Endoscopic retrograde appendicitis therapy for acute appendicitis: a systematic review and meta-analysis

被引:10
|
作者
Dhindsa, Banreet [1 ]
Naga, Yassin [2 ]
Praus, Alexander [3 ]
Saghir, Syed Mohsin [4 ]
Mashiana, Harmeet [1 ]
Ramai, Daryl [5 ]
Chandan, Saurabh [4 ]
Sayles, Harlan [6 ]
Dhaliwal, Amaninder [7 ]
Bhat, Ishfaq [1 ]
Singh, Shailender [1 ]
Adler, Douglas [8 ]
机构
[1] Univ Nebraska Med Ctr, Gastroenterol & Hepatol, 982000 Nebraska Med Ctr, Omaha, NE 68102 USA
[2] Univ Nevada, Sch Med, Internal Med, Las Vegas, NV 89154 USA
[3] Univ Nebraska Med Ctr, Dept Internal Med, Omaha, NE 68102 USA
[4] Creighton Univ, Sch Med, Div Gastroenterol & Hepatol, Omaha, NE USA
[5] Univ Utah, Sch Med, Gastroenterol & Hepatol, Salt Lake City, UT USA
[6] Univ Nebraska Med Ctr, Biostat, Omaha, NE 68102 USA
[7] McLeod Hlth, Div Gastroenterol, Florence, SC USA
[8] Ctr Adv Therapeut Endoscopy, Centura Hlth, Englewood, CO USA
关键词
UNCOMPLICATED ACUTE APPENDICITIS; NEGATIVE APPENDECTOMY; ANTIBIOTIC-THERAPY; DIAGNOSIS; QUALITY; ERAT;
D O I
10.1055/a-1819-8231
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background and study aims Endoscopic retrograde appendicitis therapy (ERAT) is an endoscopic procedure for management of patients with acute appendicitis (AA). In addition to being minimally invasive, it has the added advantages of preservation of appendix and simultaneous inspection of colon. We performed a systematic review and meta-analysis on ERAT in patients with AA. Methods We conducted a comprehensive search of multiple electronic databases (from inception through January 2022) to identify studies reporting ERAT in AA. The primary outcome was to evaluate the overall clinical and technical success of ERAT. The secondary outcome was to study the total and individual adverse events (AEs). The meta-analysis was performed using Der Simonian and Laird random effect model. Results Seven studies reporting on 298 patients were included. The majority of the patient population was male (55.3 %), with mean age of 31 +/- 12.39 years. The pooled technical success rate was 99.36 % (95 % CI 97.61-100, I-2 = 0) and the pooled clinical success rate was 99.29 % (95 % CI 97.48-100, I-2 = 0). The pooled AE rate was 0.19 % (95 % CI 0-1.55, I-2 = 0). The most common AE was perforation with 0.19 % (95 % CI 0-1.55, I-2 = 0). The recurrence rate was 6.01 % (95 % CI 2.9-9.93, I-2 = 20.10). Average length of procedure was 41.1 +/- 7.16 min. Low heterogeneity was noted in in our meta-analysis. Conclusions ERAT is a safe procedure with high rates of clinical and technical success in patients with AA. Further randomized controlled trials should be performed to assess the utility of ERAT in AA as compared to laparoscopic appendectomy.
引用
收藏
页码:E1014 / E1019
页数:6
相关论文
共 50 条
  • [1] The Endoscopic Retrograde Appendicitis Therapy for Acute Appendicitis in Children: A Systematic Review and Meta-Analysis
    Liu, Lan
    Zeng, Huiping
    Fang, Yifan
    Zhang, Bing
    Yang, Yingying
    Bai, Jianxi
    Lin, Sheng
    Xie, Siqi
    [J]. ALTERNATIVE THERAPIES IN HEALTH AND MEDICINE, 2023, 29 (08) : 342 - 346
  • [2] Safety and Efficacy of Endoscopic Retrograde Appendicitis Therapy for Acute Appendicitis: A Systematic Review and Meta-Analysis
    Dhindsa, Banreet
    Praus, Alexander
    Naga, Yassin
    Saghir, Syed Mohsin
    Dhaliwal, Amaninder
    Mashiana, Harmeet
    Shah, Aun
    Ramai, Daryl
    Bhat, Ishfaq
    Singh, Shailender
    Adler, Douglas
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2021, 116 : S496 - S496
  • [3] Is endoscopic retrograde appendicitis therapy a better modality for acute uncomplicated appendicitis? A systematic review and meta-analysis
    Ying Wang
    Chen-Yu Sun
    Jie Liu
    Yue Chen
    Chandur Bhan
    John Pocholo Whitaker Tuason
    Sudha Misra
    Yu-Ting Huang
    Shao-Di Ma
    Xing-Yu Cheng
    Qin Zhou
    Wen-Chao Gu
    Dan-Dan Wu
    Xia Chen
    [J]. World Journal of Clinical Cases, 2021, (33) : 10208 - 10221
  • [4] Is endoscopic retrograde appendicitis therapy a better modality for acute uncomplicated appendicitis? A systematic review and meta analysis
    Wang, Ying
    Sun, Chen-Yu
    Liu, Jie
    Chen, Yue
    Bhan, Chandur
    Tuason, John Pocholo Whitaker
    Misra, Sudha
    Huang, Yu-Ting
    Ma, Shao-Di
    Cheng, Xing-Yu
    Zhou, Qin
    Gu, Wen-Chao
    Wu, Dan-Dan
    Chen, Xia
    [J]. WORLD JOURNAL OF CLINICAL CASES, 2021, 9 (33) : 10208 - 10221
  • [5] Clinical efficacy and safety of endoscopic retrograde appendicitis treatment for acute appendicitis: A systematic review and meta-analysis
    Xu, Zhigang
    Jin, Liang
    Wu, Wenjiang
    [J]. CLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY, 2023, 47 (10)
  • [6] Safety and Efficacy of Endoscopic Retrograde Appendicitis Therapy: A Systematic Review and Meta-Analysis
    Prabhu, Anand S.
    Sarraf, Paya
    Love, James
    Agrawal, Rohit
    Ghoulam, Elie
    Boulay, Brian
    Villa, Edward
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2023, 118 (10): : S949 - S949
  • [7] Endoscopic retrograde appendicitis therapy versus appendectomy or antibiotics in the modern approach to uncomplicated acute appendicitis: A systematic review and meta-analysis
    Pata, Francesco
    Nardo, Bruno
    Ielpo, Benedetto
    Di Martino, Marcello
    Murzi, Valentina
    Di Saverio, Salomone
    Yang, Baohong
    Ortenzi, Monica
    Pisanu, Adolfo
    Pellino, Gianluca
    Podda, Mauro
    [J]. SURGERY, 2023, 174 (06) : 1292 - 1301
  • [8] Endoscopic retrograde appendicitis therapy for management of acute appendicitis
    Wenjuan Ding
    Zhiqiang Du
    Xiangrong Zhou
    [J]. Surgical Endoscopy, 2022, 36 : 2480 - 2487
  • [9] Endoscopic retrograde appendicitis therapy for management of acute appendicitis
    Ding, Wenjuan
    Du, Zhiqiang
    Zhou, Xiangrong
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2022, 36 (04): : 2480 - 2487
  • [10] Antibiotic therapy for acute uncomplicated appendicitis: a systematic review and meta-analysis
    Daniela Prechal
    Fuad Damirov
    Maurizio Grilli
    Ulrich Ronellenfitsch
    [J]. International Journal of Colorectal Disease, 2019, 34 : 963 - 971