The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Seasonal variations in the occurrence of acute appendicitis and their relationship with the presence of fecaliths in children
Open accessPublished version of a preprint
Abstract
BACKGROUND: Acute appendicitis (AA) is the most common surgical condition in children. Although a higher incidence of AA in summer has been reported, the reason for this observation remains unclear. The purpose of this study was to compare the clinical findings of AA patients who underwent appendectomies during the summer months with those who underwent the procedure during the non-summer months. METHODS: The clinical data of 171 patients who underwent appendectomy from January 2013 to December 2016 were reviewed. The patients were divided into a summer group (from May to October) and a non-summer group (from November to April) based on the month when appendectomy was performed. All patients were under 18 years of age at the time of surgery. The medical records including laboratory data, computed tomography scans, pathology reports and operative notes were reviewed. RESULTS: The number of patients with AA was higher in the summer group than in the non-summer group (101 vs. 70 patients). No significant differences in the laboratory results between the two groups of patients were observed. The percentage of AA patients who presented with a fecalith was significantly lower in the summer group (33.6%) than in the non-summer group (55.7%). No significant differences in the incidence of appendiceal perforations and abscesses, as well as postoperative complications were observed between the two groups. CONCLUSIONS: The percentage of AA patients with fecaliths in summer was lower than that in the non-summer months. The increase in the number of AA patients in summer may be due to the increased occurrence of lymphoid hyperplasia, which may be correlated with the yearly outbreak of enterovirus infection during this period.
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“the circannual trend of acute appendicitis is well documented indicating a seasonal peak during summer months and lower numbers during colder months. 12,13”
From Increasing incidence of complicated appendicitis during COVID-19 pandemic (2021) · cites this paper as [12]
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Effect of ambient air pollution on the incidence of appendicitis
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Role of the faecolith in modern-day appendicitis
Singh, J., & Mariadason, J. G. (2012) · Annals of The Royal College of Surgeons of England · doi:10.1308/003588413x13511609954851 · Cited by 124
Appendicitis: Trends in incidence, age, sex, and seasonal variations in South-Western Nigeria
Oguntola, A., Adeoti, M., & Oyemolade, T. (2010) · Annals of African Medicine · doi:10.4103/1596-3519.70956 · Cited by 111
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Association of Viral Infection and Appendicitis
Alder, A. C. (2010) · Archives of Surgery · doi:10.1001/archsurg.2009.250 · Cited by 89
Appendiceal fecalith is associated with early perforation in pediatric patients
Alaedeen, D. I., Cook, M., & Chwals, W. J. (2008) · Journal of Pediatric Surgery · doi:10.1016/j.jpedsurg.2007.12.034 · Cited by 85
Monthly variation in acute appendicitis incidence: A 10-year nationwide population-based study
Wei, P., Chen, C.-S., Keller, J. J., & Lin, H. (2012) · Journal of Surgical Research · doi:10.1016/j.jss.2012.06.034 · Cited by 79
Sülü, B., Günerhan, Y., Palanci, Y., Isler, B. F., & Çağlayan, K. (2010) · PubMed · Cited by 66
Comparison of Open and Laparoscopic Appendectomy in Children: A 5-year Single Center Experience
Pogorelić, Z., Buljubašić, M., Šušnjar, T., Jukić, M., Peričić, T. P., & Jurić, I. (2019) · Indian Pediatrics · doi:10.1007/s13312-019-1518-2 · Cited by 53
Association between the appendix and the fecalith in adults
Ramdass, M. J., Sing, Q. Y., Milne, D. M., Mooteeram, J., & Barrow, S. (2015) · Canadian Journal of Surgery · doi:10.1503/cjs.002014 · Cited by 53
Pogorelić, Z., Katić, J., Mrklić, I., Jerončić, A., Šušnjar, T., Jukić, M., Vilović, K., & Perko, Z. (2017) · Journal of Surgical Research · doi:10.1016/j.jss.2017.01.014 · Cited by 50
Fiber intake and childhood appendicitis
Adamidis, E. R.-G. D. (2000) · International Journal of Food Sciences and Nutrition · doi:10.1080/09637480050029647 · Cited by 49
Fares, A. (2014) · Annals of Medical and Health Sciences Research · doi:10.4103/2141-9248.126603 · Cited by 46
Pogorelić, Z., Kostovski, B., Jerončić, A., Šušnjar, T., Mrklić, I., Jukić, M., & Jurić, I. (2016) · Journal of Laparoendoscopic & Advanced Surgical Techniques · doi:10.1089/lap.2016.0433 · Cited by 34
Pogorelić, Z., Silov, N., Jukić, M., Baloević, S. E., Peričić, T. P., & Jerončić, A. (2019) · Surgical Infections · doi:10.1089/sur.2019.025 · Cited by 30
Cited by
Increasing incidence of complicated appendicitis during COVID-19 pandemic
Orthopoulos, G., Santone, E., Izzo, F., Tirabassi, M., Pérez-Caraballo, A. M., Corriveau, N., & Jabbour, N. (2021) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2020.09.026 · Cited by 171
Guan, L., Liu, Z., Pan, G., Zhang, B., Wu, Y., Gan, T., & Ouyang, G. (2023) · BMC Gastroenterology · doi:10.1186/s12876-023-02678-7 · Cited by 173
Fisher, J. C., Tomita, S. S., Ginsburg, H. B., Gordon, A. J., Walker, D., & Kuenzler, K. A. (2020) · Annals of Surgery · doi:10.1097/sla.0000000000004426 · Cited by 97
Comparison of Open and Laparoscopic Appendectomy in Children: A 5-year Single Center Experience
Pogorelić, Z., Buljubašić, M., Šušnjar, T., Jukić, M., Peričić, T. P., & Jurić, I. (2019) · Indian Pediatrics · doi:10.1007/s13312-019-1518-2 · Cited by 53
Montalva, L., Haffreingue, A., Ali, L., Clariot, S., Julien‐Marsollier, F., El‐Ghoneimi, A., Peycelon, M., & Bonnard, A. (2020) · Pediatric Surgery International · doi:10.1007/s00383-020-04759-0 · Cited by 34
Metadata
- Authors
- Hsu, Y.-J., Fu, Y.-W., & Chin, T.
- Affiliations
- Changhua Christian Hospital (TW)
- Venue
- BMC Pediatrics
- Published
- 2019-11-16
- Volume
- 19
- Issue
- 1
- Pages
- 443-443
- ISSN
- 1471-2431 (ISSN-L)
- PMC
- PMC6858696
- OpenAlex
- W2986759888
- Cited by
- 29
- References
- 18
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 8 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 3 · 2019: 1
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- creativecommons.org/licenses/by/4.0/ (tdm)
- creativecommons.org/licenses/by/4.0/ (vor)
- Locations
- BMC Pediatrics (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
- Health Sciences › Medicine › Surgery › Gastrointestinal disorders and treatments
- Health Sciences › Medicine › Surgery › Omental and Epiploic Conditions
- Keywords
- acute appendicitis, seasonal variation, fecalith, children, appendectomy, appendiceal perforation, appendiceal abscess, postoperative complications, lymphoid hyperplasia, enterovirus infection
- MeSH terms
- Adolescent, Appendectomy, Appendicitis, Child, Fecal Impaction, Female, Humans, Male, Retrospective Studies, Seasons
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