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Intestinal obstruction after appendectomy

Riber, C. ; Søe, K. ; Jørgensen, T. LU and Tønnesen, H. LU (1997) In Scandinavian Journal of Gastroenterology 32(11). p.1125-1128
Abstract

Background: The frequency of intestinal obstruction varies in the literature (0.2-10.7%) and requires evaluation in a proper design. Methods: 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. Results: 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 1 year,... (More)

Background: The frequency of intestinal obstruction varies in the literature (0.2-10.7%) and requires evaluation in a proper design. Methods: 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. Results: 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 1 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) carded a significantly higher risk of intestinal obstruction. Conclusion: Intestinal obstruction after open appendectomy is rare.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Appendectomy, Appendicitis, Intestinal obstruction, Postoperative morbidity
in
Scandinavian Journal of Gastroenterology
volume
32
issue
11
pages
1125 - 1128
publisher
Taylor & Francis
external identifiers
  • pmid:9399393
  • scopus:0030730032
ISSN
0036-5521
DOI
10.3109/00365529709002991
language
English
LU publication?
no
id
476da8e1-6228-4756-807e-006291c99735
date added to LUP
2022-10-27 17:04:10
date last changed
2024-01-03 18:34:50
@article{476da8e1-6228-4756-807e-006291c99735,
  abstract     = {{<p>Background: The frequency of intestinal obstruction varies in the literature (0.2-10.7%) and requires evaluation in a proper design. Methods: 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. Results: 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 1 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) carded a significantly higher risk of intestinal obstruction. Conclusion: Intestinal obstruction after open appendectomy is rare.</p>}},
  author       = {{Riber, C. and Søe, K. and Jørgensen, T. and Tønnesen, H.}},
  issn         = {{0036-5521}},
  keywords     = {{Appendectomy; Appendicitis; Intestinal obstruction; Postoperative morbidity}},
  language     = {{eng}},
  number       = {{11}},
  pages        = {{1125--1128}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Gastroenterology}},
  title        = {{Intestinal obstruction after appendectomy}},
  url          = {{http://dx.doi.org/10.3109/00365529709002991}},
  doi          = {{10.3109/00365529709002991}},
  volume       = {{32}},
  year         = {{1997}},
}