Colorectal screening following appendectomy in adult patients: a systematic review
10.3393/ac.2023.00528.0075
- Author:
Francesco ESPOSITO
1
;
Marco Del PRETE
;
Matilde MAGRI
;
Fanny DUFOUR
;
Alexandre CORTES
Author Information
1. Visceral and Digestive Surgery Unit, Grand Hôpital de l'Est Francilien, Meaux, France
- Publication Type:Review
- From:Annals of Coloproctology
2024;40(5):417-423
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:Although the association between appendicitis and colorectal cancer in older patients has received attention, postoperative colorectal screening through endoscopy is not currently recommended. This study conducted a systematic review of the literature on colorectal screening following appendectomy in adult patients.
Methods:A literature search was performed using online databases. Studies reporting colorectal surveillance after appendectomy in adult patients were retrieved for assessment.
Results:Eight articles including a total of 3,995 patients were published between 2013 and 2023. An age of 40 years was the lower threshold in 6 of the 8 articles. Postoperative colorectal screening occurred in 771 patients (19.3%). Endoscopy was performed in 95.2% of cases and computed tomography–colonography in 4.8%. During endoscopic examinations, a lesion was discovered in 184 of 771 patients (24.0%), and an adenomatous polyp was found in 154 of 686 patients (22.5%). The overall cancer rate was 3.9% (30 of 771 patients). The tumor was located in the right-sided colon in 46.7% of the patients, in the cecum in 20.0%, in the rectum in 16.7%, in the left-sided colon in 10.0%, and in the sigmoid colon in 6.7%.
Conclusion:Performing post-appendectomy colorectal screening in patients >40 years of age could allow early detection of an underlying lesion.
