Paradigm Shifts in the Treatment of Appendicitis.

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 Ann

journal_title

Pediatric annals

authors

Mak GZ,Loeff DS

doi

10.3928/00904481-20160525-01

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

e235-40

issue

7

eissn

0090-4481

issn

1938-2359

journal_volume

45

pub_type

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