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Endoscopic retrograde appendicitis therapy (ERAT) : a multicenter retrospective study in China
Bing-Rong Liu1, Xiao Ma, Jia Feng
1Department of Gastroenterology and Hepatology, The Second Affiliated Hospital of Harbin Medical University, 246 Xue-Fu Road, Nan-Gang District, Harbin, 150086, China, Liubingrong@medmail.com.cn.
Surgical Endoscopy
|August 10, 2014
Summary
Endoscopic retrograde appendicitis therapy (ERAT) offers a safe and effective treatment for acute uncomplicated appendicitis. This new procedure shows high success rates and minimal complications, warranting further investigation.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Acute uncomplicated appendicitis requires effective treatment options.
- Endoscopic retrograde appendicitis therapy (ERAT) is an emerging minimally invasive procedure.
Purpose of the Study:
- To review the clinical outcomes of ERAT.
- To evaluate the effectiveness and safety of ERAT for acute uncomplicated appendicitis.
Main Methods:
- Retrospective analysis of 41 patients undergoing ERAT at three tertiary hospitals (Dec 2009 - May 2013).
- Data collected included patient demographics, ERAT technique, clinical success, diet resumption, hospital stay, complications, and recurrence.
Main Results:
- ERAT successfully diagnosed or treated 33 of 34 patients with acute uncomplicated appendicitis.
- A 97% clinical success rate was observed, with immediate pain resolution in 32 patients.
- One case of perforation occurred (3%), requiring appendectomy; 6.2% experienced recurrent pain during a median 12-month follow-up.
Conclusions:
- ERAT demonstrates effectiveness in diagnosing and treating acute uncomplicated appendicitis.
- Further multicenter prospective trials are recommended to confirm ERAT's role in managing suspected appendicitis.
