Intestinal obstruction after appendectomy.
The frequency of intestinal obstruction varies in the literature (0.2-10.7%) and requires evaluation in a proper design.
From 1978 to 1985,1951 patients underwent appendectomy ; 58 patients were excluded because of appendectomy per occasionem, 156 because of previous laparotomy, and 190 because of simultaneous major surgery.
Three foreigners were lost to follow-up.
The cohort was linked to the Danish National Inpatient Register for identification of cases, defined by intestinal obstruction requiring surgical intervention.
The follow-up period was long (median, 3563 days ; range, 2-5113).
Twenty-one patients developed intestinal obstruction.
The cumulated incidence was 0.33% after 30 days, 0.79% after I year, and 1.51% after 14 years.
Female sex as compared with male sex (RR=3.91 ; 95% confidence limits (CL), 1.28-12.0) and removal of a normal appendix as compared with an inflamed appendix (RR=4.0 ; 95% CL, 1.28-12.5) carried a significantly higher risk of intestinal obstruction.
Intestinal obstruction after open appendectomy is rare.
Mots-clés Pascal : Appendicectomie, Facteur risque, Complication, Occlusion, Intestin, Sexe, Morphologie, Etude statistique, Homme, Danemark, Europe, Appendice vermiculaire, Chirurgie, Appareil digestif pathologie, Intestin pathologie
Mots-clés Pascal anglais : Appendectomy, Risk factor, Complication, Occlusion, Gut, Sex, Morphology, Statistical study, Human, Denmark, Europe, Vermiform appendix, Surgery, Digestive diseases, Intestinal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0016554
Code Inist : 002B25G02. Création : 17/04/1998.