Long-term impacts of appendectomy associated with increased incidence of inflammatory bowel disease, infection, and colorectal cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-02-16

AUTHORS

Seohee Lee, Eun Jin Jang, Junwoo Jo, So Jung Park, Ho Geol Ryu

ABSTRACT

PurposeAlthough the appendix has been suggested to play a role in maintaining the gut microbiome and immune system, the ramifications of appendectomy on the development inflammatory bowel disease, sepsis, and colorectal cancer are yet to be determined. The purpose of this study was to evaluate the potential long-term impacts of appendectomy, with a focus on inflammatory bowel disease, infection, and colorectal cancer, using the National Healthcare Insurance Service (NHIS) database of Korea.MethodsThe National Healthcare Insurance Service database in Korea was used for analysis. Adult patients who received appendectomy between 2005 and 2013 were identified. The control group consisted of patients who did not receive appendectomy were matched by baseline characteristics including comorbidities and frequency of healthcare resource utilization. The primary outcome was the incidence-rate ratio (IRR) of Crohn’s disease, ulcerative colitis, Clostridium difficile infection, sepsis, and colorectal cancer after appendectomy or the index date.ResultsWe identified 914,208 patients who underwent appendectomy, and after matching with control patients, a total of 486,844 patients were included for analysis. Patients who underwent appendectomy showed a significantly higher incidence of Crohn’s disease (IRR 4.40, 95% confidence interval (CI) 3.78–5.13) and ulcerative colitis (IRR 1.78, 95% CI 1.63–1.93) compared to the control group during the 5-year follow-up period. The associations between appendectomy and Clostridium difficile infection, sepsis, and colorectal cancer were all found to be significant.ConclusionPatients who underwent appendectomy may be at increased risk for developing Crohn’s disease, ulcerative colitis, Clostridium difficile infection, sepsis, and colorectal cancer. More... »

PAGES

1643-1652

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00384-021-03886-x

DOI

http://dx.doi.org/10.1007/s00384-021-03886-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1135417744

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/33594506


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