The clinical value of colonoscopy combined with mother-baby endoscopy in the diagnosis and treatment of 156 cases of simple appendicitis(with video)
Objective To investigate the clinical value of colonoscopy combined with mother-baby endoscopy in the diagnosis and treatment of simple appendicitis,and to summarize the technical points of non-guidewire-assisted appendiceal intubation.Methods From January to October in 2023,the clinical data of 156 patients with simple appendicitis treated by colonoscopy combined with mother-baby endoscopy at Jilin People's Hospital were retrospectively collected.The technical success rate,clinical success rate and the occurrence of adverse events of colonoscopy combined with mother-baby endoscopy were analyzed.Descriptive method was used for statistical analysis.Results Among the 156 patients,149 cases(95.5％)were treated with non-guidewire-assisted catheterization and 7 cases(4.5％)with guidewire-assisted catheterization.Under the'baby'endoscope,126 cases(80.8％)showed congestion and edema in appendiceal cavity,83 cases(53.2％)with fecal stones,31 cases(19.9％)with purulent attachment,3 cases(1.9％)with stenosis,and 1 case(0.6％)with appendiceal haemorrhage.All the 156 patients successfully completed the treatment of appendicitis with colonoscopy combined with mother-baby endoscopy,with a technical success rate of 98.7％(154/156)and a clinical success rate of 99.4％(155/156).There was no case changed to surgical treatment during the procedure,and 1 patient had an additional surgical procedure due to severe appendicitis and no obvious relief of abdominal pain.No complications(bleeding or perforation)occurred.The length of hospital stay was(3.77±1.89)d.Conclusion Colonoscopy combined with mother-baby endoscopy is safe and feasible in the treatment of simple appendicitis.
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