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[Application of ultrasound-guided endoscopic retrograde appendicitis therapy in children with appendix-related

Jian-Qin Kang1, Wei Zhang1, Ya-Long Zhang1

  • 1Department of Pediatrics, Tangdu Hospital, Air Force Military Medical University, Shaanxi, Xi'an 710038, China.

Zhongguo Dang Dai Er Ke Za Zhi = Chinese Journal of Contemporary Pediatrics
|May 9, 2022
PubMed

Insights

Ultrasound-guided endoscopic retrograde appendicitis therapy effectively treats chronic abdominal pain in children caused by appendix issues. This minimally invasive approach offers a high cure rate, providing significant relief for pediatric patients.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Surgery
  • Diagnostic Ultrasound Applications

Background:

  • Chronic abdominal pain is a common complaint in children, often linked to appendiceal issues.
  • Accurate diagnosis of appendiceal conditions like fecaliths is crucial for effective treatment.

Purpose of the Study:

  • To evaluate the clinical effectiveness of ultrasound-guided endoscopic retrograde appendicitis therapy.
  • To assess this therapy in pediatric patients suffering from chronic abdominal pain attributed to appendiceal fecaliths or inflammation.

Main Methods:

  • Retrospective analysis of 30 pediatric patients with chronic abdominal pain.
  • Utilized ultrasound for diagnosis and guidance during endoscopic retrograde appendicitis therapy.
  • Collected data on clinical presentation, endoscopic findings, inflammatory markers, and treatment outcomes.

Main Results:

  • The study included 30 children (mean age 9±3 years) with a median disease duration of 12 months.
  • Ultrasound-guided therapy successfully removed fecaliths/stool in 70% of cases.
  • A 93% complete pain resolution rate was observed at a median 11-month follow-up.

Conclusions:

  • Ultrasound-guided endoscopic retrograde appendicitis therapy demonstrates significant efficacy.
  • This minimally invasive treatment is effective for pediatric chronic abdominal pain caused by appendiceal fecaliths or stool impaction.
Abstract

Keywords:
Appendiceal fecalithChildChronic abdominal painEndoscopic retrograde appendicitis therapy

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