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Endoscopic treatment for acute appendicitis with coexistent acute pancreatitis: Two case reports.
Du, Zhi-Qiang; Ding, Wen-Juan; Wang, Fei; Zhou, Xiang-Rong; Chen, Tian-Ming.
Afiliação
  • Du ZQ; Department of Gastroenterology, Jianyang People's Hospital of Sichuan Province, Jianyang 641400, Sichuan Province, China.
  • Ding WJ; Department of Gastroenterology, Jianyang People's Hospital of Sichuan Province, Jianyang 641400, Sichuan Province, China. 1139045213@qq.com.
  • Wang F; Department of Gastroenterology, Jianyang People's Hospital of Sichuan Province, Jianyang 641400, Sichuan Province, China.
  • Zhou XR; Department of Gastroenterology, Jianyang People's Hospital of Sichuan Province, Jianyang 641400, Sichuan Province, China.
  • Chen TM; Department of Gastroenterology, Jianyang People's Hospital of Sichuan Province, Jianyang 641400, Sichuan Province, China.
World J Clin Cases ; 9(1): 245-251, 2021 Jan 06.
Article em En | MEDLINE | ID: mdl-33511192
BACKGROUND: Appendectomy is the procedure of choice for the treatment of acute appendicitis. However, surgery may not be appropriate for patients with coexisting severe illness or comorbidities such as acute pancreatitis (AP). Endoscopic retrograde appendicitis treatment (ERAT) may be a novel alternative to surgery for treating such patients where existing medical therapies have failed. CASE SUMMARY: We report 2 cases of moderately severe AP who developed acute uncomplicated appendicitis during their hospital stay and did not respond to traditional medical therapy. One patient had moderately severe AP due to hyperlipidemia, while the other patient had a gallstone induced by moderately severe AP. Neither patient was fit to undergo an appendectomy procedure because of the concurrent AP. Therefore, the alternative and minimally invasive ERAT was considered. After written informed consent was collected from the patients, the ERAT procedure was performed. Both patients exhibited fast postoperative recovery after ERAT with minimal surgical trauma. CONCLUSION: ERAT is a safe and effective minimally invasive endoscopic procedure for acute appendicitis in patients with coexistent AP.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: World J Clin Cases Ano de publicação: 2021 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: World J Clin Cases Ano de publicação: 2021 Tipo de documento: Article País de afiliação: China