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Relationship between IgE-mediated allergy and complicated appendicitis in children
Zhiyi Zhang1, Li Wang2, Chuanping Xie1
1Department of General Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No. 56 Nanlishi Road, Xicheng District, Beijing, 100045, China.
Children with IgE-mediated allergy have a reduced risk of complicated appendicitis (CA). Allergy did not impact prognosis after appendectomy in this pediatric study.
Area of Science:
- Pediatric Surgery
- Allergy Immunology
- Gastrointestinal Disease
Background:
- Complicated appendicitis (CA) poses significant risks in pediatric patients.
- The role of IgE-mediated allergies in appendicitis outcomes is not well understood.
Purpose of the Study:
- To investigate the association between IgE-mediated allergy and the development of complicated appendicitis (CA).
- To evaluate the impact of IgE-mediated allergy on the prognosis of pediatric patients undergoing appendectomy.
Main Methods:
- Retrospective analysis of 1156 pediatric patients with acute appendicitis (AA).
- Patients were categorized based on the presence or absence of IgE-mediated allergies.
- Logistic regression analysis was employed, adjusting for clinical and laboratory variables to assess the association between allergy and CA.
Main Results:
- 16.0% of patients had IgE-mediated allergies.
- Children with IgE-mediated allergies showed a significantly reduced risk of developing CA (adjusted OR=0.582, P=0.023).
- No significant differences were observed in operative time, length of hospital stay, readmission rates, or adhesive intestinal obstruction between groups.
Conclusions:
- IgE-mediated allergy is associated with a decreased risk of complicated appendicitis in children.
- Allergy status does not appear to influence the post-appendectomy prognosis in this pediatric cohort.
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