Acute Appendicitis
DOI:
https://doi.org/10.51987/Rev.Hosp.Ital.B.Aires.v36i4.638Keywords:
appendicitis, Alvarado score, clinical prediction rules, antibiotic treatment, incidence of perforationAbstract
With the use of images of increasing sensitivity, the number of patients diagnosed with appendicitis has increased and a significant proportion of them could not progress to clinically relevant appendicitis or resolve spontaneously and avoid appendectomy. There are clinical prediction rules which combined with computed tomography or ultrasound may have a significantly higher sensitivity and specificity both to rule out as to confirm the diagnosis. Antibiotics should be considered a valid treatment option and its use discussed with patients
Downloads
References
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
Downloads
Published
Issue
Section
License
Copyright (c) 2016 Revista del Hospital Italiano de Buenos Aires

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.










