Patient and physician perception of natural orifice transluminal endoscopic appendectomy.

World Journal of Gastroenterology : WJG
Tomas HuclJulius Spicak

Abstract

To investigate perception of natural orifice transluminal endoscopic surgery (NOTES) as a potential technique for appendectomy. One hundred patients undergoing endoscopy and 100 physicians were given a questionnaire describing in detail the techniques of NOTES and laparoscopic appendectomy. They were asked about the reasons for their preference, choice of orifice, and extent of complication risk they were willing to accept. Fifty patients (50%) and only 21 physicians (21%) preferred NOTES (P < 0.001). Patients had previously heard of NOTES less frequently (7% vs 73%, P < 0.001) and had undergone endoscopy more frequently (88% vs 36%, P < 0.001) than physicians. Absence of hernia was the most common reason for NOTES preference in physicians (80% vs 44%, P = 0.003), whereas reduced pain was the most common reason in patients (66% vs 52%). Physicians were more likely to refuse NOTES as a novel and unsure technique (P < 0.001) and having an increased risk of infection (P < 0.001). The preferred access site in both groups was colon followed by stomach, with vagina being rarely preferred. In multivariable modeling, those with high-school education [odds ratio (OR): 2.68, 95% confidence interval (CI): 1.23-5.83] and prior colonoscopy ...Continue Reading

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Citations

Jul 19, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Deborah S Keller, Conor P Delaney
Oct 18, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hellen Edwards, Lars Nannestad Jørgensen
Jun 12, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Helen M MohanDesmond C Winter
Mar 22, 2013·Digestive Diseases and Sciences·Zi-Kai WangWen Li
May 4, 2013·The British Journal of Surgery·R A Cahill
Nov 10, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Anthony Yuen Bun TeohPhilip Wai Yan Chiu
Jul 13, 2016·Gastroenterology Research and Practice·Tomas HuclJulius Spicak

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