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Revista Médica Sinergia

2019, Number 12

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Revista Médica Sinergia 2019; 4 (12)

Diagnosis, evaluation and management of acute appendicitis in the emergency department

Garro UV, Rojas VS, Thuel GM

Language: Spanish
References: 18
Page: 316
PDF size: 165.39 Kb.


ABSTRACT

Appendicitis is defined as the inflammation of the vermiform appendix, with obstruction of the lumen by a fecalith as the most common cause in adult patients. The diagnosis is mainly clinical, based on anamnesis and findings at physical examination and in some cases it may be necessary to rely on imaging studies. Because acute appendicitis is a pathology that presents with acute abdominal pain as the main symptom, it has a wide variety of differential diagnosis and the clinical assessment is very important in order to achieve the definite diagnosis. First line treatment is laparoscopic appendectomy. Studies have suggested a non-surgical approach to simple appendicitis; however, this requires further investigation.


REFERENCES

  1. Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. The Lancet. 2015 09;386(10000):1278- 1287. https://doi.org/10.1016/s0140-6736(15)00275-5

  2. Stringer MD. Acute appendicitis. Journal of Paediatrics and Child Health. 2017 Oct 17;53(11):1071- 1076. https://doi.org/10.1111/jpc.13737

  3. Cheng Y, Xiong X, Lu J, Wu S, Zhou R, Cheng N. Early versus delayed appendicectomy for appendiceal phlegmon or abscess. . Cochrane Database of Systematic Reviews. 2017 06 02;. https://doi.org/10.1002/14651858.cd011670.pub2

  4. Debnath J, George R A, Ravikumar B R. Imaging in acute appendicitis: What, when, and why? Med J Armed Forces India [internet]; 2016 [Consultado 27 Sep 2019]. Disponible en: www.sciencedirect.com.

  5. Flum DR. Acute Appendicitis — Appendectomy or the “Antibiotics First” Strategy. Solomon CG. New England Journal of Medicine. 2015 05 14;372(20):1937-1943. https://doi.org/10.1056/nejmcp1215006

  6. Gorter RR, Eker HH, Gorter-Stam MAW, Abis GSA, Acharya A, Ankersmit M, Antoniou SA, Arolfo S, Babic B, Boni L, Bruntink M, van Dam DA, Defoort B, Deijen CL, DeLacy FB, Go PM, Harmsen AMK, van den Helder RS, Iordache F, Ket JCF, Muysoms FE, Ozmen MM, Papoulas M, Rhodes M, Straatman J, Tenhagen M, Turrado V, Vereczkei A, Vilallonga R, Deelder JD, Bonjer J. Diagnosis and management of acute appendicitis. EAES consensus development conference 2015. Surgical Endoscopy. 2016 09 22;30(11):4668-4690. https://doi.org/10.1007/s00464-016-5245-7

  7. Natesan S, Lee J, Volkamer H, Thoureen T. Evidence-Based Medicine Approach to Abdominal Pain. Emergency Medicine Clinics of North America. 2016 05;34(2):165- 190. https://doi.org/10.1016/j.emc.2015.12.008.

  8. Acharya A, Markar SR, Ni M, Hanna GB. Biomarkers of acute appendicitis: systematic review and cost– benefit trade-off analysis. Surgical Endoscopy. 2016 08 05;31(3):1022- 1031. https://doi.org/10.1007/s00464-016-5109-1

  9. Sreedharan S, Fiorentino M, Sinha S. Plain abdominal radiography in acute abdominal pain—is it really necessary?. Emergency Radiology. 2014 06 01;21(6):597-603. https://doi.org/10.1007/s10140-014-1244-y

  10. Kamal MU, Baiomi A, Balar B. Acute Diverticulitis: A Rare Cause of Abdominal Pain. Gastroenterology Research. 2019;12(4):203-207. https://doi.org/10.14740/gr1166

  11. Feuerstein JD, Cheifetz AS. Crohn Disease: Epidemiology, Diagnosis, and Management. Mayo Clinic Proceedings. 2017 07;92(7):1088-1103. https://doi.org/10.1016/j.mayocp.2017.04.010

  12. Gans SL, Pols MA, Stoker J, Boermeester MA, . Guideline for the Diagnostic Pathway in Patients with Acute Abdominal Pain. Digestive Surgery. 2015;32(1):23-31. https://doi.org/10.1159/000371583

  13. Svensson JF, Patkova B, Almström M, Naji H, Hall NJ, Eaton S, Pierro A, Wester T. Nonoperative Treatment With Antibiotics Versus Surgery for Acute Nonperforated Appendicitis in Children. Annals of Surgery. 2015 01;261(1):67-71. https://doi.org/10.1097/sla.0000000000000835

  14. Cameron DB, Williams R, Geng Y, Gosain A, Arnold MA, Guner YS, Blakely ML, Downard CD, Goldin AB, Grabowski J, Lal DR, Dasgupta R, Baird R, Gates RL, Shelton J, Jancelewicz T, Rangel SJ, Austin MT. Time to appendectomy for acute appendicitis: A systematic review. Journal of Pediatric Surgery. 2018 03;53(3):396-405. https://doi.org/10.1016/j.jpedsurg.2017.11.042

  15. Falch C, Vicente D, Häberle H, Kirschniak A, Müller S, Nissan A, Brücher B. Treatment of acute abdominal pain in the emergency room: A systematic review of the literature. European Journal of Pain. 2014 01 22;18(7):902-913. https://doi.org/10.1002/j.1532-2149.2014.00456.x

  16. Franca Neto AHD, Amorim MMRD, Nóbrega BMSV. Acute appendicitis in pregnancy: literature review. Revista da Associação Médica Brasileira. 2015 04;61(2):170-177. https://doi.org/10.1590/1806- 9282.61.02.170

  17. Segev L, Keidar A, Schrier I, Rayman S, Wasserberg N, Sadot E. Acute Appendicitis in the Elderly in the Twenty-First Century. Journal of Gastrointestinal Surgery. 2015 02 14;19(4):730- 735. https://doi.org/10.1007/s11605-014-2716-9

  18. Montiel-Jarquín ÁJ, Ramírez-Sánchez C, García-Cano E, González-Hernández N, Rodríguez-Pérez F, Alvarado-Ortega I. Apendicitis crónica ocasionada por fecalitos múltiples. Reporte de un caso. Cirugía y Cirujanos. 2017 Dec;85:99-102. https://doi.org/10.1016/j.circir.2016.10.009




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