Abstract
The journal is the official publication of the College of Surgeons of Sri Lanka. Its mission is to reach the highest standard of scientific surgical practice by dissemination of high quality scientific information and to foster and promote the growth of scientific surgery in Sri Lanka and in the region. The Sri Lanka Journal of Surgery publishes peer-reviewed leading articles, review articles, scientific articles, perspectives and case reports in the field of surgery and broadly related surgical sciences The journal adheres to the publication ethics as portrayed by the Committee on Publication Ethics (COPE) and is a member of this organisation. It is listed as an ICMJE journal which follow its recommendations (ICMJE recommendations) on Conduct, Reporting, Editing and Publication of Scholarly Work in Medical Journals.
Highlights
Acute appendicitis in older patients is less frequent and may be secondary to an underlying right colonic malignancy
The incidence of colonic cancer ranged from 0.7-2.9% which was considerably higher than that of the general population
The risk of colorectal cancer development in this population over subsequent years appears to be higher than the general population
Summary
Acute appendicitis in older patients is less frequent and may be secondary to an underlying right colonic malignancy This dictates the practice of performing colonoscopy in these patients after the resolution of appendicitis or appendicectomy, the evidence for this is limited. The incidence of colon cancer is increasing in both developing and developed countries [8] This logic leads to the practice of performing an early colonoscopy in those over 40 years following appendicectomy [9]. Current guidelines anyway recommend population based endoscopic screening for colorectal cancer in those above the age of 50 [12, 13] This is pragmatic since in a normal population the detection rate of advanced adenomas in 40 - 49-year-olds is significantly less compared to the over 50year-olds [12]. In patients after acute appendicitis in the corresponding age groups detection rates may be higher warranting early colonoscopy
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