Apendicitis aguda

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Carlos E. García
Servicio de Medicina Familiar y Comunitaria. Hospital Italiano de Buenos Aires
Publicado: 30-12-2016
DOI: https://doi.org/10.51987/Rev.Hosp.Ital.B.Aires.v36i4.638
Palabras clave:
apendicitis, puntaje (score) de Alvarado, reglas de predicción clínica, tratamiento antibiótico, incidencia de perforación

Resumen

Con el uso de las imágenes de creciente sensibilidad, el número de pacientes con diagnóstico de apendicitis ha aumentado, y una significativa proporción de ellos puede no progresar a apendicitis clínicamente relevante o puede resolver espontáneamente y evitar la apendicectomía. Existen reglas de predicción clínica que, sumadas a la tomografía computarizada o la ecografía, pueden tener una sensibilidad y especificidad significativamente altas tanto para descartar como para confirmar el diagnóstico. Los antibióticos deben ser considerados una válida opción terapéutica y su uso, discutido con los pacientes

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Vol. 36 Núm. 4 (2016): Revista del Hospital Italiano de Buenos Aires

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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.

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1.
García CE. Apendicitis aguda. Rev Hosp Ital B.Aires [Internet]. 2016 Dec. 30 [cited 2026 Jul. 26];36(4):150-4. Available from: https://ojs.hospitalitaliano.org.ar/index.php/revistahi/article/view/638

Referencias

Petroianu A. Diagnosis of acute appendicitis. Int J Surg. 2012;10(3):115-9. DOI: https://doi.org/10.1016/j.ijsu.2012.02.006

Drake FT, Mottey NE, Farrokhi ET, y col. Time to appendectomy and risk of perforation in acuteappendicitis. JAMA Surg. 2014;149(8):837-44. DOI: https://doi.org/10.1001/jamasurg.2014.77

Flum DR. Clinical practice. Acute appendicitis--appendectomy or the "antibiotics first" strategy. N Engl J Med. 2015;372(20):1937-43. DOI: https://doi.org/10.1056/NEJMcp1215006

Pinto F, Pinto A, Russo A, y col. Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature. Crit Ultrasound J. 2013;5 Suppl 1:S2. DOI: https://doi.org/10.1186/2036-7902-5-S1-S2

Reilly BM, Evans AT. Translating clinical research into clinical practice: impact of using prediction rules to make decisions. Ann Intern Med. 2006;144(3):201-9. DOI: https://doi.org/10.7326/0003-4819-144-3-200602070-00009

Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986;15(5):557-64. DOI: https://doi.org/10.1016/S0196-0644(86)80993-3

Masoomi H, Nguyen NT, Dolich MO, y col. Laparoscopic appendectomy trends and outcomes in the United States: data from the Nationwide Inpatient Sample (NIS), 2004-2011. Am Surg. 2014;80(10):1074-7. DOI: https://doi.org/10.1177/000313481408001035

Andersson RE. Short-term complications and long-term morbidity of laparoscopic and open appendicectomy in a national cohort. Br J Surg. 2014;101(9):1135-42. DOI: https://doi.org/10.1002/bjs.9552

Papandria D, Lardaro T, Rhee D, y col. Risk factors for conversion from laparoscopic to open surgery: analysis of 2138 converted operations in the American College of Surgeons National Surgical Quality Improvement Program. Am Surg. 2013;79(9):914-21. DOI: https://doi.org/10.1177/000313481307900930

Drake FT, Flum DR. Improvement in the diagnosis of appendicitis. Adv Surg. 2013;47:299-328. DOI: https://doi.org/10.1016/j.yasu.2013.03.003

Teixeira PG, Sivrikoz E, Inaba K, y col. Appendectomy timing: waiting until the next morning increases the risk of surgical site infections. Ann Surg. 2012;256(3):538-43. DOI: https://doi.org/10.1097/SLA.0b013e318265ea13

Eriksson S, Granström L. Randomized controlled trial of appendicectomy versus antibiotic therapy for acute appendicitis. Br J Surg. 1995;82(2):166-9. DOI: https://doi.org/10.1002/bjs.1800820207

Ozgüc H, Irgil C, Kaya E, y col. Randomized controlled trial of appendicectomy versus antibiotic therapy for acute appendicitis. Br J Surg. 1995;82(9):1284. DOI: https://doi.org/10.1002/bjs.1800820949

Greig JD, Nixon SJ. Randomized controlled trial of appendicectomy versus antibiotic therapy for acute appendicitis. Br J Surg. 1995;82(7):1000. DOI: https://doi.org/10.1002/bjs.1800820754

Styrud J, Eriksson S, Nilsson I, y col. Appendectomy versus antibiotic treatment in acute appendicitis. a prospective multicenter randomized controlled trial. World J Surg. 2006;30(6):1033-7. DOI: https://doi.org/10.1007/s00268-005-0304-6

Turhan AN, Kapan S, Kütükçü E, y col. Comparison of operative and non operative management of acute appendicitis. Ulus Travma Acil Cerrahi Derg. 2009;15(5):459-62.

Hansson J, Körner U, Khorram-Manesh A, y col. Randomized clinical trial of antibiotic therapy versus appendicectomy as primary treatment of acute appendicitis in unselected patients. Br J Surg. 2009;96(5):473-81. DOI: https://doi.org/10.1002/bjs.6482

Wojciechowicz KH, Hoffkamp HJ, van Hulst RA. Conservative treatment of acute appendicitis: an overview. Int Marit Health. 2010;62(4):265-72.

Vons C, Barry C, Maitre S, y col. Amoxicillin plus clavulanic acid versus appendicectomy for treatment of acute uncomplicated appendicitis: an open-label, non-inferiority, randomised controlled trial. Lancet. 2011;377(9777):1573-9. DOI: https://doi.org/10.1016/S0140-6736(11)60410-8

Varadhan KK, Neal KR, Lobo DN. Safety and efficacy of antibiotics compared with appendicectomy for treatment of uncomplicated acute appendicitis: meta-analysis of randomised controlled trials. BMJ. 2012;344:e2156. DOI: https://doi.org/10.1136/bmj.e2156

Trowbridge RL. Twelve tips for teaching avoidance of diagnostic errors. Med Teach. 2008;30(5):496-500. DOI: https://doi.org/10.1080/01421590801965137