Appendix - Washington Manual of Surgery

Let’s talk appendicitis—Join Dr. Paul Kepper for a discussion with expert colorectal surgeon Dr. William Chapman Jr. This episode of the Washington Manual of Surgery Podcast will focus on the appendix and is a companion to Chapter 22 of the 9th edition of the bestselling Washington Manual of Surgery.  

Dr. Chapman reviews the management of acute appendicitis. The episode covers key diagnostic steps, including the use of CT scans and ultrasounds, surgical and antibiotic treatment options, and the management of appendiceal neoplasms. Dr. Chapman emphasizes the importance of patient communication and tailored treatment plans. Tune in for a comprehensive overview of appendix pathology. 

Guest Host: Paul Kepper, MD – general surgery resident at WashU Medicine 

Guest: William Chapman Jr., MD, is an assistant professor in the Department of Surgery at WashU Medicine. Dr. Chapman’s specialty is in colorectal surgery and his research interests include colon and rectal cancer and patient reported outcomes in colorectal surgery. 

References:

Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990 Nov;132(5):910-25.

Salminen P, Paajanen H, Rautio T, et al. Antibiotic Therapy vs Appendectomy for Treatment of Uncomplicated Acute Appendicitis: The APPAC Randomized Clinical Trial. JAMA. 2015;313(23):2340–2348.

Salminen P, Tuominen R, Paajanen H, Rautio T, Nordström P, Aarnio M, Rantanen T, Hurme S, Mecklin JP, Sand J, Virtanen J, Jartti A, Grönroos JM. Five-Year Follow-up of Antibiotic Therapy for Uncomplicated Acute Appendicitis in the APPAC Randomized Clinical Trial. JAMA. 2018 Sep 25;320(12):1259-1265.

Hayes D, Reiter S, Hagen E, Lucas G, Chu I, Muñiz T, Martinez R. Is interval appendectomy really needed? A closer look at neoplasm rates in adult patients undergoing interval appendectomy after complicated appendicitis. Surg Endosc. 2021 Jul;35(7):3855-3860.

Wei B, Qi CL, Chen TF, Zheng ZH, Huang JL, Hu BG, Wei HB. Laparoscopic versus open appendectomy for acute appendicitis: a metaanalysis. Surg Endosc. 2011 Apr;25(4):1199-208.

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

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