in obese children.
  • To compare surgical outcomes between obese and non-obese pediatric patients undergoing appendectomy.

Main Methods:

  • Review of existing literature on childhood obesity and appendicitis.
  • Analysis of diagnostic difficulties in obese children, including physical examination and ultrasound.
  • Comparison of outcomes for minimally invasive versus open appendectomy in obese pediatric patients.

Main Results:

  • Obesity complicates appendicitis diagnosis due to physical examination difficulties and reduced ultrasound appendix visualization.
  • Obese children face longer hospital stays and increased morbidity post-appendectomy.
  • Minimally invasive appendectomy demonstrates superior outcomes compared to open procedures in obese children.

Conclusions:

  • Appendicitis management in obese children requires specialized approaches.
  • Minimally invasive surgery is recommended for appendectomy in obese pediatric patients to improve outcomes.