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Appendicitis News

Is Surgery Always Needed for Kids' Appendicitis?

Posted 17 Feb 2017 by

FRIDAY, Feb. 17, 2017 – Skipping surgery and treating appendicitis with antibiotics alone may be a safe approach for many children, a new analysis suggests. Reviewing 10 studies on more than 400 young patients, researchers found that nonsurgical treatment for an inflamed appendix appeared effective overall. But, appendicitis recurred in 14 percent of patients, and the study authors urged more research to inform doctors' decision-making. "It may in the future be appropriate to offer nonoperative treatment, with antibiotics, as an alternative to children with acute uncomplicated appendicitis," said study author Dr. Nigel Hall. He's an associate professor of pediatric surgery at the University of Southampton in England. "However, at this stage we would not recommend that nonoperative treatment is offered as treatment outside of a carefully designed research study," Hall added. "This is ... Read more

Related support groups: Surgery, Appendicitis, Appendectomy

The 7 Deadliest Emergency General Surgeries

Posted 27 Apr 2016 by

WEDNESDAY, April 27, 2016 – Seven types of operations, including appendectomy and gall bladder removal, account for four out of five emergency general-surgery deaths in the United States, a new study reports. The procedures are: partial removal of the large or small intestine; surgery to repair a bleeding or torn ulcer; separating abdominal organs that have adhered to each other; appendix removal; gall bladder removal; and open-abdominal surgery. Researchers found these operations also account for 80 percent of complications from emergency general surgery, a specialty that focuses primarily on abdominal health problems. "Our gastrointestinal tract is just so specialized and so critical to our existence. We think it's easy to operate on, but then in practice it's very difficult for patients," said senior author Dr. Joaquim Havens, an instructor in trauma and emergency surgery at Brigham ... Read more

Related support groups: Stomach Ulcer, Gastric Ulcer, Peptic Ulcer, Intestinal Obstruction, Appendicitis, Intraabdominal Infection, Appendectomy

Mild Appendicitis Complication Rates Similar for Surgery, Antibiotics

Posted 28 Mar 2016 by

FRIDAY, March 25, 2016 – Antibiotics can be used to treat mild appendicitis, but the condition returns in some patients who receive the drugs, researchers report. Surgical removal of the appendix (appendectomy) has long been the standard treatment for appendicitis, which is when the appendix becomes inflamed and infected. Millions of appendectomies are performed worldwide each year, including more than 300,000 in the United States, according to the new analysis. The international team of researchers reviewed five studies that included a total of 1,116 patients with mild appendicitis. They found that rates of complications were similar for those who received antibiotics (5 percent) and those who had an appendectomy (8 percent). Of the patients who initially received antibiotics, 8 percent had an appendectomy within a month and 23 percent had a recurrence of appendicitis within 12 ... Read more

Related support groups: Appendicitis

Antibiotics Often Enough for Kids' Appendicitis

Posted 16 Dec 2015 by

WEDNESDAY, Dec. 16, 2015 – Treatment with antibiotics alone can be a safe and effective alternative to surgery for children with uncomplicated acute appendicitis, according to a new study. The study was led by Dr. Peter Minneci and Dr. Katherine Deans, co-directors of the Center for Surgical Outcomes Research at The Research Institute, part of Nationwide Children's Hospital in Columbus, Ohio. "Surgery has long been the 'gold standard' of care for treating appendicitis because by removing the appendix we eliminate the chance that the appendicitis will ever come back," Deans said in a hospital news release. "However, early in our careers we noticed that patients with appendicitis who were placed on antibiotics overnight until their surgery the following morning felt better the next day," she added. "So, Pete and I asked ourselves: do they really need to have surgery?" Minneci agreed. ... Read more

Related support groups: Metronidazole, Cipro, Ciprofloxacin, Augmentin, Flagyl, Amoxicillin/Clavulanate, Metro, Appendicitis, Flagyl IV, Flagyl IV RTU, Amoclan, Augmentin XR, Flagyl ER, Augmentin ES-600, Cipro XR, Cipro IV, Cipro Cystitis Pack, Metro IV, Proquin XR, Flagyl 375

