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Factors associated with recurrent appendicitis after nonoperative management.
Jessica J Lie1, Kylie Nabata2, Jenny W Zhang3
1Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada; Harvard T.H. Chan School of Public Health, Boston, MA, USA.
American Journal of Surgery
|March 16, 2023
Summary
Recurrent appendicitis risk is higher in patients with an appendicolith, a calcified deposit in the appendix. This finding aids in predicting recurrence after nonoperative appendicitis treatment.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Predictive Analytics
Background:
- Appendicitis is common, with nonoperative management increasing.
- Predicting recurrence after nonoperative treatment is crucial for patient management.
Purpose of the Study:
- Identify predictors for recurrent appendicitis in patients treated nonoperatively.
- Evaluate factors associated with appendicitis recurrence within six months.
Main Methods:
- Prospective cohort study at a tertiary care hospital.
- Collected data on demographics, imaging, management, and outcomes.
- Utilized competing-risk analysis for time-to-event outcomes.
Main Results:
- 74 patients received nonoperative treatment for appendicitis.
- 21 patients (29%) experienced recurrent appendicitis.
- Appendicolith presence on imaging was the sole significant predictor of recurrence (p=0.02).
Conclusions:
- Appendicolith is a key predictor of recurrent appendicitis.
- Patients with appendicolith face increased risk within six months post-treatment.
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