Medical Research Institute, University Of Alexandria, Alexandria, Egypt.
Department of Colorectal Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Int J Colorectal Dis. 2019 Apr;34(4):711-718. doi: 10.1007/s00384-019-03251-z. Epub 2019 Jan 30.
Data on the management of appendix orifice lesions are limited. We present our experience on the management of appendix orifice lesions focusing on the range of size, histology, treatment, and outcomes for polyps at the appendix orifice.
Retrospective descriptive study at a tertiary referral center.
Those having appendix orifice lesion removed and sent for histology between 2000 and 2017.
INTERVENTIONS(S): Polypectomy, surgery.
Polyp size, shape, histology, treatment.
In total, 691 patients matched our inclusion criteria. Screening was the most common indication for colonoscopy (49.1%). Mean size was 10.1 mm. The most common excision method was cold biopsy forceps (36.3%), followed by hot snare (9.3%), cold snare (8.5%), jumbo cold forceps (6.7%), hot biopsy (6.8%), and endoscopic mucosal resection (EMR)/endoscopic submucosal dissection (ESD) (4%). Recurrence was seen in 19/184 (10.3%) patients. Index polyps ≥ 10 mm had a significantly higher risk of recurrence compared to those ≤ 5 mm (odds ratio 3.2 95% CI 1.1-9.2, p = 0.027). None of the patients had complications. Surgery was performed in 45/691 (6.5%). Polyps > 5 mm (41/45) were more likely to require surgery than polyps ≤ 5 mm (4/45 6.67%), p < 0.001.
Retrospective study.
Appendix orifice polyps can usually be managed by conventional endoscopic polypectomy methods without the need for ESD.
关于阑尾口病变处理的数据有限。我们介绍了我们在阑尾口病变处理方面的经验，重点介绍了阑尾口息肉的大小、组织学、治疗和结果范围。
在一家三级转诊中心进行回顾性描述性研究。
在 2000 年至 2017 年间，有阑尾口病变切除并进行组织学检查的患者。
息肉切除术，手术。
息肉大小、形状、组织学、治疗。
共有 691 名患者符合我们的纳入标准。筛查是结肠镜检查最常见的适应证（49.1%）。平均大小为 10.1mm。最常见的切除方法是冷活检钳（36.3%），其次是热圈套器（9.3%）、冷圈套器（8.5%）、巨冷钳（6.7%）、热活检（6.8%）和内镜黏膜切除术（EMR）/内镜黏膜下剥离术（ESD）（4%）。184 名患者中有 19 名（10.3%）复发。指数息肉≥10mm 与≤5mm 的患者相比，复发风险显著更高（比值比 3.2，95%可信区间 1.1-9.2，p=0.027）。无并发症发生。691 名患者中有 45 名（6.5%）接受了手术。>5mm 的息肉（41/45）比≤5mm 的息肉（4/45，6.67%）更有可能需要手术（p<0.001）。
回顾性研究。
阑尾口息肉通常可以通过传统的内镜息肉切除术方法进行治疗，而无需 ESD。
