Increased incidence of negative appendectomy in childhood obesity.

Pediatric Surgery International
Balazs KutasyPrem Puri

Abstract

In recent years, there has been worldwide increase in childhood obesity. The diagnosis of acute appendicitis in very obese children can sometimes be difficult and challenging. The purpose of this study was to determine the incidence of histologically normal appendix in very obese and non-obese children undergoing emergency appendectomy for the clinical diagnosis of acute appendicitis. The hospital records of 1,228 consecutive patients, who underwent appendectomy for acute appendicitis between 2000 and 2008, were analyzed. 207 children (16.9%) were very obese. Very obese was defined as greater than 2 standard deviations above the standardized mean weight for age. Histological data was compared between very obese and non-obese children. Seventy-seven (37%) of 207 very obese and 398 (39%) of 1,021 non-obese children had ultrasound preoperatively. The incidence of normal appendectomy was significantly higher in very obese children compared to non-obese children (24.6 vs. 9.9%, P < 0.001). The false positive rate of ultrasound was significantly higher in very obese children group compared to non-obese (26 vs. 6%, P < 0.05). The specificity, sensitivity, positive and negative predictive values of ultrasound were significantly lower (...Continue Reading

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Citations

Mar 12, 2013·Pediatric Surgery International·Balazs Kutasy, Prem Puri
Apr 7, 2011·Current Opinion in Pediatrics·Kara E Hennelly, Richard Bachur
Mar 27, 2013·Pediatric Emergency Care·Andrea EsteyRodrick Lim
Aug 13, 2011·Journal of Medical Case Reports·Sami AkbulutMurat Basbug
Aug 14, 2012·Asian Journal of Surgery·Stylianos Roupakias, Paraskevi Mitsakou
Aug 7, 2013·Emergency Medicine Clinics of North America·Seema Shah
May 17, 2015·The Journal of Surgical Research·Amy E WagenaarJuan E Sola
Feb 15, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher SulowskiSuzanne Schuh
Feb 19, 2011·Magyar sebészet·Balázs KutasyAndrás Pintér
Jun 17, 2016·International Journal of Colorectal Disease·Marjolijn E W TimmermanPaul M A Broens
Apr 19, 2012·Clinical Pediatrics·Felix C BlancoEvan P Nadler
May 8, 2014·Clinical Pediatrics·Elizabeth E HalvorsonJoseph A Skelton
Jan 4, 2020·Irish Journal of Medical Science·Robert Michael O'ConnellKenneth Mealy
May 27, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Johanna GudjonsdottirMartin Salö
May 14, 2011·Current Opinion in Pediatrics

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