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- Title
Pediatric appendicitis: state of the art review.
- Authors
Rentea, Rebecca; Peter, Shawn; Snyder, Charles; Rentea, Rebecca M; Peter, Shawn D St; Snyder, Charles L
- Abstract
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.
- Subjects
APPENDICITIS treatment; ABDOMINAL pain in children; EVIDENCE-based medicine; APPENDECTOMY; LAPAROSCOPIC surgery; APPENDICITIS diagnosis; APPENDIX surgery; APPENDICITIS; APPENDIX (Anatomy); CHILDREN'S hospitals; DATABASES; DIAGNOSTIC imaging; PEDIATRICS; TREATMENT effectiveness
- Publication
Pediatric Surgery International, 2017, Vol 33, Issue 3, p269
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-016-3990-2