Increased Risk of Neoplasms in Adult Patients Undergoing Interval Appendectomy
Purpose The low rate of recurrent appendicitis after initial nonsurgical management of complicated appendicitis supports the recently implemented strategy of omitting routine interval appendectomy. However, several reports have suggested an increased incidence rate of neoplasms in these patients. We...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Coloproctology
2020-10-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2019-10-15-1.pdf |
| _version_ | 1818688803164913664 |
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| author | Jungtak Son Yong Jun Park Sung Ryol Lee Hyung Ook Kim Kyung Uk Jung |
| author_facet | Jungtak Son Yong Jun Park Sung Ryol Lee Hyung Ook Kim Kyung Uk Jung |
| author_sort | Jungtak Son |
| collection | DOAJ |
| description | Purpose The low rate of recurrent appendicitis after initial nonsurgical management of complicated appendicitis supports the recently implemented strategy of omitting routine interval appendectomy. However, several reports have suggested an increased incidence rate of neoplasms in these patients. We aimed to identify the risk of neoplasms in the population undergoing interval appendectomy. Methods This study retrospectively analyzed consecutive cases of appendicitis that were treated surgically between January 2014 and December 2018 at a single tertiary referral center. Patients were divided into 2 groups depending on whether they underwent immediate or interval appendectomy. Demographics and perioperative clinical and pathologic parameters were analyzed. Results All 2,013 adults included in the study underwent surgical treatment because of an initial diagnosis of acute appendicitis. Of these, 5.5% (111 of 2,013) underwent interval appendectomy. Appendiceal neoplasm was identified on pathologic analysis in 36 cases (1.8%). The incidence of neoplasm in the interval group was 12.6% (14 of 111), which was significantly higher than that of the immediate group (1.2% [22 of 1,902], P < 0.001). Conclusion The incidence rate of neoplasms was significantly higher in patients undergoing interval appendectomy.These findings should be considered when choosing treatment options after successful nonsurgical management of complicated appendicitis. |
| first_indexed | 2024-12-17T12:00:01Z |
| format | Article |
| id | doaj.art-2fb07aaa520d4355b3f6d55dbf120826 |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-12-17T12:00:01Z |
| publishDate | 2020-10-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-2fb07aaa520d4355b3f6d55dbf1208262022-12-21T21:49:52ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222020-10-0136531131510.3393/ac.2019.10.15.11682Increased Risk of Neoplasms in Adult Patients Undergoing Interval AppendectomyJungtak Son0Yong Jun Park1Sung Ryol Lee2Hyung Ook Kim3Kyung Uk Jung Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, KoreaPurpose The low rate of recurrent appendicitis after initial nonsurgical management of complicated appendicitis supports the recently implemented strategy of omitting routine interval appendectomy. However, several reports have suggested an increased incidence rate of neoplasms in these patients. We aimed to identify the risk of neoplasms in the population undergoing interval appendectomy. Methods This study retrospectively analyzed consecutive cases of appendicitis that were treated surgically between January 2014 and December 2018 at a single tertiary referral center. Patients were divided into 2 groups depending on whether they underwent immediate or interval appendectomy. Demographics and perioperative clinical and pathologic parameters were analyzed. Results All 2,013 adults included in the study underwent surgical treatment because of an initial diagnosis of acute appendicitis. Of these, 5.5% (111 of 2,013) underwent interval appendectomy. Appendiceal neoplasm was identified on pathologic analysis in 36 cases (1.8%). The incidence of neoplasm in the interval group was 12.6% (14 of 111), which was significantly higher than that of the immediate group (1.2% [22 of 1,902], P < 0.001). Conclusion The incidence rate of neoplasms was significantly higher in patients undergoing interval appendectomy.These findings should be considered when choosing treatment options after successful nonsurgical management of complicated appendicitis.http://coloproctol.org/upload/pdf/ac-2019-10-15-1.pdfappendicitisinterval appendectomyneoplasms |
| spellingShingle | Jungtak Son Yong Jun Park Sung Ryol Lee Hyung Ook Kim Kyung Uk Jung Increased Risk of Neoplasms in Adult Patients Undergoing Interval Appendectomy Annals of Coloproctology appendicitis interval appendectomy neoplasms |
| title | Increased Risk of Neoplasms in Adult Patients Undergoing Interval Appendectomy |
| title_full | Increased Risk of Neoplasms in Adult Patients Undergoing Interval Appendectomy |
| title_fullStr | Increased Risk of Neoplasms in Adult Patients Undergoing Interval Appendectomy |
| title_full_unstemmed | Increased Risk of Neoplasms in Adult Patients Undergoing Interval Appendectomy |
| title_short | Increased Risk of Neoplasms in Adult Patients Undergoing Interval Appendectomy |
| title_sort | increased risk of neoplasms in adult patients undergoing interval appendectomy |
| topic | appendicitis interval appendectomy neoplasms |
| url | http://coloproctol.org/upload/pdf/ac-2019-10-15-1.pdf |
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