Evidence map›Paper›PMID 34707395›Full record

ArticleInternational journal of general medicine2021

Endoscopic Retrograde Appendicography: An Alternative Diagnostic Method for Acute Appendicitis.

Zhenzhen Liu, Xiao Ma, Saif Ullah, Jitao Song, Lingjian Kong, Deliang Li, Chao Pan, Bingrong Liu

Open access · goldAbstract read
In one paragraph

Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Observational
  3. Colonoscopy in the diagnosis and management of appendiceal disease.World journal of gastrointestinal endoscopy · 2024
    Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Zhenzhen LiuDepartment of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.ORCID 0000-0001-6674-5396
Xiao MaDepartment of Gastroenterology, The Second Affiliated Hospital of Harbin Medical University, Harbin, People's Republic of China.
Saif UllahDepartment of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.ORCID 0000-0003-0064-8942
Jitao SongDepartment of Gastroenterology, The Second Affiliated Hospital of Harbin Medical University, Harbin, People's Republic of China.
Lingjian KongDepartment of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.
Deliang LiDepartment of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.
Chao PanDepartment of Gastroenterology, The Second Affiliated Hospital of Harbin Medical University, Harbin, People's Republic of China.
Bingrong LiuDepartment of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.ORCID 0000-0001-6101-8675
First Affiliated Hospital of Zhengzhou University · CNHarbin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the role of endoscopic retrograde appendicography for the diagnosis of acute appendicitis. PATIENTS AND

methodsWe retrospectively analyzed 33 patients (20 men and 13 women, average age 44±18 years) with suspected acute appendicitis between December 2016 and November 2018. Endoscopic direct-vision imaging or fluoroscopic endoscopic retrograde appendicography was performed to separate suspected acute appendicitis from actual acute appendicitis. The success rate, complications, and recurrence rate were recorded.

resultsAcute appendicitis was ruled out by normal endoscopic retrograde appendicography in 8 (24%) and confirmed in 23 patients (70%). In 2 patients (6%), appendiceal orifice cannulation failed. Colonoscopic findings in acute appendicitis were mucosal hyperemia and edema of appendiceal orifice (83%), outpouring of pus from the appendiceal orifice (74%), and swollen cecal mucosa (61%). Appendicograpic findings were either normal or in acute disease showed diffuse luminal dilation (diameter: 0.8±0.4 mm), partial stenosis (43%), stiffness or inflexibility (87%) and filling defects (22%). There were no complications during or after follow-up for a median of 13 months (IQR: 9-24 months).

conclusionEndoscopic retrograde appendicography appears to be a reliable and safe method to confirm or exclude the diagnosis of acute appendicitis and prevent unnecessary appendectomy.

Indexed as

acute appendicitisappendicographydiagnosisendoscopic retrograde appendicography

Identifiers

PMID34707395
PMCPMC8544128
OpenAlexW3207268700

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.