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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
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Appendicitis-II: Diagnostic Studies and Management01:29

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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
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Chronic Pancreatitis I: Introduction01:24

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Chronic Pancreatitis II: Collaborative Care01:29

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
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Inflammatory Bowel Disease II: Crohn's Disease01:30

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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Chronic appendicitis in children.

David Kim, Sonia A Butterworth, Ran D Goldman

    Canadian Family Physician Medecin De Famille Canadien
    |June 16, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Chronic appendicitis, a prolonged inflammation of the appendix, presents diagnostic challenges in children with recurrent abdominal pain. Surgical removal (appendectomy) often resolves pain symptoms in diagnosed cases.

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    Area of Science:

    • Pediatric surgery
    • Gastroenterology
    • Abdominal pain diagnostics

    Background:

    • Acute appendicitis diagnosis is standard, but chronic appendicitis remains controversial and frequently misdiagnosed.
    • Chronic appendicitis involves long-standing inflammation or fibrosis of the appendix, causing prolonged or intermittent abdominal pain.
    • This condition can lead to serious complications like intra-abdominal infections, bowel obstruction, or perforation.

    Purpose of the Study:

    • To investigate the diagnostic approach for chronic appendicitis in pediatric patients presenting with chronic and recurrent abdominal pain.
    • To clarify when clinicians should consider chronic appendicitis in the differential diagnosis for pediatric abdominal pain.

    Main Methods:

    • Review of clinical presentations associated with chronic appendicitis in children.
    • Analysis of imaging study utility in differentiating chronic appendicitis from other abdominal conditions.
    • Evaluation of treatment outcomes, specifically appendectomy, for pediatric chronic appendicitis.

    Main Results:

    • Chronic appendicitis is characterized by persistent or intermittent abdominal pain due to inflammation or fibrosis.
    • Diagnosis is challenging, requiring careful clinical evaluation and imaging to exclude other pathologies.
    • Appendectomy provides partial or complete pain symptom resolution for many diagnosed pediatric patients.

    Conclusions:

    • Chronic appendicitis is a significant cause of pediatric abdominal pain that requires specific diagnostic consideration.
    • Clinical presentation and imaging are crucial for diagnosis and ruling out alternative conditions.
    • Appendectomy is an effective treatment for chronic appendicitis, often alleviating pain in pediatric patients.