Risk of Appendiceal Neoplasm in Periappendicular Abscess in Patients Treated With Interval Appendectomy vs Follow-up With Magnetic Resonance Imaging | Zendy

Jari Mällinen | Zendy; Tero Rautio | Zendy; Juha Grönroos | Zendy; Tuomo Rantanen | Zendy; Pia Nordström | Zendy; Heini Savolainen | Zendy; Pasi Ohtonen | Zendy; Saija Hurme | Zendy; Paulina Salminen | Zendy

Open Access

Risk of Appendiceal Neoplasm in Periappendicular Abscess in Patients Treated With Interval Appendectomy vs Follow-up With Magnetic Resonance Imaging

Author(s) -

Jari Mällinen,

Tero Rautio,

Juha Grönroos,

Tuomo Rantanen,

Pia Nordström,

Heini Savolainen,

Pasi Ohtonen,

Saija Hurme,

Paulina Salminen

Publication year - 2018

Publication title -

jama surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.757

H-Index - 176

eISSN - 2168-6262

pISSN - 2168-6254

DOI - 10.1001/jamasurg.2018.4373

Subject(s) - medicine , interquartile range , abscess , magnetic resonance imaging , randomized controlled trial , confidence interval , surgery , clinical endpoint , appendicitis , radiology

The step after conservative treatment of periappendicular abscess arouses controversy, ranging from recommendations to abandon interval appendectomy based on low recurrence rates of the precipitating diagnosis to performing routine interval appendectomy owing to novel findings of increased neoplasm risk at interval appendectomy. To our knowledge, there are no randomized clinical trials with sufficient patient numbers comparing these treatments.

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