Journal Article10.1056/NEJM200103153441104
Appendectomy and protection against ulcerative colitis.
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TL;DR: Appendectomy for an inflammatory condition ( appendicitis or lymphadenitis) but not for nonspecific abdominal pain is associated with a low risk of subsequent ulcerative colitis, and this inverse relation is limited to patients who undergo surgery before the age of 20 years.
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Abstract: Background: A history of appendectomy is rare in patients with ulcerative colitis. This suggests a protective effect of appendectomy or that appendicitis and ulcerative colitis are alternative infl ...
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Citations
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Environmental risk factors (excluding tobacco and microorganisms): critical analysis of old and new hypotheses
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Role of the appendix in the pathogenesis of ulcerative colitis.
TL;DR: In the appendix of UC patients, the CD4/CD8 ratio is significantly increased, and the proportion ofCD4+CD69+ (early activation antigen) T cells, but not of CD4+HLA-DR+ (mature activation antigen), suggests that the appendix may be a priming site in the development of UC.
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Long-Term Complications of Appendectomy: A Systematic Review
TL;DR: The prevalence of Crohn’s disease was higher and the prevalence of ulcerative colitis was lower after appendectomy than in controls, and pregnancy rates increased after appendicitis compared with controls in most studies and mortality was low.
39
References
The epidemiology of appendicitis and appendectomy in the united states
TL;DR: The authors analyzed National Hospital Discharge Survey data for the years 1979-1984 to describe the epidemiology of appendicitis and appendectomy in the United States and found that for the elderly, the preventive value of an incidental procedure is considerably lower.
A meta-analysis of the role of smoking in inflammatory bowel disease.
TL;DR: There is no justification for health care providers to change the Surgeon General's recommendations on smoking or tobacco use for ulcerative colitis patients specifically and a review of the literature, meta-analysis of selected studies, and assessment of causality criterion suggest that not smoking and ulceratives colitis and smoking and Crohn's disease are consistent with a causal relationship.
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Role of appendix in the development of inflammatory bowel disease in TCR-alpha mutant mice.
TL;DR: It is suggested that ALF, rather than PP, is the priming site of cells involved in the disease process and plays an important role in the development of IBD in TCR-alpha-/- mice.
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Appendectomy protects against ulcerative colitis.
Laura E. Derby,Hershel Jick +1 more
TL;DR: Appendectomy appears to protect against ulcerative colitis, and a random sample of 100 cases and 100 controls to validate the subject's history of appendectomy confirmed this.
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Appendiceal orifice inflammation as a skip lesion in ulcerative colitis: an analysis in relation to medical therapy and disease extent
Suk-Kyun Yang,Hwoon-Yong Jung,Gyeong Hoon Kang,Young Min Kim,Seung-Jae Myung,Ki Nam Shim,Weon-Seon Hong,Young Il Min +7 more
TL;DR: Appendiceal orifice inflammation as a skip lesion of ulcerative colitis is not rare, is more frequently observed in patients with less extensive disease, and is not the result of patchy improvement due to medical therapy.
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