Apendicitis aguda
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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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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