Original paper

Zur Beziehung zwischen Körperbau und Appendixlänge

[On the relationship between body dimensions and appendix length]

Raschka, Sonja;Raschka, Christoph

Abstract

In the last decades a lot of significant correlations between clinical and anthropometric parameters were found,e.g.the relationships between somatotypical and endocrine parameters or between body dimensions and echocardiographic heart size.During operation,surgeons often find a wide range of appendix size of patients with varying body dimensions.A goal of this work is the detection of the relationships between anthropometric characteristics (height,weight,body mass index (= BMI)),inflammation parameters (histological inflammation degree,leukocyte count and C-reactive protein (= CRP)) and the appendix length with n = 167 consecutive patients (time period 1.1.2004 ± 31.12.2006; range of age 7±95 years,median age 20 years ; average age of men 27.7,women 26.6 years),which had to be operated because of acute appendicitis.Appendectomy was laparoscopic in 95 % of the patients and open in 5 %.The appendix length of the male patients was high-significantly longer with a mean of 7.5 cm (SD = 2.1 ) than those of the female patients with 6.3 cm (SD = 1.6 ).The following mean anthropometric values were registered: height 169.8 (SD = 15.6 ) cm for the males and 165.2 (SD = 9.6 ) cm for the females,weight 70.4 (SD = 23.4 ) kg for the males and 61.9 (SD = 16.1 ) kg for the females,BMI 24.1 (SD = 5.4 ) kg/m 2 for the males and 22.9 (SD = 4.8 ) kg/m 2 for the females.The mean leukocyte count was 12,700 (SD = 5,500 )/ ml for the males and 11,600 (SD = 4,900 )/ml for the females,CRP was 4.3 (SD = 5.4 ) mg/l for the males and 4.5 (SD = 8.9 ) mg/l for the females.Concerning the histopathological diagnosis,n = 76 patients ( 45.5 %) suffered from a submucous fibrosis / obliteration,n = 21 ( 12.6 %) from an acute purulent inflammation degree,n = 65 ( 38.9 %) from an ulcerative / phlegmonous inflammation degree and n = 5 ( 3 %) from a perforation.While no significant Spearman's correlation coefficient between appendix length and CRP was found,the appendix length correlated highly significantly to the body weight (r = 0.25 ) and significantly to leukocyte count (r = 0.16 ),body height (r = 0.16 ),BMI (r = 0.17 ) and the histological inflammation degree (r = 0.18 ).Thus,the correlations found were lower than the relationships between anthropometric and endocrine or echocardiographic parameters described in literature.

Keywords

Body mass indexappendix lengthbody heightbody weightinflammation parameters