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Transcolonic endoscopic appendicectomy: a spectacular but unconvincing proposition
  1. Shail Shah1,
  2. Marius Taniel Paraoan1,2
  1. 1Surgery, Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, Wigan, Lancashire, UK
  2. 2Medicine, Edge Hill University, Ormskirk, Lancashire, UK
  1. Correspondence to Mr Marius Taniel Paraoan, Surgery, Wrightington Wigan and Leigh Teaching Hospitals NHS Foundation Trust, Wigan, UK; mparaoan{at}doctors.org.uk

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We read with interest the paper published by Dr Chen and colleagues1 and congratulate them for their excellent skills displayed in the accompanying video describing the transcolonic endoscopic appendicectomy (TEA). We feel, however, that their comments about the safety, efficacy and potential for wider use of TEA demand a critical analysis of its place in the management of lesions involving the appendix orifice.

Based on our expertise in laparoscopic colorectal surgery and advanced endoscopic mucosal resection, we have concerns about the potential for significant complications this novel procedure may cause compared with established techniques referred to in the paper and literature.2

First, we are concerned about the peritoneal contamination occurring after opening of the caecal pole. We noted the intestinal cleansing described, but as any experienced colonoscopist would …

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Footnotes

  • Contributors SS performed literature search and co-wrote the paper. MTP wrote the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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