Journal article
Treatment of Acute Uncomplicated Appendicitis
The New England journal of medicine, Vol.385(12), pp.1116-1123
09/16/2021
DOI: 10.1056/NEJMcp2107675
PMID: 34525287
Abstract
Key Clinical Points Treatment of Acute Uncomplicated Appendicitis Patients with acute, localized, uncomplicated appendicitis (approximately 80% of all appendicitis cases) are candidates for appendectomy or nonoperative treatment. Nonoperative treatment includes analgesia, antibiotics for 7 to 10 days, and careful follow-up. With surgery, appendicitis cannot recur, and the incidence of subsequent hospitalization is lower than with nonoperative treatment. Surgery requires general anesthesia and in most instances an overnight hospital stay. Nonoperative treatment is associated with a shorter duration of disability than appendectomy, does not routinely require hospitalization, and is not associated with an increased risk of rupture. Over 5 years, approximately 30 to 40% of patients who had been treated with antibiotics will undergo appendectomy, although rates vary with patient characteristics and practice patterns. Patients with appendicolith who receive nonoperative treatment are more likely than those without an appendicolith to undergo appendectomy. Patients should be informed of the advantages and disadvantages of both strategies and should participate in decision making.
Nonoperative Antibiotic Treatment of Acute Appendicitis Treatment for acute uncomplicated appendicitis may involve appendectomy or nonoperative care (pain control, antibiotics, and careful follow-up). The advantages and disadvantages of each should be discussed with the patient. Over 5 years, 30 to 40% of patients who received antibiotics will undergo appendectomy, although the range may vary, depending on patient characteristics and practice patterns.
Details
- Title: Subtitle
- Treatment of Acute Uncomplicated Appendicitis
- Creators
- David A. Talan - UCLA Ronald Reagan Med Ctr, Dept Emergency Med, Los Angeles, CA USASalomone Di Saverio - Hosp San Benedetto Tronto, Dept Gen Surg, ASUR Marche, San Benedetto Tronto, Italy
- Resource Type
- Journal article
- Publication Details
- The New England journal of medicine, Vol.385(12), pp.1116-1123
- Publisher
- Massachusetts Medical Soc
- DOI
- 10.1056/NEJMcp2107675
- PMID
- 34525287
- ISSN
- 0028-4793
- eISSN
- 1533-4406
- Number of pages
- 8
- Language
- English
- Date published
- 09/16/2021
- Academic Unit
- Emergency Medicine; Internal Medicine
- Record Identifier
- 9984296984202771
Metrics
13 Record Views