Can Appendicitis in Children Be Treated Without Surgery?
the MPR take:
Uncomplicated acute appendicitis could be treated without surgery in children, says a new study published in the Journal of the American College of Surgeons. The study included 77 patients who chose non-operative management (treatment with antibiotics) and 47 patients who decided upon surgery. Results showed patients in the non-operative group were disabled for fewer days (3 vs. 17 days) and returned to school quicker (3 vs. 5 days). In patients who opted for antibiotics, quality of life scores were higher in both the child and parent; however these children had longer hospital stays (38 vs. 20 hours). Since the primary outcome (30-day success rate) was met, researchers concluded that non-surgical management is a feasible option for children with uncomplicated acute appendicitis. More studies will need to be conducted to judge longer-term success.
Forgoing surgery to remove the appendix may not be an option for all kids, researchers say, but just three of 30 children who tried the antibiotics-only route ended up needing surgery. Although the cause of appendicitis is not known, Minneci said it may often occur when a piece of feces blocks ...
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