{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T11:50:52Z","timestamp":1775130652809,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T00:00:00Z","timestamp":1564704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T00:00:00Z","timestamp":1564704000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T00:00:00Z","timestamp":1564704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Stump appendicitis is defined as interval inflammation of any residual appendicular tissue, after an appendicectomy. We present a systematic review of case series and case reports on stump appendicitis, emphasising on risk factors, diagnosis and surgical management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The English literature (1945\u20132018) was reviewed, using PubMed, Embase and GoogleScholar, combining the terms \u201cappendix\u201d, \u201cappendicitis\u201d, \u201cstump\u201d, \u201cresidual\u201d, \u201crecurrent\u201d and \u201cretained\u201d. In total, 127 studies were included, describing 164 patients (males 59%, mean age 36\u2009\u00b1\u200917 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Index surgery was open in 59% and laparoscopic in 38%. It was described as \u201cdifficult\u201d or \u201ccomplicated\u201d in 31%. 20% of patients reported episodes of recurrent abdominal pain during the time interval between index and stump appendicitis (range 2 weeks to 60 years, median 2 years). Right lower quadrant pain was the most frequent complain (88%), leukocytosis was found in 56%, whereas 92% of patients underwent imaging testing, which was diagnostic or highly suspicious in 67.5%. Mean delay between beginning of symptoms and surgery was 2.4\u2009\u00b1\u20092.3\u00a0days. The operative approach was open in 61% and laparoscopic in 35% of cases. The operation was characterised as \u201cdifficult\u201d or \u201ccomplicated\u201d in 45%. In the majority (88%), a completion stump appendicectomy was performed, with 11% requiring more extensive procedures. Mean length of resected stump was 3.1\u2009\u00b1\u20091.6\u00a0cm (range 0.5\u201310\u00a0cm).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Stump appendicitis may occur following both open and laparoscopic approach, when the residual stump is\u2009&gt;\u20090.5\u00a0cm. Its clinical significance lies in the delayed diagnosis, leading to higher incidence of complications and the need for more extensive surgery.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-05101-z","type":"journal-article","created":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T15:03:06Z","timestamp":1564758186000},"page":"2756-2761","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Unfinished Business: A Systematic Review of Stump Appendicitis"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1263-8488","authenticated-orcid":false,"given":"Dimitrios K.","family":"Manatakis","sequence":"first","affiliation":[{"name":"Department of Surgery Athens Naval and Veterans Hospital 11521 Athens Greece"},{"name":"Medical School University of Crete Heraklion Crete Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasileios","family":"Aheimastos","sequence":"additional","affiliation":[{"name":"Department of Surgery Athens Naval and Veterans Hospital 11521 Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria\u2010Ioanna","family":"Antonopoulou","sequence":"additional","affiliation":[{"name":"Department of Surgery Athens Naval and Veterans Hospital 11521 Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christos","family":"Agalianos","sequence":"additional","affiliation":[{"name":"Department of Surgery Athens Naval and Veterans Hospital 11521 Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Tsiaoussis","sequence":"additional","affiliation":[{"name":"Medical School University of Crete Heraklion Crete Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evanghelos","family":"Xynos","sequence":"additional","affiliation":[{"name":"Creta Interclinic Hospital Heraklion Crete Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2018.05.006"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010018\u20106064\u20109"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473\u20103099(18)30101\u20104"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002188"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313480607200214"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2012.07.007"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2010.02487.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2011.04.009"},{"key":"e_1_2_7_10_1","article-title":"Stump appendicitis: A rare and unusual complication after appendectomy. Case report and review of the literature","volume":"85","author":"Papi S","year":"2014","journal-title":"Ann Ital Chir"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.15.2008"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017\u2010018\u20100182\u20105"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481207800154"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261\u2010015\u20100600\u2010z"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140\u2010013\u20101188\u20107"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2018.08.016"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017\u2010018\u20100179\u20100"},{"key":"e_1_2_7_18_1","first-page":"006437","article-title":"Closure methods of the appendix stump for complications during laparoscopic appendectomy","volume":"11","author":"Mannu GS","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010017\u20104123\u20103"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2011.07.017"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481408001035"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-05101-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-019-05101-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-05101-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-019-05101-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,7]],"date-time":"2024-01-07T16:03:51Z","timestamp":1704643431000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-019-05101-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,2]]},"references-count":20,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1007\/s00268-019-05101-z"],"URL":"https:\/\/doi.org\/10.1007\/s00268-019-05101-z","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,2]]},"assertion":[{"value":"2 August 2019","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}