The clinical value of colonoscopy combined with mother-baby endoscopy in the diagnosis and treatment of 156 cases of simple appendicitis (with video)
10.3760/cma.j.cn311367-20240312-00095
- VernacularTitle:应用结肠镜联合子母镜诊治156例单纯性阑尾炎的临床价值分析(含视频)
- Author:
Qingmei GUO
1
;
Hongguang WANG
1
;
Liying TAO
1
;
Shouxiang YANG
1
;
Xiangjun NIU
1
;
Jiwei ZHANG
1
;
Chong PANG
1
;
Wenyan WANG
1
;
Sijie GUO
1
;
Jing LIU
1
Author Information
1. 吉林市人民医院消化内镜中心，吉林 132001
- Publication Type:Journal Article
- Keywords:
Simple appendicitis;
Mother-baby endoscope;
Colonoscopes;
Treatment
- From:
Chinese Journal of Digestion
2024;44(8):540-543
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical value of colonoscopy combined with mother-baby endoscopy in the diagnosis and treatment of simple appendicitis, and to summarize the technical points of non-guidewire-assisted appendiceal intubation.Methods:From January to October in 2023, the clinical data of 156 patients with simple appendicitis treated by colonoscopy combined with mother-baby endoscopy at Jilin People′s Hospital were retrospectively collected. The technical success rate, clinical success rate and the occurrence of adverse events of colonoscopy combined with mother-baby endoscopy were analyzed. Descriptive method was used for statistical analysis.Results:Among the 156 patients, 149 cases (95.5%) were treated with non-guidewire-assisted catheterization and 7 cases (4.5%) with guidewire-assisted catheterization. Under the 'baby’ endoscope, 126 cases (80.8%) showed congestion and edema in appendiceal cavity, 83 cases (53.2%) with fecal stones, 31 cases (19.9%) with purulent attachment, 3 cases (1.9%) with stenosis, and 1 case (0.6%) with appendiceal haemorrhage. All the 156 patients successfully completed the treatment of appendicitis with colonoscopy combined with mother-baby endoscopy, with a technical success rate of 98.7% (154/156) and a clinical success rate of 99.4% (155/156). There was no case changed to surgical treatment during the procedure, and 1 patient had an additional surgical procedure due to severe appendicitis and no obvious relief of abdominal pain. No complications (bleeding or perforation) occurred. The length of hospital stay was (3.77±1.89) d.Conclusion:Colonoscopy combined with mother-baby endoscopy is safe and feasible in the treatment of simple appendicitis.
