[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-378195-105":59,"doc-detail-378195-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","is-it-worth-considering-colonic-evaluation-after-appendicectomy","Is It Worth Considering Colonic Evaluation After Appendicectomy?","","The study evaluates the prevalence of caecal and colonic cancer or polyps in patients aged 40 and older following emergency appendicectomy. A retrospective cohort included patients operated between October 2011 and October 31, 2021, examining CT pneumocolon or colonoscopy performed within three years before or after surgery, with colorectal cancers captured within five years of the index episode. Among 51/769 (6.63%) colorectal neoplasms, cancers were rare but carried high mortality, supporting routine evaluation, especially for those over 55.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/is-it-worth-considering-colonic-evaluation-after-appendicectomy/378195/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/is-it-worth-considering-colonic-evaluation-after-appendicectomy/378195.png","ImageObject",300,407,{"name":92,"@type":93},"Rizky","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the purpose of this study on patients after appendicectomy?","Question",{"text":112,"@type":113},"To determine how common caecal and colonic cancer or polyps are in patients aged 40 and older who underwent an emergency appendicectomy, so appropriate strategies can prevent delayed colon cancer diagnosis.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Who was included in the retrospective cohort and how were colon investigations identified?",{"text":117,"@type":113},"Patients who underwent appendicectomy between October 2011 and October 31, 2021, and were 40+ years old. Colon investigations (CT pneumocolon or colonoscopy) were reviewed within three years before or three years after the appendicectomy, and colorectal cancers were included if diagnosed within five years of the index appendicitis episode.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the study find about colorectal neoplasms and cancer mortality?",{"text":121,"@type":113},"Colorectal neoplasms were found in 51 of 769 patients (6.63%). Eight patients were diagnosed with colorectal cancers, with a mortality rate of 75% (6/8) among those diagnosed, and most deaths linked to advanced metastatic colonic cancer.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},378195,1790635622,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Open Access Original  \nArticle DOI: 10.7759/cureus.43248  \nReview began 07/31/2023  \nReview ended 08/06/2023  \nPublished 08/09/2023  \n© Copyright 2023  \nRajebhosale et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CCBY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nIs It Worth Considering Colonic Evaluation After Appendicectomy?  \nRamprasad P. Rajebhosale 1 , Nathan M. Robinson 2 , Nayaab A. Kader 2 , Iyomi Chathurika Ratnayake 2 , Mitalee H. Sawant 2 , Vijitha Chandima Halahakoon 1  \n1. General and Colorectal Surgery, Colchester General Hospital, East Suffolk and North Essex NHS Foundation Trust, Colchester, GBR 2. General Surgery, Colchester General Hospital, East Suffolk and North Essex NHS Foundation Trust, Colchester, GBR  \nCorresponding author: Ramprasad P. Rajebhosale, [ramraje007@gmail.com](ramraje007@gmail.com)  \nAbstract  \nIntroduction  \nThe association of acute appendicitis with caecal or colorectal cancer is known. One of the proposed theories for acute appendicitis is luminal blockage by mass at the base of the appendix. There have been no national recommendations or guidelines for follow-up with patients aged 40 and older after an emergency appendicectomy. The purpose of this study was to evaluate the prevalence of caecal and colonic cancer or polyps in patients over the age of 40 who have undergone an appendicectomy. This shall enable us to develop the necessary strategies to investigate and diagnose associated caecal and colonic pathology in acute appendicitis to prevent delayed diagnosis of colon cancer.  \nMethods  \nAll patients who underwent appendicectomy between October 2011 and October 31, 2021, and who were 40 years of age or older were included in this retrospective cohort study. Patients aged 40 to 54 years old and patients 55 years or older underwent subgroup analyses. We looked at any investigations ofthe colon (CT pneumocolon or colonoscopy) within three years before the appendicectomy or three years after an appendicectomy. All colorectal cancers diagnosed within five years of the index episode of appendicitis were included in the analysis.  \nResults  \nA total of 1076 appendicectomies were performed on patients aged 40 and older during the study period of 10 years. A total of 769 patients were confirmed to have appendicitis on histology. One hundred and fiftyseven patients had colonic investigations within three years of the diagnosis of acute appendicitis. In our study, 51 of the 769 patients (6 .63%) were found to have colorectal neoplasms. Eight patients (8/769, 1.04%) were diagnosed with colorectal cancers, and the occurrence of caecal cancer was 0.26%(2/769) . The mortality rate was 75%(6/8) in these patients diagnosed with colorectal cancer. Four out of six died due to advanced metastatic colonic cancer. In comparison to patients aged 40 to 54, patients over the age of 55 hada statistically significant increased risk of caecal pathology (polyp and cancer) (p = 0 .07) .  \nConclusion  \nThere seems to be an increased risk of significant colorectal neoplasm in patients over the age of 55 who are admitted with acute appendicitis, and there appears to be an increased severity with a poor prognosis of cancer in these individuals. We recommend the use of routine colonoscopy or CT pneumocolon, particularly for those over the age of 55 who present with acute appendicitis or the histology of appendicular neoplasms.  \nCategories: General Surgery  \nKeywords: caecal polyp, cecal mass, colonoscopy, colorectal cancer, appendicectomy  \nIntroduction  \nAppendicectomy for acute appendicitis is one of the most frequently performed surgical operations. One of the proposed theories for acute appendicitis is luminal blockage by faecolith, lymphoid hyperplasia, or mass at the base of the appendix [1] . The association of right-sided colon cancer with acute append","cbCairPDzIUKz8TL","https://ap.wps.com/l/cbCairPDzIUKz8TL","pdf",130568,"English","# Abstract\n# Introduction\n# Methods\n# Results\n# Conclusion","[{\"question\":\"What was the purpose of this study on patients after appendicectomy?\",\"answer\":\"To determine how common caecal and colonic cancer or polyps are in patients aged 40 and older who underwent an emergency appendicectomy, so appropriate strategies can prevent delayed colon cancer diagnosis.\"},{\"question\":\"Who was included in the retrospective cohort and how were colon investigations identified?\",\"answer\":\"Patients who underwent appendicectomy between October 2011 and October 31, 2021, and were 40+ years old. Colon investigations (CT pneumocolon or colonoscopy) were reviewed within three years before or three years after the appendicectomy, and colorectal cancers were included if diagnosed within five years of the index appendicitis episode.\"},{\"question\":\"What did the study find about colorectal neoplasms and cancer mortality?\",\"answer\":\"Colorectal neoplasms were found in 51 of 769 patients (6.63%). Eight patients were diagnosed with colorectal cancers, with a mortality rate of 75% (6/8) among those diagnosed, and most deaths linked to advanced metastatic colonic cancer.\"}]","Is It Worth Considering Colonic Evaluation After Appendicectomy? | PDF",1790228929]