Breast feeding stimulates a more tolerant lymphoid tissue at the base of the appendix and this could provide protection against acute appendicitis. Two studies reported that children and adolescents with appendicitis were less likely to have been breast fed. In a case-control study of 200 children with histologically confirmed acute appendicitis matched by 200 siblings with the same sex and difference age – up to three-year-old – we found breast feeding in at least the first two months of life and for more than four months provides protection against acute appendicitis. These findings suggesting that breast feeding may possibly give protection against the development of appendicitis.
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References
1.
HeatonKW. Aetiology of acute appendicitis. Br Med J1987;294:1632–3
2.
AddissDG, ShafferN, FowlerBS, TauxeRV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol1990;132:910–25
3.
CoggonD, BarkerDJP, CruddasM, OliverRHP. Housing and appendicitis in Anglesey. J Epidemiol Community Health1991; 45:244–6
4.
HansonLA, KorotkovaM, TelemoE. Breast-feeding, infant formulas, and the immune system. Ann Allergy Asthma Immunol2003;90:59–63
5.
PisacaneA, De LucaU, ImpagliazzoN, RussoM, De CaprioC, CaraccioloG. Breast feeding and acute appendicitis. Br Med J1995;310:836–7
6.
Gomez-AlcalaAV, Hurtado-GuzmanA. Short term breastfeeding as a risk factor for acute appendicitis in children. Gac Med Mexico2005;141:501–4
7.
BurkittDP. The aetiology of appendicitis. Br J Surg1971;58: 695–9
8.
PrystowskyJB, PughCM, NagleAP. Current Problems in surgery. Appendicitis. Curr Prob Surg2005;42:688–742
9.
BarkerDJ. Acute appendicitis and dietary fibre an alternative hypothesis, Br Med J1985;290:1125–7
10.
GaudererMWL, CraneMM, GreenJA, DeCouJM, AbramsRS. Acute appendicitis in children: the importance of family history. J Pediatr Surg2001;36:1214–7
