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Appendix, Gallbladder and Surgical Emergencies ·

New Insights on Appendicitis Treatment Options

Endoscopic retrograde appendicitis therapy (ERAT) could reduce complications in select patients with uncomplicated appendicitis.

  • ERAT has a complication rate of only 6.3%, significantly lower than antibiotics at 37.8%.
  • Appendectomy remains the best for preventing recurrence (recurrence rate 0.6% vs. 53.2% for ERAT and 2.2% for antibiotics).
  • ERAT might be a safe alternative for specific patients but requires more evidence for broader use.

Choose between ERAT and appendectomy based on patient needs to minimize recurrence and treatment failures.

Systematic Review by Wang J, Yin J, Wang C and Zhu Y in BMC Surg

© 2025. The Author(s).

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