The Causal Effects of Appendicectomy on Immune Bowel Disease and Digestive Cancers: A Two-sample Mendelian Randomization Study
Keywords:
appendicectomy, immune bowel disease, digestive cancers, mendelian randomization, causalityAbstract
Background: Previous observational studies have reported that appendicectomy is associated with IBD and digestive cancers. Using a two-sample mendelian randomization (MR) analysis, we aimed to investigate whether appendicectomy is causally associated with IBD and digestive cancers.
Methods: The instrumental variables (IVs) were obtained from public genome-wide association studies (GWAS) data. We used the inverse-variance weighted (IVW) method as the primary statistical method complemented with weighted median and MR-Egger approaches.
Results: The IVW method revealed that genetically determined appendicectomy had a causal effect on pancreatic cancer(OR 202.61; 95% CI 1.39, 29563.10; P = 0.037), but did not have causal effects on IBD (P > 0.05) and other digestive cancers (P > 0.05).
Conclusion: This study revealed that genetically determined appendicectomy had a causal effect on pancreatic cancer and patients with appendectomy should be screened for pancreatic cancer.