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Pediatric Surgery International
Published in: Pediatric Surgery International 3/2017

01-03-2017 | Review Article

Pediatric appendicitis: state of the art review

Authors: Rebecca M. Rentea, Shawn D. St. Peter, Charles L. Snyder

Published in: Pediatric Surgery International | Issue 3/2017

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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.
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Metadata
Title
Pediatric appendicitis: state of the art review
Authors
Rebecca M. Rentea
Shawn D. St. Peter
Charles L. Snyder
Publication date
01-03-2017
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Surgery International / Issue 3/2017
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-016-3990-2

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