Implicaciones clínicas de la enfermedad diverticular del apéndice. Experiencia en los últimos 10 años

Marcacuzco, Alberto; Manrique, Alejandro; Pulido, Jorge Calvo; Loinaz, Carmelo; Alonso, Iago Justo; Caso, Óscar; Cambra, F.; Fakih, N.; Sanabria, R.; Jiménez-Romero, Luis Carlos

doi:10.1016/j.ciresp.2014.05.003

Cited by 11 publications

(7 citation statements)

References 19 publications

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“…Rare complications of DDA include intestinal obstruction, hemorrhage, and fistula formation [42, 43]. Some authors advocate prophylactic appendicectomy when DDA is incidentally diagnosed during an unrelated surgical procedure in order to reduce complications or subsequent development of appendiceal neoplasms [7]. We did not study the colonoscopy database for lower gastrointestinal bleeding patients and hence were unable to comment association of DDA with bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…In a retrospective Danish study including 4,413 appendix specimens from 2001–2010, Kallenbach et al [6] reported that 39 patients had DDA and 4 (10.3%) patients had colorectal neoplasm. In a Spanish study reporting on 7,044 appendicectomies, Marcacuzco et al [7] have shown a 46% association with perforation and 7.1% concomitant neoplasm incidence. They discuss the role of prophylactic appendicectomy in asymptomatic patients with an incidental diagnosis of DDA.…”

Section: Introductionmentioning

confidence: 99%

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Diverticular Disease of the Appendix Is Associated with Complicated Appendicitis

Chia

Chan

Shelat

2020

GE Port J Gastroenterol

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Introduction: Diverticular disease of the vermiform appendix (DDA) has an incidence of 0.004 to 2.1% in appendicectomy specimens. DDA is variably associated with perforation and malignancy. We report a single-center experience of DDA. The primary aim is to validate the association of DDA with complicated appendicitis or malignancy, and the secondary aim is to validate systemic inflammatory response syndrome (SIRS) criteria and quick Sepsis-related Organ Failure Assessment (qSOFA) scores. Methods: The histopathology reports of 2,305 appendicectomy specimens from January 2011 to December 2015 were reviewed. Acute appendicitis was found in 2,164 (93.9%) specimens. Histology of the remaining 141 (6.1%) patients revealed: normal appendix (n = 110), DDA (n = 22), endometriosis of appendix (n = 6), and an absent appendix (n = 3). Patient demographics, clinical profile, operative data, and perioperative outcomes of DDA patients are studied. Modified Alvarado score, Andersson score, SIRS criteria, and qSOFA scores were retrospectively calculated. Results: The incidence of DDA was 0.95%. Ten patients (45.5%) had diverticulitis. The mean age of DDA patients was 39.5 years (range 23–87), with male preponderance (n = 12, 54.5%). The median Modified Alvarado score was 8 (range 4–9), and the median Andersson score was 5 (range 2–8). Fourteen patients (63.6%) had SIRS, and none had a high qSOFA score. Eight patients (36.4%) had complicated appendicitis (perforation [n = 2] or abscess [n = 6]). Eleven (50%) patients underwent laparoscopic appendicectomy. There were three 30-day readmissions and no mortality. Conclusion: DDA is a distinct clinical pathology associated with complicated appendicitis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Diverticular Disease of the Appendix Is Associated with Complicated Appendicitis

Chia

Chan

Shelat

2020

GE Port J Gastroenterol

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“…Dupre et al reported 11 cases of neoplasia on a series of 23 patients with appendiceal diverticula (47.8% of total). Kallenback et al [20] demonstrated a similar association between appendiceal diverticula and neoplasms (43.6%; 17 cases on a series of 39 patients) while Marcacuzco et al had a lower incidence (7.1%; 3 cases on a series of 42 patients) [21]. It is recommended to execute an accurate evaluation of the appendiceal specimen when diverticula are evidenced in order to exclude possible concomitant neoplastic disease [18], [22], [23], [24].…”

Section: Discussionmentioning

confidence: 95%

Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature

Altieri

Piozzi

Salvatori

et al. 2017

International Journal of Surgery Case Reports

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“…Se ha propuesto que estos divertículos son originados por un aumento de presión en los puntos menos resistentes de la pared apendicular 10 y corresponden a menos del 1% de los casos. Los divertículos adquiridos pueden ser únicos o múltiples 11 , se localizan en el tercio distal del apéndice sobre el borde mesentérico y poseen un tamaño pequeño (2 mm-5 mm) 12 . Se han descrito algunos factores de riesgo para presentar divertículos apendiculares de forma adquirida: sexo masculino, edad mayor a 30 años, fibrosis quística y enfermedad de Hirschprung 1 .…”

Section: Embriología Y Fisiopatologíaunclassified

Manejo de la Diverticulitis Apendicular: una patología poco común

Silva

Duarte²,

Rojas

et al. 2023

Rev. Cirugia

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La diverticulitis apendicular es una enfermedad poco frecuente con una incidencia aproximada de 1%. Se define por la presencia de divertículos verdaderos o falsos en la pared del apéndice cecal.Durante la fase aguda posee una clínica indistinguible a la apendicitis, sin embargo en ocasiones presenta características clínicas particulares que la distinguen de la apendicitis aguda tales como la presencia de dolor abdominal insidioso o intermitente y/o ausencia de sintomatología gastrointestinal (náuseas, vómitos o anorexia).En la diverticulitis apendicular las técnicas imagenológicas son de utilidad limitada al otorgar información inespecífica, por lo que el diagnóstico tiende a realizarse mediante el estudio anatomopatológico del apéndice posterior a una intervención quirúrgica en paciente con cuadro clínico compatible con apendicitis aguda.El tratamiento de elección corresponde a la apendicectomía, lo que permite evitar complicaciones futuras como por ejemplo perforación apendicular, neoplasias, entre otros.

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Implicaciones clínicas de la enfermedad diverticular del apéndice. Experiencia en los últimos 10 años

Cited by 11 publications

References 19 publications

Diverticular Disease of the Appendix Is Associated with Complicated Appendicitis

Diverticular Disease of the Appendix Is Associated with Complicated Appendicitis

Appendiceal diverticulitis, a rare relevant pathology: Presentation of a case report and review of the literature

Manejo de la Diverticulitis Apendicular: una patología poco común

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