Appendicoscopy Using Single Operator Cholangioscope in The Management of Acute Obstructive Appendicitis: A Novel Alternative

Liying Tao; Hongguang Wang; Qingmei Guo; Sijie Guo; Xiang Guo; Shizhu Liu

doi:10.1016/j.gie.2024.04.010

Appendicoscopy Using Single Operator Cholangioscope in The Management of Acute Obstructive Appendicitis: A Novel Alternative

Gastrointest Endosc. 2024 Apr 7:S0016-5107(24)00227-X. doi: 10.1016/j.gie.2024.04.010. Online ahead of print.

Authors

Liying Tao¹, Hongguang Wang², Qingmei Guo¹, Sijie Guo¹, Xiang Guo¹, Shizhu Liu¹

Affiliations

¹ Digestive Endoscopy Center, Jilin People's Hospital, Jilin, China.
² Digestive Endoscopy Center, Jilin People's Hospital, Jilin, China. Electronic address: wanghongguang1817@163.com.

PMID: 38593933
DOI: 10.1016/j.gie.2024.04.010

Abstract

Background and aim: The aim of this study was to investigate the safety and efficacy of appendicoscopy using single-operator cholangioscopy (SOC) for the management of acute obstructive appendicitis.

Methods: We describe 110 cases of acute obstructive appendicitis managed by appendicoscopy between January 2021 and June 2023. The success rate (technical + clinical), procedure time, time to relief abdominal pain using visual analogue scale (VAS), postoperative length of hospital stay, and complications rates were recorded and analyzed.

Results: The technical success rate of appendicoscopy was 96.4%; the clinical success rate was 91.8%. The mean procedure time was 20.9±10 minutes (standard deviation [SD]). The abdominal pain score at 6 hours after the procedure was ≤3 (VAS method) in 99.1% of the patients. The average length of postoperative hospital stay was 3.5±1.5 days. No adverse events occurred.

Conclusion: Appendicoscopy appears to be a feasible and effective alternative therapy for the accurate diagnosis and treatment of acute obstructive appendicitis.

Keywords: Acute appendicitis; Appendicoscopy; Obstructive appendicitis; Single-operator cholangioscopy.