Application of ultrasound-guided endoscopic retrograde appendicitis therapy in children with appendix-related chronic abdominal pain

KANG Jian-Qin; ZHANG Wei; ZHANG Ya-Long; LI Yu-Pin; LIN Yan; XIE Xiao-Min; WEI Sha-Sha; ZENG Ling-Chao; WANG Bao-Xi; JIANG Xun

doi:10.7499/j.issn.1008-8830.2112006

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Chinese Journal of Contemporary Pediatrics ›› 2022, Vol. 24 ›› Issue (4) : 360-365. DOI: 10.7499/j.issn.1008-8830.2112006

TOPIC OF DIGESTIVE SYSTEM DISEASES

Application of ultrasound-guided endoscopic retrograde appendicitis therapy in children with appendix-related chronic abdominal pain

KANG Jian-Qin, ZHANG Wei, ZHANG Ya-Long, LI Yu-Pin, LIN Yan, XIE Xiao-Min, WEI Sha-Sha, ZENG Ling-Chao, WANG Bao-Xi, JIANG Xun

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Abstract

Objective To study the clinical efficacy of ultrasound-guided endoscopic retrograde appendicitis therapy in children with appendix-related chronic abdominal pain. Methods A retrospective analysis was performed on the medical data of 30 children with the chief complaint of chronic abdominal pain who were admitted from August 2019 to May 2021. All the children were found to have inflammation of the appendix or intracavitary stool and fecalith by ultrasound and underwent ultrasound-guided endoscopic retrograde appendicitis therapy. The medical data for analysis included clinical manifestations, endoscopic findings, white blood cell count, neutrophil percentage, length of hospital stay, and cure rate. Results Among the 30 children with chronic abdominal pain, there were 13 boys (43%) and 17 girls (57%), with a mean age of (9±3) years (range 3-15 years) at diagnosis. The median duration of the disease was 12 months, and the median length of hospital stay was 3 days. The children had a median white blood cell count of 6.7×10⁹/L and a neutrophil percentage of 50%±13%. Fecalith and a large amount of feces were flushed out of the appendix cavity for 21 children (70%) during surgery. The follow-up rate was 97% (29/30), and the median follow-up time was 11 months (range 5-26 months). Of the 29 children, abdominal pain completely disappeared in 27 children (93%). Conclusions Ultrasound-guided endoscopic retrograde appendicitis therapy is effective in children with chronic abdominal pain caused by feces or fecalith in the appendix cavity.

Key words

Chronic abdominal pain / Endoscopic retrograde appendicitis therapy / Appendiceal fecalith / Child

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KANG Jian-Qin, ZHANG Wei, ZHANG Ya-Long, LI Yu-Pin, LIN Yan, XIE Xiao-Min, WEI Sha-Sha, ZENG Ling-Chao, WANG Bao-Xi, JIANG Xun. Application of ultrasound-guided endoscopic retrograde appendicitis therapy in children with appendix-related chronic abdominal pain[J]. Chinese Journal of Contemporary Pediatrics. 2022, 24(4): 360-365 https://doi.org/10.7499/j.issn.1008-8830.2112006

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