2016
DOI: 10.17235/reed.2016.4176/2015
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Meta-analysis of the association between appendiceal orifice inflammation and appendectomy and ulcerative colitis

Abstract: Objective: This study aimed to investigate the relationship between appendiceal orifice inflammation (AOI) and appendectomy and ulcerative colitis (UC) by a meta-analysis.Methods: Databases were thoroughly searched for studies on AOI and UC up to January 2016. Three comparisons were performed: a) whether the previous appendectomy was a risk factor of UC; b) influence of appendectomy on UC courses; c) influence of AOI on UC severity. Odds ratios (ORs) and 95% confidence intervals (CIs) were the effects sizes. T… Show more

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Cited by 20 publications
(17 citation statements)
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“…We identified 20 risk and 14 protective factors for CD, as well as 16 risk and 14 protective factors for UC. As shown in Tables 1 and 2 and Figures 2 and 3, factors (6 risk and 5 protective factors for CD, 3 risk and 5 protective factors for UC) that had common effects on both the populations were mostly in accordance with previous results 2,30‐35 . Furthermore, there were several factors associated with CD or UC either for Western or Eastern populations only, not for the whole population, suggesting that geographical and ethnic variations may have influenced IBD development.…”
Section: Discussionsupporting
confidence: 88%
“…We identified 20 risk and 14 protective factors for CD, as well as 16 risk and 14 protective factors for UC. As shown in Tables 1 and 2 and Figures 2 and 3, factors (6 risk and 5 protective factors for CD, 3 risk and 5 protective factors for UC) that had common effects on both the populations were mostly in accordance with previous results 2,30‐35 . Furthermore, there were several factors associated with CD or UC either for Western or Eastern populations only, not for the whole population, suggesting that geographical and ethnic variations may have influenced IBD development.…”
Section: Discussionsupporting
confidence: 88%
“…b) Figure 3. The impact of appendectomy on the rate of Ulcerative colitis In the present review, appendectomy was lower among patients with ulcerative colitis in agreement with a previous study that included nineteen studies assessing both the risk of developing ulcerative colitis and the time course of the disease in addition to appendiceal orifice inflammation (Deng & Wu, 2016). The current analysis assessed both ulcerative colitis and Crohn's disease.…”
Section: Resultssupporting
confidence: 88%
“…31 Conversely, a strong protective effect was found toward UC (OR, 0.39; 95% CI, 0.29-0.52) ( Figure 2 and Supplementary Tables 1 and 2). [32][33][34] Individuals with a first-degree relative diagnosed with appendicitis are at reduced risk of UC, particularly when there is a family predisposition to UC. 87 Tonsillectomy.…”
Section: Surgeriesmentioning
confidence: 99%