Appendicitis may be related to viral infections

	Tweet

Can you catch appendicitis?

And if you do, is it necessarily an emergency that demands immediate surgery?

Yes and no, according to a new study by UT Southwestern Medical Center surgeons and physicians.

The researchers evaluated data over a 36-year period from the National Hospital Discharge Survey and concluded in a paper appearing in the January issue of Archives of Surgery that appendicitis may be caused by undetermined viral infection or infections, said Dr. Edward Livingston, chief of GI/endocrine surgery at UT Southwestern and senior author of the report. 

The review of hospital discharge data runs counter to traditional thought, suggesting that appendicitis doesn’t necessarily lead to a burst appendix if the organ is not removed quickly, Dr. Livingston said.

“Just as the traditional appendix scar across the abdomen is fast becoming history, thanks to new single-incision surgery techniques that hide a tiny scar in the bellybutton, so too may the conventional wisdom that patients with appendicitis need to be operated on as soon as they enter the hospital,” said Dr. Livingston. “Patients still need to be seen quickly by a physician, but emergency surgery is now in question.”

Appendicitis is the most common reason for emergency general surgery, leading to some 280,000 appendectomies being performed annually.

Appendicitis was first identified in 1886. Since then, doctors have presumed quick removal of the appendix was a necessity to avoid a subsequent bursting, which can be an emergency. Because removing the appendix solves the problems and is generally safe, removal became the standard medical practice in the early 20th century.

But this latest research studying appendicitis trends from 1970 to 2006 suggests immediate removal may not be necessary. Evidence from sailors at sea without access to immediate surgery and from some children’s hospitals, whose practice did not call for emergency surgery, hinted that non-perforated appendicitis may resolve without surgery, said Dr. Livingston.

In undertaking the study, the researchers screened the diagnosis codes for admissions for appendicitis, influenza, rotavirus and enteric infections. They found that seasonal variations and clustering of appendicitis cases support the theory that appendicitis may be a viral disease, like the flu, Dr. Livingston said.

Statistical data revealed peaks, which may be outbreaks of appendicitis, in the years 1977, 1981, 1984, 1987, 1994 and 1998. In addition, researchers uncovered some seasonal trends for appendicitis, documenting a slight increase in appendicitis cases during the summer.

“The peaks and valleys of appendicitis cases generally matched up over time, suggesting it is possible that these disorders share common etiologic determinates, pathogenetic mechanisms or environmental factors that similarly affect their incidence,” Dr. Livingston said.

Researchers have been able to rule out flu and several other common infections as a direct cause. They also were able to rule out several types of intestinal viruses.

Appendicitis afflicts about one in 10 people during their lifetime. The condition occurs when the appendix becomes obstructed, but doctors are unsure why. Dr. Livingston and other UT Southwestern researchers in 1995 identified an unexpected rise in appendicitis cases, reversing a downward trend throughout the previous 25 years.

“Though appendicitis is fairly common, it still remains a frustrating medical mystery,” Dr. Livingston said. “While we know surgical removal is an effective treatment, we still don’t know the purpose of the appendix, nor what causes it to become obstructed.”

###

Other UT Southwestern researchers involved in the Archives of Surgery paper were Dr. Robert W. Haley, chief of epidemiology, and Dr. Adam Alder, a resident and lead author. The team also collaborated with economists at Southern Methodist University on novel statistical methodologies to uncover the associations.

Visit http://www.utsouthwestern.org/surgery to learn more about UT Southwestern’s clinical services in surgery, including gastrointestinal and endocrine procedures.

Contact: Russell Rian

214-648-3404
UT Southwestern Medical Center

RELATED STORIES:
More hand-washing won’t curb hospital infections   Refusing immunizations puts children at increased risk of pertussis infection   Strengthening fragile immune memories to fight chronic infections   UK develops bird flu tests   Bangladesh begins immunisation against anthrax   Rare blood infection surfaces in injured U.S. soldiers   Researchers Identify Mechanism Malaria Parasite Uses to Spread Among Red Blood Cells   When Patients Wake Up During Surgery!   S. Sudan disease kills 31; treatment impeded   Pain-Reducing Effects of Cannabis Depend on Dose   Study Shows Advantages of Robotic Surgery for Kidney Condition   Breastfeeding OK for moms with hepatitis B: study

Comments

[ + Post Your Own ]

Now you're in the public comment zone. What follows is not Armenian Medical Network's stuff; it comes from other people and we don't vouch for it. A reminder: By using this Web site you agree to accept our Terms of Service. Click here to read the Rules of Engagement.

There are no comments for this entry yet. [ + Comment here + ]