Produção Nacional
Revisado por pares
WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis
2016; BioMed Central; Volume: 11; Issue: 1 Linguagem: Inglês
10.1186/s13017-016-0090-5
ISSN1749-7922
AutoresSalomone Di Saverio, Arianna Birindelli, Micheal Denis Kelly, Fausto Catena, Dieter Weber, Massimo Sartelli, Michael Sugrue, Mark De Moya, Carlos Augusto Gomes, Aneel Bhangu, Ferdinando Agresta, Ernest E. Moore, Kjetil Søreide, Ewen A. Griffiths, Steve de Castro, Jeffry L. Kashuk, Yoram Kluger, Ari Leppäniemi, Luca Ansaloni, Manne Andersson, Federico Coccolini, Raúl Coimbra, Kurinchi Selvan Gurusamy, Fabio Cesare Campanile, Walter Biffl, Osvaldo Chiara, Fred A. Moore, Andrew B. Peitzman, Gustavo Pereira Fraga, David W. da Costa, Ronald V. Maier, Sandro Rizoli, Zsolt J. Balogh, Cino Bendinelli, Roberto Cirocchi, Valeria Tonini, Alice Piccinini, Gregorio Tugnoli, Elio Jovine, Roberto Persiani, Antonio Biondi, Thomas M. Scalea, Philip F. Stahel, Rao R. Ivatury, George C. Velmahos, Roland E. Andersson,
Tópico(s)Diverticular Disease and Complications
ResumoAcute appendicitis (AA) is among the most common cause of acute abdominal pain. Diagnosis of AA is challenging; a variable combination of clinical signs and symptoms has been used together with laboratory findings in several scoring systems proposed for suggesting the probability of AA and the possible subsequent management pathway. The role of imaging in the diagnosis of AA is still debated, with variable use of US, CT and MRI in different settings worldwide. Up to date, comprehensive clinical guidelines for diagnosis and management of AA have never been issued. In July 2015, during the 3rd World Congress of the WSES, held in Jerusalem (Israel), a panel of experts including an Organizational Committee and Scientific Committee and Scientific Secretariat, participated to a Consensus Conference where eight panelists presented a number of statements developed for each of the eight main questions about diagnosis and management of AA. The statements were then voted, eventually modified and finally approved by the participants to The Consensus Conference and lately by the board of co-authors. The current paper is reporting the definitive Guidelines Statements on each of the following topics: 1) Diagnostic efficiency of clinical scoring systems, 2) Role of Imaging, 3) Non-operative treatment for uncomplicated appendicitis, 4) Timing of appendectomy and in-hospital delay, 5) Surgical treatment 6) Scoring systems for intra-operative grading of appendicitis and their clinical usefulness 7) Non-surgical treatment for complicated appendicitis: abscess or phlegmon 8) Pre-operative and post-operative antibiotics.
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