ArticlePediatric surgery international2010
Increased incidence of negative appendectomy in childhood obesity.
Article in Pediatric surgery international, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 29 citations in OpenAlex.
- Neighborhood child opportunity and its association with complicated inguinal hernia in children: an analysis of a national insurance claims-based database.Pediatric surgery international · 2025Article
- The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review.Journal of clinical medicine · 2023Review
- Chronological Changes in Appendiceal Pathology Among Patients Who Underwent Appendectomy for Suspected Acute Appendicitis.World journal of surgery · 2020Article
- Should all paediatric appendicectomies be performed in a specialist or high-volume setting?Irish journal of medical science · 2020Article
- The influence of underweight and obesity on the diagnosis and treatment of appendicitis in children.International journal of colorectal disease · 2016Article
- Appendicitis in obese children.Pediatric surgery international · 2013Review
- Histological characterization of appendectomy specimens with intraoperative appearance of vascular injection.Surgical endoscopy · 2013Article
- Tubercular tubo-ovarian cystic mass mimicking acute appendicitis: a case report.Journal of medical case reports · 2011Article
- Morphologic criteria of vermiform appendix on computed tomography and a possible risk of developing acute appendicitis.Radiologia brasileiraArticle
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years, there has been worldwide increase in childhood obesity. The diagnosis of acute appendicitis in very obese children can sometimes be difficult and challenging. The purpose of this study was to determine the incidence of histologically normal appendix in very obese and non-obese children undergoing emergency appendectomy for the clinical diagnosis of acute appendicitis.
methodsThe hospital records of 1,228 consecutive patients, who underwent appendectomy for acute appendicitis between 2000 and 2008, were analyzed. 207 children (16.9%) were very obese. Very obese was defined as greater than 2 standard deviations above the standardized mean weight for age. Histological data was compared between very obese and non-obese children. Seventy-seven (37%) of 207 very obese and 398 (39%) of 1,021 non-obese children had ultrasound preoperatively.
resultsThe incidence of normal appendectomy was significantly higher in very obese children compared to non-obese children (24.6 vs. 9.9%, P < 0.001). The false positive rate of ultrasound was significantly higher in very obese children group compared to non-obese (26 vs. 6%, P < 0.05). The specificity, sensitivity, positive and negative predictive values of ultrasound were significantly lower (P < 0.05) in very obese children group compared to non-obese children.
conclusionSuspected appendicitis in childhood obesity is associated with increased incidence of normal appendectomy. Active observation in hospital in very obese children may reduce the rate of normal appendectomy without increasing the incidence of complicated appendicitis.
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