Does Loss of Appetite in Acute Appendicitis Indicate an Empty Stomach?

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dc.contributor.authorNaldemir, İbrahim Feyyaz
dc.contributor.authorOzel, Mehmet Ali
dc.contributor.authorCoşkun, Sinem Kantarcıoğlu
dc.contributor.authorSelki, Kudret
dc.contributor.authorBoğan, Mustafa
dc.date.accessioned2025-10-11T20:37:55Z
dc.date.available2025-10-11T20:37:55Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractAim: Loss of appetite (anorexia) is a prevalent symptom in patients with acute appendicitis. In these cases, it can be hypothesized that the stomach is empty, and the gallbladder is contracted due to loss of appetite. In this study, we aimed to investigate gastric fullness and gallbladder status in patients with acute appendicitis. We investigated whether these parameters can be indirectly supported by imaging findings of anorexia and to what extent they are significant in terms of aspiration risk in emergency surgery planning. Material and Methods: CT images of patients with acute appendicitis and the control group were evaluated for gastric fullness and gallbladder appearance. Results: A total of 266 patients were included in the study. A hundred and thirty-nine patients (52.3%) were diagnosed with acute appendicitis, while 127 patients (47.7%) were classified as the control group. The proportion of patients with an empty stomach was statistically significantly higher in patients with acute appendicitis compared to the control group (p<0.001). Gastric filling grade 3 (high-risk solid gastric content for aspiration) was in 23% (n=32) of the cases with acute appendicitis. Conclusion: Gastric fullness and gallbladder contraction are straightforward findings on CT that can provide indirect evidence in suspected acute appendicitis cases. Although anorexia is a key symptom, over half of patients continue oral intake irregularly, leaving up to one-fifth at high risk for aspiration during emergency surgery. Therefore, preoperative starvation protocols should not rely solely on the presence of anorexia.en_US
dc.identifier.doi10.33631/sabd.1636785
dc.identifier.endpage304en_US
dc.identifier.issn2792-0542
dc.identifier.issue2en_US
dc.identifier.startpage300en_US
dc.identifier.trdizinid1313948en_US
dc.identifier.urihttps://doi.org/10.33631/sabd.1636785
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1313948
dc.identifier.urihttps://hdl.handle.net/20.500.12684/20774
dc.identifier.volume15en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofSağlık bilimlerinde değer (Online)en_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_TR_20250911
dc.subjectAnorexiaen_US
dc.subjectAcute Appendicitisen_US
dc.subjectgastric fullnesen_US
dc.subjectrisk of aspirationen_US
dc.titleDoes Loss of Appetite in Acute Appendicitis Indicate an Empty Stomach?en_US
dc.typeArticleen_US

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