Pediatric appendicitis: state of the art review

被引：90
|
作者：
Rentea, Rebecca M. [1 ]
St Peter, Shawn D. [1 ]
Snyder, Charles L. [1 ]
机构：
[1] Childrens Mercy Hosp, Dept Surg, 2401 Gillham Rd, Kansas City, MO 64108 USA
来源：
PEDIATRIC SURGERY INTERNATIONAL | 2017年 / 33卷 / 03期
关键词：
Appendicitis; Appendectomy; Scoring system; Laparoscopy; Abscess; Children; Pediatric; Non-operative management; Abdominal pain; Right lower quadrant; RANDOMIZED-CONTROLLED-TRIAL; BLOOD-CELL COUNT; COMPUTED-TOMOGRAPHY UTILIZATION; C-REACTIVE PROTEIN; INFLAMMATORY RESPONSE SCORE; SURGICAL-SITE-INFECTIONS; PERFORATED APPENDICITIS; LAPAROSCOPIC APPENDECTOMY; NONOPERATIVE MANAGEMENT; SUSPECTED APPENDICITIS;
D O I：
10.1007/s00383-016-3990-2
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Appendicitis is a common cause of abdominal pain in children. The diagnosis and treatment of the disease have undergone major changes in the past two decades, primarily as a result of the application of an evidence-based approach. Data from several randomized controlled trials, large database studies, and meta-analyses have fundamentally affected patient care. The best diagnostic approach is a standardized clinical pathway with a scoring system and selective imaging. Non-operative management of simple appendicitis is a reasonable option in selected cases, with the caveat that data in children remain limited. A minimally invasive (laparoscopic) appendectomy is the current standard in US and European children's hospitals. This article reviews the current 'state of the art' in the evaluation and management of pediatric appendicitis.
引用
收藏
页码：269 / 283
页数：15
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