Role of non-operative management in pediatric appendicitis
Abstract Appendectomy is currently considered the standard of care for children with acute appendicitis. Although commonly performed and considered a safe procedure, appendectomy is not without complications. Non-operative management has a role in the treatment of both uncomplicated and complicated...
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| Veröffentlicht in: | Seminars in pediatric surgery 2016-08, Vol.25 (4), p.204-207 |
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| container_title | Seminars in pediatric surgery |
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| creator | Gonzalez, Dani O., MD Deans, Katherine J., MD MHSc Minneci, Peter C., MD MHSc |
| description | Abstract Appendectomy is currently considered the standard of care for children with acute appendicitis. Although commonly performed and considered a safe procedure, appendectomy is not without complications. Non-operative management has a role in the treatment of both uncomplicated and complicated appendicitis. In uncomplicated appendicitis, initial non-operative management appears to be safe, with an approximate 1-year success rate of 75%. Compared to surgery, non-operative management is associated with less disability and lower costs, with no increase in the rate of complicated appendicitis. In patients with complicated appendicitis, initial non-operative management with interval appendectomy has been shown to be safe with reported success rates between 66-95%. Several studies suggest that initial non-operative management with interval appendectomy may be beneficial in patients with perforated appendicitis with a well-formed abscess or inflammatory mass. Recent data suggest that interval appendectomy may not be necessary after initial non-operative management of complicated appendicitis. |
| doi_str_mv | 10.1053/j.sempedsurg.2016.05.002 |
| format | Article |
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Although commonly performed and considered a safe procedure, appendectomy is not without complications. Non-operative management has a role in the treatment of both uncomplicated and complicated appendicitis. In uncomplicated appendicitis, initial non-operative management appears to be safe, with an approximate 1-year success rate of 75%. Compared to surgery, non-operative management is associated with less disability and lower costs, with no increase in the rate of complicated appendicitis. In patients with complicated appendicitis, initial non-operative management with interval appendectomy has been shown to be safe with reported success rates between 66-95%. Several studies suggest that initial non-operative management with interval appendectomy may be beneficial in patients with perforated appendicitis with a well-formed abscess or inflammatory mass. Recent data suggest that interval appendectomy may not be necessary after initial non-operative management of complicated appendicitis.</description><identifier>ISSN: 1055-8586</identifier><identifier>EISSN: 1532-9453</identifier><identifier>DOI: 10.1053/j.sempedsurg.2016.05.002</identifier><identifier>PMID: 27521709</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acute Disease ; Anti-Bacterial Agents - therapeutic use ; Antibiotics ; Appendectomy ; Appendicitis ; Appendicitis - complications ; Appendicitis - drug therapy ; Appendicitis - surgery ; Child ; Children ; Combined Modality Therapy ; Humans ; Non-operative management ; Pediatric ; Pediatrics ; Recurrence ; Surgery ; Treatment Outcome</subject><ispartof>Seminars in pediatric surgery, 2016-08, Vol.25 (4), p.204-207</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. 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Although commonly performed and considered a safe procedure, appendectomy is not without complications. Non-operative management has a role in the treatment of both uncomplicated and complicated appendicitis. In uncomplicated appendicitis, initial non-operative management appears to be safe, with an approximate 1-year success rate of 75%. Compared to surgery, non-operative management is associated with less disability and lower costs, with no increase in the rate of complicated appendicitis. In patients with complicated appendicitis, initial non-operative management with interval appendectomy has been shown to be safe with reported success rates between 66-95%. Several studies suggest that initial non-operative management with interval appendectomy may be beneficial in patients with perforated appendicitis with a well-formed abscess or inflammatory mass. Recent data suggest that interval appendectomy may not be necessary after initial non-operative management of complicated appendicitis.</description><subject>Acute Disease</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Appendectomy</subject><subject>Appendicitis</subject><subject>Appendicitis - complications</subject><subject>Appendicitis - drug therapy</subject><subject>Appendicitis - surgery</subject><subject>Child</subject><subject>Children</subject><subject>Combined Modality Therapy</subject><subject>Humans</subject><subject>Non-operative management</subject><subject>Pediatric</subject><subject>Pediatrics</subject><subject>Recurrence</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>1055-8586</issn><issn>1532-9453</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtv1TAQRi1ERZ9_AWXJJqnH9uTBAgkqWpAqVWphbTnOpPIlsYOdVOq_x1e3gMSK2XgWZ-aTzzBWAK-Ao7zcVYnmhYa0xcdKcKgrjhXn4hU7AZSi7BTK17nniGWLbX3MTlPaZaCuBb5hx6JBAQ3vTtj7-zBREcbCB1-GhaJZ3RMVs_HmkWbya-F8kZOcWaOzhVkW8oOzbnXpnB2NZkp08fKese_Xn79dfSlv726-Xn28La0S3VpKMdhcCnmNHcqm74emw56ADyhVA7WVPQAoqVo1Elo5trbvpc0YdZ0BecbeHfYuMfzcKK16dsnSNBlPYUsaWgDErm1URtsDamNIKdKol-hmE581cL03p3f6rzm9N6c56iwmj759Sdn6mYY_g79VZeDTAaD81ydHUSfryNvsJpJd9RDc_6R8-GeJnZx31kw_6JnSLmzRZ5cadBKa64f9BfcHhFpyDqjkL1a5mWI</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Gonzalez, Dani O., MD</creator><creator>Deans, Katherine J., MD MHSc</creator><creator>Minneci, Peter C., MD MHSc</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160801</creationdate><title>Role of non-operative management in pediatric appendicitis</title><author>Gonzalez, Dani O., MD ; Deans, Katherine J., MD MHSc ; Minneci, Peter C., MD MHSc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-32dcccc450659537bbd795be10d534716c3b11143484fe5c3f8cbb3cbd7e99a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acute Disease</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotics</topic><topic>Appendectomy</topic><topic>Appendicitis</topic><topic>Appendicitis - complications</topic><topic>Appendicitis - drug therapy</topic><topic>Appendicitis - surgery</topic><topic>Child</topic><topic>Children</topic><topic>Combined Modality Therapy</topic><topic>Humans</topic><topic>Non-operative management</topic><topic>Pediatric</topic><topic>Pediatrics</topic><topic>Recurrence</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gonzalez, Dani O., MD</creatorcontrib><creatorcontrib>Deans, Katherine J., MD MHSc</creatorcontrib><creatorcontrib>Minneci, Peter C., MD MHSc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gonzalez, Dani O., MD</au><au>Deans, Katherine J., MD MHSc</au><au>Minneci, Peter C., MD MHSc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of non-operative management in pediatric appendicitis</atitle><jtitle>Seminars in pediatric surgery</jtitle><addtitle>Semin Pediatr Surg</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>25</volume><issue>4</issue><spage>204</spage><epage>207</epage><pages>204-207</pages><issn>1055-8586</issn><eissn>1532-9453</eissn><abstract>Abstract Appendectomy is currently considered the standard of care for children with acute appendicitis. 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| ispartof | Seminars in pediatric surgery, 2016-08, Vol.25 (4), p.204-207 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Acute Disease Anti-Bacterial Agents - therapeutic use Antibiotics Appendectomy Appendicitis Appendicitis - complications Appendicitis - drug therapy Appendicitis - surgery Child Children Combined Modality Therapy Humans Non-operative management Pediatric Pediatrics Recurrence Surgery Treatment Outcome |
| title | Role of non-operative management in pediatric appendicitis |
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