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40
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Text
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Pages
174–180
Issue
2
Volume
84
Dublin Core
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Title
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Early Uncomplicated Appendicitis-Who Can We Treat Nonoperatively?
Publisher
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American Surgeon
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-02
Subject
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Adult; Female; Male; Aged; Young Adult; Prospective Studies; Patient Selection; Drug Administration Schedule; Appendectomy; Injections; Human; Middle Age; Adolescence; Retrospective Design; Intravenous; Administration; Oral; Treatment Outcomes; Severity of Illness Indices; Antibiotics – Therapeutic Use; Ampicillin – Therapeutic Use; Appendicitis – Diagnosis; Appendicitis – Drug Therapy; Appendicitis – Surgery; Enzyme Inhibitors – Therapeutic Use; Penicillins – Therapeutic Use
Creator
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Horattas Mark C; HORATTAS ILEANA K; VASILIOU ELYA M
Description
An account of the resource
This study evaluated nonoperative treatment for mild appendicitis and reviewed selection criteria to be used in introducing this option into clinical practice. A retrospective review of 73 consecutive cases of appendicitis treated by a single surgeon from 2011 to 2013 was completed. Patients who were diagnosed with mild appendicitis meeting the criteria of an APPENDICITIS scoring algorithm proposed in this manuscript were considered for nonoperative management. An additional 17 patients with mild appendicitis were offered and successfully treated nonoperatively between 2014 and 2016 and reviewed. Of these original 73 patients, 37 had moderate to severe appendicitis and directly underwent appendectomy. The remaining patients were diagnosed with mild appendicitis and considered eligible for nonoperative management. Of these, 14 patients were offered nonoperative therapy. Thirteen responded successfully; one patient responded partially, but later opted for surgery. In 2014, this scoring system and preliminary results were shared with the other surgeons in our department. Nonoperative management was then selectively adopted by a few of the surgeons from 2014 to 2016 with another 17 patients (APPENDICITIS score of 0 or 1) being offered and successfully managed nonoperatively. Patients with mild or early appendicitis can be successfully managed nonoperatively. A proposed APPENDICITIS scoring system may provide a helpful mnemonic for successfully selecting patients for this option.
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
Administration
Adolescence
Adult
Aged
American Surgeon
Ampicillin – Therapeutic Use
Antibiotics – Therapeutic Use
Appendectomy
Appendicitis – Diagnosis
Appendicitis – Drug Therapy
Appendicitis – Surgery
Drug Administration Schedule
Enzyme Inhibitors – Therapeutic Use
Female
HORATTAS ILEANA K
Horattas Mark C
Human
Injections
Intravenous
Male
Middle Age
Oral
Patient Selection
Penicillins – Therapeutic Use
Prospective Studies
Retrospective Design
Severity of Illness Indices
Treatment Outcomes
VASILIOU ELYA M
Young Adult