Outcomes of Endoscopic Retrograde Appendicitis Therapy (ERAT) Vs Laparoscopic Appendectomy (LA): A systematic review and meta-analysis

Endoscopic retrograde appendicitis therapy (ERAT) is a new colonoscopy-based, non-invasive procedure used in the management of acute appendicitis. The results and future prospects of ERAT seem promising. In this study, we aim to study and compare the outcomes of the management of acute appendicitis...

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Bibliographic Details
Published in:International journal of surgery open 2023-10, Vol.59, p.100688, Article 100688
Main Authors: Basukala, Sunil, Shrestha, Oshan, Thapa, Niranjan, Karki, Sagun, Chaudhary, Kabita, Shrestha, Kala
Format: Article
Language:English
Subjects:
Appendectomy
Appendicitis
Colonoscopy
Endoscopic therapy
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Summary:Endoscopic retrograde appendicitis therapy (ERAT) is a new colonoscopy-based, non-invasive procedure used in the management of acute appendicitis. The results and future prospects of ERAT seem promising. In this study, we aim to study and compare the outcomes of the management of acute appendicitis done through ERAT and laparoscopic appendectomy. The protocol for this study was prospectively registered. Electronic databases were searched for relevant articles, and all the comparative studies that compared the results of ERAT and laparoscopic appendectomy published in English were included. The mean difference was used as an effect measure for continuous variables, and the odds ratio was used for dichotomous data. Compared to laparoscopic appendectomy, ERAT had 10.93 min lesser procedural time (MD: 10.93; 95% CI: (−14.46) – (−7.40); n = 404; I2 = 92%, p-value= 
ISSN:2405-8572
2405-8572
DOI:10.1016/j.ijso.2023.100688