Is appendoscope a new option for the treatment of acute appendicitis?  

作　　者：Shu-Jiong Feng Yi-Feng Zhou Jian-Feng Yang Hong-Zhang Shen Guang-Xing Cui Xiao-Feng Zhang 

机构地区：[1]Department of Gastroenterology,Affiliated Hangzhou First People’s Hospital,School of Medicine,Westlake University,Hangzhou 310000,Zhejiang Province,China [2]Department of Gastroenterology,Key Laboratory of Integrated Traditional Chinese and Western Medicine for Biliary and Pancreatic Diseases of Zhejiang Province,Hangzhou 310000,Zhejiang Province,China [3]Department of Gastroenterology,Hangzhou Institute of Digestive Diseases,Hangzhou 310000,Zhejiang Province,China

出　　处：《World Journal of Gastroenterology》2024年第28期3386-3392,共7页世界胃肠病学杂志（英文版）

基　　金：Supported by the Construction Fund of Key Medical Disciplines of Hangzhou,No.0020200026;Key R&D Program of Zhejiang Province,No.2023C03054.

摘　　要：Acute appendicitis is a common surgical emergency.It is commonly caused by obstruction of the appendiceal lumen due to fecaliths,tumors,or lymphoid hyperplasia.For over a century,appendectomy has been the primary treatment for acute appendicitis.Abraham Groves performed the first open appendectomy in 1883.In 1983,Kurt Semm completed the first laparoscopic appendectomy,heralding a new era in appendectomy.However,appendectomy is associated with certain complications and a rate of negative appendectomies.Studies have suggested controversy over the impact of appendectomy on the development of inflammatory bowel disease and Parkinson’s disease,but an increasing number of studies indicate a possible positive correlation between appendectomy and colorectal cancer,gallstones,and cardiovascular disease.With the recognition that the appendix is not a vestigial organ and the advancement of endoscopic technology,Liu proposed the endoscopic retrograde appendicitis therapy.It is an effective minimally invasive alternative for treating uncomplicated acute appendicitis.Our team has developed an appendoscope with a disposable digital imaging system operated through the biopsy channel of a colonoscope and successfully applied it in the treatment of appendicitis.This article provides an overview of the progress in endoscopic treatment for acute appendicitis and offers a new perspective on the future direction of appendiceal disease treatment.

关 键 词：Acute appendicitis Endoscopic technology Endoscopic retrograde appendicitis therapy Appendoscope Appendiceal disease treatment 

分 类 号：R574.61[医药卫生—消化系统]