Visual endoscopic retrograde appendicitis therapy reduces recurrence risk

Findings indicate that visual endoscopic retrograde appendicitis therapy (v-erat) and antibiotic therapy have similar treatment success rates for uncomplicated acute appendicitis (93.6% vs. 90.5%). However, v-erat significantly lowers the recurrence risk during follow-up and decreases the appendectomy rate (4.3% vs. 9.5%). Additionally, patients undergoing v-erat experience a shorter initial hospitalization (3 days vs. 4 days) and prolonged time to recurrence (269 days vs. 70 days), with overall adverse events being comparable.