• Annals of surgery · Jan 2023

    Endoscopic Retrograde Appendicitis Therapy: Is it Really a Need of the Hour?

    • Suliman Khan, Faisal S Ali, and Saif Ullah.
    • Department of Cerebrovascular Diseases, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
    • Ann. Surg. 2023 Jan 1; 277 (1): e1e4e1-e4.

    AbstractEndoscopic retrograde appendicitis therapy (ERAT) has emerged as a promising, non-invasive treatment for acute uncomplicated appendicitis (AUA). ERAT involves cannulation, appendicography, appendiceal stone extraction, appendiceal lumen irrigation, and stent deployment. Recent randomized trials comparing ERAT to laparoscopic appendectomy (LA) have provided promising results in terms of safety and efficacy of ERAT. If the current trajectory of research and development is maintained, ERAT will likely become a strong contender for the standard of care for AUA. Standardized training and credentialing for ERAT, akin to procedures established for endoscopic retrograde cholangiopancreatography, will be pivotal to global adoption of this modality.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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