December 2022. Volume 18. Number 4

Nonoperative management of appendicitis increases the risk of complications

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Lipsett SC, Monuteaux MC, Shanahan KH, Bachur RG. Nonoperative Management of Uncomplicated Appendicitis. Pediatrics. 2022;149:e2021054693.

Reviewers: Gimeno Díaz de Atauri Á1, Ruiz-Canela Cáceres J2.
1Pediatra. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
2Pediatra. CS Virgen de África. Sevilla. España.
Correspondence: Álvaro Gimeno Díaz de Atauri. Email: agimenodatauri@gmail.com
Reception date: 29/09/2022
Acceptance date: 13/10/2022
Publication date: 26/10/2022

Abstract

Authors´ conclusions: nonoperative management of nonperforated pediatric appendicitis in children has increased in the U.S.A. in recent years. Although most patients are treated successfully, they have a higher rate of emergency department revisits and hospitalizations than children who have appendectomy on their first visit and, in whom non-surgical management fails, there is an increased risk of perforation.

Reviewers´ commentary: nonoperative management of nonperforated pediatric appendicitis has increased in U.S.A. children's hospitals between 2011 and 2020. Although most children are successfully treated, this study suggests bigger rates of subsequent check-ups and hospitalizations, as well as an increased risk of perforation at the time of failure with that type of management. Further rigorous, large-scale studies of nonoperative management in children are needed to determine its optimal use.

How to cite this article

Giménez Díaz de Atauri A, Ruiz Canela Cáceres J. El tratamiento no quirúrgico de la apendicitis aumenta el riesgo de complicaciones. Evid Pediatr. 2022;18:36.

AVC | Critically appraised articles

Lipsett SC, Monuteaux MC, Shanahan KH, Bachur RG. Nonoperative Management of Uncomplicated Appendicitis. Pediatrics. 2022;149:e2021054693.

Reviewers: Gimeno Díaz de Atauri Á1, Ruiz-Canela Cáceres J2.
1Pediatra. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
2Pediatra. CS Virgen de África. Sevilla. España.
Correspondence: Álvaro Gimeno Díaz de Atauri. Email: agimenodatauri@gmail.com
Reception date: 29/09/2022
Acceptance date: 13/10/2022
Publication date: 26/10/2022

How to cite this article

Giménez Díaz de Atauri A, Ruiz Canela Cáceres J. El tratamiento no quirúrgico de la apendicitis aumenta el riesgo de complicaciones. Evid Pediatr. 2022;18:36.

26/10/2022

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