Appendicitis Can Often Be Treated With Antibiotics

Posted 16 Jun 2015 by

TUESDAY, June 16, 2015 – Although surgical removal of the appendix has long been a standard treatment, a new study found that almost three-quarters of people treated with antibiotics could be spared the invasive procedure known as appendectomy. "For more than a century, appendectomy has been the standard treatment," said the study's lead author Dr. Paulina Salminen, of Turku University Hospital in Finland. But about 80 percent of patients with an inflamed appendix, commonly called appendicitis, don't need to have their appendix surgically removed, and those who ultimately do need the surgery aren't hurt by waiting, according to Salminen. She thinks that this and other studies will change how appendicitis is treated. "Now we know that only a small proportion of appendicitis patients need an emergency operation," Salminen said. However, there are two types of appendicitis – one that ... Read more

Related support groups: Surgery, Metronidazole, Bactrim, Flagyl, Bactrim DS, Sulfamethoxazole/Trimethoprim, Xifaxan, Polymyxin B, Septra, Zyvox, Metro, Rifaximin, Bacitracin, Appendicitis, SMZ-TMP DS, Septra DS, Chloramphenicol, Sulfatrim, Cotrimoxazole, Flagyl IV

Child's Appendix More Likely to Rupture in Regions Short of Surgeons

Posted 31 Oct 2014 by

FRIDAY, Oct. 31, 2014 – Children and teens with poor access to general surgeons are at increased risk of suffering a ruptured appendix, and the risk is particularly high among young children, a new study finds. If an infected appendix isn't removed quickly enough, it can burst or rupture, leading to a serious, sometimes fatal infection, according to background information from the study. Researchers analyzed data from nearly 7,000 children younger than 18 who were diagnosed with appendicitis at surgical centers in North Carolina between 2007 and 2009. Nearly one in four of the youngsters later suffered a ruptured appendix. The risk of ruptured appendix was 1.7 times higher among patients who were transferred to another hospital, and 1.4 times higher among those who came from areas with a severe shortage of general surgeons, fewer than three for every 100,000 people. Young appendicitis ... Read more

Related support groups: Appendicitis, Appendectomy

Smoggy Days May Raise Your Odds for Burst Appendix

Posted 11 Jul 2013 by

THURSDAY, July 11 – Add another possible health woe to the negative effects of air pollution: A new study suggests that the risk of a burst appendix rises on smoggy days. Data from 12 Canadian cities found that "short-term exposure to ambient ozone [in air] was associated with an increased number of hospital visits for appendicitis," according to a team led by Dr. Gil Kaplan of the University of Calgary. The risk for perforated (burst) appendix rose by up to 22 percent with every 16 parts-per-billion rise of ozone in the air over the three to seven days prior to the appendicitis incident, the researchers reported in the July 11 online edition of Environmental Health Perspectives. The study "highlights a previously unrecognized association between air pollutants such as ozone emitted by burning fossil fuels, and an increased risk for perforated appendicitis," said Dr. Robert Glatter, an ... Read more

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Speed Bumps May Aid Appendicitis Diagnosis

Posted 18 Dec 2012 by

TUESDAY, Dec. 18 – Speed bumps are great for slowing down heavy-footed motorists, but they might speed up the diagnosis of acute appendicitis, a new study says. Although there is no specific clinical diagnostic test for appendicitis, researchers in Great Britain found that if patients' abdominal pain got worse while driving over speed bumps, they were more likely to have the condition. "It may sound odd, but asking patients whether their pain worsened going over speed bumps on their way in to [the] hospital could help doctors in a diagnosis," Dr. Helen Ashdown, of the department of primary care health sciences at the University of Oxford, said in a news release. "It turns out to be as good as many other ways of assessing people with suspected appendicitis." The results of the study were published online Dec. 17 in the journal BMJ. The study, conducted by researchers from the University ... Read more

