Abstract:
:Acute appendicitis is the most common cause of emergent surgery in children. Historically, surgical dogma dictated emergent appendectomy due to concern for impending perforation. Recently, however, there has been a paradigm shift in both the understanding of its pathophysiology as well as its treatment to more nonoperative management. No longer is it considered a spectrum from uncomplicated appendicitis inevitably progressing to complicated appendicitis over time. Rather, uncomplicated and complicated appendicitis are now considered two distinct pathophysiologic entities. This change requires not only educating the patients and their families but also the general practitioners who will be managing treatment expectations and caring for patients long term. In this article, we review the pathophysiology of appendicitis, including the differentiation between uncomplicated and complicated appendicitis, as well as the new treatment paradigms. [Pediatr Ann. 2016;45(7):e235-e240.].
journal_name
Pediatr Annjournal_title
Pediatric annalsauthors
Mak GZ,Loeff DSdoi
10.3928/00904481-20160525-01subject
Has Abstractpub_date
2016-07-01 00:00:00pages
e235-40issue
7eissn
0090-4481issn
1938-2359journal_volume
45pub_type
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