{"id":6076,"date":"2020-07-02T16:47:10","date_gmt":"2020-07-02T15:47:10","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=6076"},"modified":"2020-08-19T09:11:01","modified_gmt":"2020-08-19T08:11:01","slug":"is-it-necessary-to-do-colonoscopy-after-appendicectomy-in-patients-over-the-age-of-50-years-2019","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2020\/07\/02\/is-it-necessary-to-do-colonoscopy-after-appendicectomy-in-patients-over-the-age-of-50-years-2019\/","title":{"rendered":"Is it Necessary to do Colonoscopy after Appendicectomy in Patients Over the Age of 50 Years? (2019)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Chakrabarty A.; *Vardhrajan V.; *<a href=\"https:\/\/orcid.org\/0000-0003-2302-7014\">Cheetham M<\/a> <a href=\"https:\/\/orcid.org\/0000-0003-2302-7014\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6147 size-full\" src=\"https:\/\/www.library.sath.nhs.uk\/research\/files\/2020\/07\/orcid_16x16.gif\" alt=\"\" width=\"16\" height=\"16\" \/><\/a><\/p>\n<p><strong>Citation:<\/strong><br \/>\nBritish Journal of Surgery; Sep 2019; vol. 106 S5; p. 70<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nAim: In the United Kingdom 1 in 13 people are affected by appendicitis. The commonest age group is between<br \/>\n10 to 20 years. Appendicitis is relatively uncommon in adults over 50 years. There is a belief that appendicitis<br \/>\nmay be precipitated or mimicked by colorectal cancer and hence some surgeons recommend that patients over the age of 50 should undergo a post-operative colonoscopy.<br \/>\nMethod(s): We identified patients over the age of 50 years who had appendicectomies in our hospital between<br \/>\n2013 and 2017 usingHES data. Detailed data was collected for all the patients from radiology and endoscopy<br \/>\ndata bases. We calculated the cost of post-operative colonoscopy to the health system using PBR tariff.<br \/>\nResult(s): 396 patients aged over 50 underwent emergency appendicectomy during the study period. Of these<br \/>\n284 (72%) had had pre-operative C T scans. 88 (22%) out of the 396 patients underwent a colonoscopy within 3 months of their appendicectomy. Of these 88 patients, 62 had pre-operative CT scans. No cancers were found on post-operative colonoscopy. The cost of performing post-operative colonoscopy in this cohort was 35, 464.<br \/>\nConclusion(s): In an era of liberal preoperative CT scanning for patients over 50 with right iliac fossa pain, it is<br \/>\nnot necessary to perform a colonoscopy after appendicectomy. We recommend that for patients who have a<br \/>\npreoperative CT scan, a post-operative colonoscopy is only needed if there are specific imaging abnormalities.<\/p>\n<p><a href=\"https:\/\/bjssjournals.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/bjs.11341\" target=\"_blank\" rel=\"noopener noreferrer\">Link to full-text<\/a> [NHS OpenAthens account required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Chakrabarty A.; *Vardhrajan V.; *Cheetham M Citation: British Journal of Surgery; Sep 2019; vol. 106 S5; p. 70 Abstract: Aim: In the United Kingdom 1 in 13 people are affected by appendicitis. The commonest<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2020\/07\/02\/is-it-necessary-to-do-colonoscopy-after-appendicectomy-in-patients-over-the-age-of-50-years-2019\/\">Read more <span class=\"screen-reader-text\">Is it Necessary to do Colonoscopy after Appendicectomy in Patients Over the Age of 50 Years? (2019)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[832,493],"class_list":["post-6076","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-832","tag-appendicectomies"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6076","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=6076"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6076\/revisions"}],"predecessor-version":[{"id":6183,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6076\/revisions\/6183"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=6076"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=6076"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=6076"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}