Appendix, Gallbladder and Surgical Emergencies · 24 January 2026

Endoscopic Therapy Shows 16.1% Recurrence in Appendicitis

Endoscopic retrograde appendicitis therapy (ERAT) is effective but carries a 16.1% risk of recurrence within a year.

Technical success was 100%, with a 92.4% clinical improvement rate in 435 patients.
Key predictors of recurrence include age over 60 (OR=2.981), previous appendicitis, and the presence of appendicoliths.

Surgeons should prioritize ERAT for low-risk patients and utilize a recurrence risk tool for high-risk profiles, focusing on experienced operators to enhance outcomes.

Stenting can lower recurrence risk, especially in complex cases.

Journal Article by Zhang J, Yuan H (…) Liu D et 9 al. in Therap Adv Gastroenterol

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