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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
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...
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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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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Acute Pancreatitis I: Introduction01:27

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Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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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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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Chronic appendicitis: the process from pre-diagnosis to pathology.

B H Kanat1, Ö A Solmaz, P Bozdağ

  • 1Malatya Turgut Özal University Training and Research Hospital, Malatya, Turkey. burhankanat@hotmail.com.

European Review for Medical and Pharmacological Sciences
|January 4, 2022
PubMed
Summary

Diagnosing chronic appendicitis (CA) preoperatively is challenging. This study found that only one of eight suspected CA patients actually had the condition, highlighting diagnostic difficulties.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Chronic appendicitis (CA) is a rare condition with unclear etiology, often presenting as prolonged, less severe abdominal pain.
  • Some literature suggests CA may result from partial obstruction of the appendix lumen.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of preoperative chronic appendicitis (CA) assessment.
  • To determine the incidence of CA in patients undergoing appendectomy.

Main Methods:

  • Retrospective analysis of 182 appendectomy patients between August 2018 and March 2020.
  • Inclusion criteria focused on patients with suspected chronic appendicitis based on clinical presentation.

Main Results:

  • Only 8 patients were suspected of having CA preoperatively.
  • Of the 8 suspected patients, only 1 (12.5%) was diagnosed with CA post-pathological examination.
  • Other pathological findings included malignancy (25%), reactive lymphoid hyperplasia (37.5%), and peri-appendicitis (12.5%).

Conclusions:

  • Pathological examination is definitive for diagnosing chronic appendicitis (CA).
  • Preoperative diagnosis of CA is difficult and may not always be feasible.
  • Prospective studies are needed to better understand and diagnose CA.