Related support groups: Appendicitis

Low-Radiation CT Scans Effective at Spotting Appendicitis: Study

Posted 25 Apr 2012 by

WEDNESDAY, April 25 – Lower levels of radiation during CT scans could be just as effective for diagnosing appendicitis as the standard radiation dose, according to a new study from South Korea. Doctors typically order CT scans of the abdomen for adult and teen patients who have symptoms of appendicitis, such as pain near their belly button, to diagnose their condition before they decide whether to do an appendectomy – surgery to remove the appendix. "As long as CT is used judiciously, it allows doctors to reduce the rate of negative appendectomies – before CT scans, about one in five patients would have their appendix removed and it was normal and their pain was due to something else," explained Dr. Erik Paulson, a radiologist at Duke University Medical Center. There are about 250,000 cases of appendicitis a year in the United States, according to study background information. While ... Read more

Related support groups: Appendicitis, Diagnosis and Investigation

Study Finds Antibiotics Best for Appendicitis

Posted 5 Apr 2012 by

THURSDAY, April 5 – For people suffering from uncomplicated appendicitis, a course of antibiotics may be just as good as having the appendix removed, British researchers report. The researchers reviewed studies involving hundreds of patients to determine that treatment with antibiotics could be a safe alternative to surgery, which has been the so-called "gold standard" of care for an inflamed appendix since 1889. "Starting antibiotics when the diagnosis of uncomplicated acute appendicitis is made, with reassessment of the patient, will prevent the need for most appendectomies, reducing patient morbidity," said lead researcher Dr. Dileep Lobo, professor of gastrointestinal surgery at the University of Nottingham and Queen's Medical Centre. Antibiotics also can shorten a patient's hospital stay, he added. Since better diagnostic tools are now available to diagnose appendicitis, it is ... Read more

Related support groups: Appendicitis

Surgery May Beat Antibiotics for Appendicitis, Study Finds

Posted 5 May 2011 by

THURSDAY, May 5 – Although some researchers believe antibiotics can often cure appendicitis, surgery remains the more effective treatment, French investigators suggest. Uncomplicated appendicitis may be treated with antibiotics alone, but complicated appendicitis, where the appendix is perforated, requires surgery, and it is difficult to discern between the two, the researchers say. "With the current technology, it is not possible to distinguish between uncomplicated and complicated appendicitis," said lead researcher Dr. Corinne Vons, of the Assistance Publique-Hopitaux de Paris and Universite Paris XI. "Therefore, we cannot treat uncomplicated appendicitis with antibiotics," she said. In the future, with improved imaging, "it will be possible," she said. The report was published in the May 7 edition of The Lancet. For the study, Vons' team followed 239 patients diagnosed with ... Read more

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Kids With Perforated Appendix May Benefit From Early Surgery

Posted 21 Feb 2011 by

MONDAY, Feb. 21 – Early appendectomy is better for children with a perforated appendix than postponing the surgery, a new study finds. The two commonly used surgical options for children with a perforated appendix are early appendectomy (surgical removal of the appendix within 24 hours of hospitalization) and what's known as "interval" appendectomy (surgery six to eight weeks after the initial diagnosis). It had been assumed that postponing surgery would allow contamination in the abdominal cavity to resolve, reducing the likelihood of infection. But this study found that early appendectomy was linked to fewer adverse events, such as surgical site infection, intra-abdominal abscess, and unplanned readmission to hospital. There could also be an added benefit for parents and kids from operating early. "We found that those treated with early appendectomy return to normal activities an ... Read more

Related support groups: Appendicitis, Appendectomy

Delayed Appendicitis Surgery Not Linked to Worse Outcomes

Posted 21 Sep 2010 by

TUESDAY, Sept. 21 – A delay of 12 or more hours before removing the appendix of patients with acute appendicitis does not lead to poorer outcomes, a new study shows. U.S. researchers analyzed national data from 32,782 patients with acute appendicitis who underwent an appendectomy between 2005 and 2008. Of those patients, 75.2 percent had surgery within six hours of being admitted to the hospital, 15.1 percent had surgery within six to 12 hours, and 9.8 percent had surgery after more than 12 hours. Operation times were slightly longer for patients who waited more than 12 hours for their surgery: 55 minutes compared with 50 minutes for those who had their surgery within six to 12 hours, and 51 minutes for those who had surgery within six hours. These differences were not clinically meaningful, Dr. Angela M. Ingraham, of the American College of Surgeons in Chicago, and colleagues noted in ... Read more

Related support groups: Appendicitis

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Acute Abdomen

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Zosyn, piperacillin / tazobactam