%0 Journal Article
%T Is Outpatient Follow-Up of Epiploic Appendagitis with NSAIDs Alone and Noantibiotics Possible?
%A Mehmet £¿lhan
%A Er£¿in S£¿nmez
%A Kaan G£¿k
%A Hakan Yanar
%A Recep G¨¹lo£¿lu
%A Kayhan G¨¹nay
%A Cemalettin Ertekin
%J Open Journal of Gastroenterology
%P 170-174
%@ 2163-9469
%D 2014
%I Scientific Research Publishing
%R 10.4236/ojgas.2014.44025
%X Purpose: To assess the clinical course of patients diagnosed as having ¡°epiploic appendagitis¡± who are given only NSAIDs without antibiotic treatment. Materials and Methods: Between December 2010 and November 2013, twelve patients were presented to the Emergency Surgery Department, Istanbul Medical Faculty, Istanbul University with abdominal pain and were diagnosed having ¡°epiploic appendagitis¡±. The diagnoses were made using the information gathered from patients¡¯ complaints, physical examination, biochemical results, and radiologic images (Abdominal X-Ray, Abdominal Ultrasonography [USG], and Contrast-Enhanced Computerized Tomography [CT]). We evaluated and recorded the patients¡¯ age distribution, sex difference, laboratory results, radiologic images, length of hospital stay, and control exams after discharge. Results: Twelve out of 35,574 (0.033%) patients who were presented to our Emergency Surgery Department with abdominal pain and were hospitalized as ¡°epiploic appendagitis¡±. Of these 12 patients, 7 were male (58.3%), and 5 were female (41.7%). The mean age of the patients was 43.5 (range: 22 to 60). The mean time passed between the beginning of the symptoms and presentation to the hospital was 1 day. The length of hospital stay was 1 to 2 days with a mean of 1.3 days. All patients were followed-up non-invasively under NSAID treatment without antibiotherapy. No complications were observed throughout the hospitalization period. The follow-up period of the patients was between 2 to 31 months with a mean of 16 months. Conclusion: Epiploic appendagitis is a self-limiting, benign disease, but differential diagnosis should be done carefully. Patients who are diagnosed with epiploic appendagitis may be followed-up with NSAIDs alone without hospitalization or antibiotherapy.
%K Epiploic Appendagitis
%K Acute Abdomen
%K Acute Diverticulitis
%K Acute Appendicitis
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=44554