Clinical Observation of Endoscopic Retrograde Appendicitis Therapy and Double Appendiceal Stent Placement

Objective: To investigate the feasibility of endoscopic retrograde appendicitis therapy (ERAT) combined with double appendiceal stent placement in treating acute appendicitis and its impact on recurrence. Methods: A retrospective analysis was performed on 23 patients diagnosed with acute appendicitis in The Third People’s Hospital of Jingzhou from March 2023 to March 2025. All patients underwent standard ERAT procedures, including appendiceal observation, irrigation, angiography, stone extraction, and placement of single or double appendiceal stents. Postoperative pain relief, complications, hospital stay, changes in infection indicators, etc., were observed, and follow-up evaluations were conducted. Results: Among the 23 patients, 22 completed the treatment. Postoperative pain relief was significant, with no complications, and infection indicators decreased. One patient failed intubation and was converted to surgical treatment, which confirmed a mucinous cystadenoma at the appendiceal orifice. However, there was no significant statistical difference in stent retention duration between the single-stent group and the double-stent group. Conclusion: Endoscopic retrograde appendicitis therapy and stent placement are effective for acute appendicitis, featuring minimal trauma, fewer complications, rapid recovery, and complete preservation of appendiceal function. However, large-sample studies are needed to evaluate the therapeutic effects of single and double stents.