Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?
Yıl: 2018 Cilt: 25 Sayı: 3 Sayfa Aralığı: 390 - 393 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2018.03.043 İndeks Tarihi: 27-03-2019
Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?
Öz: Aim: Acute appendicitis is the most frequent reason for the stomachaches resulting in the surgery. The acute appendicitis perforation might create complications that are of vital importance. In this study, it is aimed to examine the relationship of appendix length/ diameter ratio with acute appendicitis perforation.Material and Methods: Using the pathology results of appendectomy materials of 144 patients that applied to emergency service between March 2013 and May 2014 and were operated due to the suspicion of acute appendicitis, the length/diameter ratios were calculated. The patients were divided into 2 groups as perforated appendicitis and non-perforated appendicitis. The number of patients and the length/diameter ratios were calculated and recorded for both groups. Pearson’s Chi-Square test was used for statistical analysis.Results: In pathological examination of 144 patients involved in this study, non-complicated acute appendicitis was diagnosed in 123 (85.4%) patients, while 21(14.6%) patients were found to have perforation. In present study, the results indicating that the length/ diameter ratio might be used as early indicator for the perforation were achieved. When the appendix length/diameter ratio declined below 10, then the perforation frequency significantly increased (p<0.01).Conclusion: Knowing these rate can help the surgeon in early surgical intervention, so the possible complications of perforated appendicitis might be decreased via early surgical intervention.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Tamburrini S, Brunetti A, Brown M, Sirlin CB, Casola G. CT appearance of the normal appendix in adults. EurRadiol 2005;15(10):2096–103.
- Arnbjörnsson E, Bengmark S. Role of obstruction in the pathogenesis of acute appendicitis. Am J Surg 1984;147(3):390-2.
- Coşkun T, Kaya Y. Akut Apandisit. In: Sayek İ eds. Sayek Temel Cerrahi. 5th edition. Ankara: Güneş Tıp Kitabevi; 2013. p. 1342-3
- Sezer TO, Gulece B, Zalluhoglu N, Gorgun M, Dogan S. Diagnostic value of ultrasonography in appendicitis. AdvClinExpMed 2012;21(5):633-6.
- Nshuti R, KrugerD, Luvhengo TE. Clinical presentation of acute appendicitis in adults at the Chris Hani Baragwanath academic hospital. Int J Emerg Med 2014;7(1):12.
- Fingerhut A, Yahchouchy-Chouillard E, Etrenne JC. Ghiles E. Appendicitis or nonspesific pain in the right iliac fossa. RevProt 2001;51(15):1654-6.
- Colson M, Skinner KA, Dunnignton G. High negative appendectomy rates are no longer acceptable. Am J Surg 1997;174(6):723-6.
- Özsoy Z, Yenidoğan E. Evaluation of the Alvarado scoring system in the management of acute appendicitis. Turk J Surg 2017;33(3):200-4.
- Ekici U, Kanlıöz M. Comparison of efficiency of Alvarado score and ultrasonography in acute appendicitis diagnosis. Cukurova Medical Journal 2017;42(2):351-6
- Naderan M, Babaki AES, Shoar S, Mahmoodzadeh H, Nasiri S, Khorgami Z. Risk factors for the development of complicated appendicitis in adults. Turk J Surg 2016;32(1):37-42.
- Vaughan-Shaw PG, Rees JR, Bell E, Hamdan M, Platt T. Normal inflammatory markers in appendicitis: evidence from two independent cohort studies. JRSM Short Rep 2011;2(5):43.
- Primatesta P, Goldacre MJ. Appendicectomy for acute appendicitis and for other conditions: an epidemiological study. Int J Epidemiol 1994;23(1):155-60.
- Willekns I, Peeters E, Maesener MD, de Mey J. The normal appendix on CT: does size matter? PLoS One 2014;9(5):e96476
- Jaffe BM, Berger DH. The Appendix.In: Schwartz SI, Brunicardi CF eds. Schwartz Principles of Surgery.4th edition. New York: McGraw-Hill Health Pub. Division; 2005. p. 1325-46.
APA | EKİCİ U, Tatli F, Kanlioz M (2018). Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?. , 390 - 393. 10.5455/annalsmedres.2018.03.043 |
Chicago | EKİCİ Uğur,Tatli Faik,Kanlioz Murat Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?. (2018): 390 - 393. 10.5455/annalsmedres.2018.03.043 |
MLA | EKİCİ Uğur,Tatli Faik,Kanlioz Murat Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?. , 2018, ss.390 - 393. 10.5455/annalsmedres.2018.03.043 |
AMA | EKİCİ U,Tatli F,Kanlioz M Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?. . 2018; 390 - 393. 10.5455/annalsmedres.2018.03.043 |
Vancouver | EKİCİ U,Tatli F,Kanlioz M Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?. . 2018; 390 - 393. 10.5455/annalsmedres.2018.03.043 |
IEEE | EKİCİ U,Tatli F,Kanlioz M "Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?." , ss.390 - 393, 2018. 10.5455/annalsmedres.2018.03.043 |
ISNAD | EKİCİ, Uğur vd. "Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?". (2018), 390-393. https://doi.org/10.5455/annalsmedres.2018.03.043 |
APA | EKİCİ U, Tatli F, Kanlioz M (2018). Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?. Annals of Medical Research, 25(3), 390 - 393. 10.5455/annalsmedres.2018.03.043 |
Chicago | EKİCİ Uğur,Tatli Faik,Kanlioz Murat Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?. Annals of Medical Research 25, no.3 (2018): 390 - 393. 10.5455/annalsmedres.2018.03.043 |
MLA | EKİCİ Uğur,Tatli Faik,Kanlioz Murat Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?. Annals of Medical Research, vol.25, no.3, 2018, ss.390 - 393. 10.5455/annalsmedres.2018.03.043 |
AMA | EKİCİ U,Tatli F,Kanlioz M Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?. Annals of Medical Research. 2018; 25(3): 390 - 393. 10.5455/annalsmedres.2018.03.043 |
Vancouver | EKİCİ U,Tatli F,Kanlioz M Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?. Annals of Medical Research. 2018; 25(3): 390 - 393. 10.5455/annalsmedres.2018.03.043 |
IEEE | EKİCİ U,Tatli F,Kanlioz M "Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?." Annals of Medical Research, 25, ss.390 - 393, 2018. 10.5455/annalsmedres.2018.03.043 |
ISNAD | EKİCİ, Uğur vd. "Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?". Annals of Medical Research 25/3 (2018), 390-393. https://doi.org/10.5455/annalsmedres.2018.03.043 |