To investigate the
efficacy and
safety of modified endoscopic retrograde
appendicitis therapy (ERAT) in
children with acute uncomplicated
appendicitis complicated with
intussusception. Data of 6
patients with acute uncomplicated
appendicitis complicated with
intussusception who received modified ERAT were collected from October 2018 to February 2020 in
Pediatrics Department of Tangdu
Hospital. The reduction rate of
intussusception, the success rate of ERAT appendiceal
intubation and endoscopic
treatment, the remission
time of clinical symptoms, the
time of
white blood cells return to normal, the length of
hospital stay,
complications and
recurrence were summarized. All the 6
patients were confirmed to be acute uncomplicated
appendicitis combined with ileocecal
intussusceptions under
colonoscopy. Endoscopic
intussusception reduction and ERAT were performed successfully. The mean
time of disappearance of abdominal tenderness was 1.3 days after the
therapy, and the
time of
white blood cells return to normal was 1 day after
surgery. The endoscopic
treatment were all successful and the length of
hospital stay was 3-6 days. No
complications or
recurrence of
intussusception and
appendicitis occurred during the follow-up period of 6-12 months. Modified ERAT can effectively, safely and minimally invitingly treat acute uncomplicated
appendicitis with
intussusception in
children on the basis of definite
diagnosis.