Endoscopic retrograde appendicitis therapy changing outlook for Appendicitis treatment compared to Laparoscopy.
Endoscopic retrograde appendicitis therapy (ERAT) was found to be technically feasible and changed the treatment perspective of uncomplicated acute appendicitis when compared to laparoscopic surgery as per a study published in the journal, "Endoscopy."
ERAT is a novel and minimally invasive technique for the treatment of acute appendicitis. So, researchers from China conducted a study to assess the efficacy and clinical outcomes of ERAT versus laparoscopic appendectomy for patients with uncomplicated acute appendicitis. The study was carried out between April 2017 and March 2020. Using propensity score matching, out of 2880 suspected acute appendicitis patients, 422 patients with uncomplicated acute appendicitis who met the matching criteria were included with 79 in ERAT and 343 in Laparoscopic appendectomy thus yielding 78 pairs of patients.
Results:
- ERAT had a 92.1% of curative treatment rate within 1 year.
- 94.7% of patients recorded a visual analog scale of ≤ 3 for pain at 6 hours after treatment in the ERAT group which was significantly higher than that in the laparoscopic appendectomy group.
- Median procedure time and median hospital length of stay were significantly lower in the ERAT group compared with the laparoscopic appendectomy group.
- The median recurrence time was 50 days in the ERAT group at 1 year.
- The overall adverse event rate was 18.4 % in the ERAT group and 24.4 % in the laparoscopic appendectomy group.
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