%0 Journal Article
%T Appendicoscopy using single-operator cholangioscope in the management of acute obstructive appendicitis: a novel alternative (with video).
%A Tao L
%A Wang H
%A Guo Q
%A Guo S
%A Guo X
%A Liu S
%J Gastrointest Endosc
%V 100
%N 3
%D 2024 Sep 7
%M 38593933
%F 10.396
%R 10.1016/j.gie.2024.04.010
%X <B>OBJECTIVE: </B>The aim of this study was to investigate the safety and efficacy of appendicoscopy using a single-operator cholangioscope (SOC) for the management of acute obstructive appendicitis.<BR><B>METHODS: </B>This study describes 110 cases of acute obstructive appendicitis managed with the use of appendicoscopy between January 2021 and June 2023. The success rate (technical + clinical), procedure time, time to abdominal pain relief according to a visual analog scale score, postoperative length of hospital stay, and adverse event rates were recorded and analyzed.<BR><B>RESULTS: </B>The technical success rate of appendicoscopy was 96.4%, and the clinical success rate was 91.8%. The mean ± standard deviation procedure time was 20.9 ± 10 minutes. The abdominal pain score at 6 hours after the procedure was ≤3 (visual analog scale method) in 99.1% of patients. The average length of postoperative hospital stay was 3.5 ± 1.5 days. No adverse events occurred.<BR><B>CONCLUSIONS: </B>Appendicoscopy seems to be a feasible and effective alternative therapy for the accurate diagnosis and treatment of acute obstructive appendicitis.