WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis
Authors
Di Saverio, SalomoneBirindelli, Arianna
Kelly, Micheal D
Catena, Fausto
Weber, Dieter G
Sartelli, Massimo
Sugrue, Michael
De Moya, Mark
Gomes, Carlos A
Bhangu, Aneel
Agresta, Ferdinando
Moore, Ernest E
Soreide, Kjetil
Griffiths, Ewen
De Castro, Steve
Kashuk, Jeffry
Kluger, Yoram
Leppaniemi, Ari
Ansaloni, Luca
Andersson, Manne
Coccolini, Federico
Coimbra, Raul
Gurusamy, Kurinchi S
Campanile, Fabio C
Biffl, Walter
Chiara, Osvaldo
Moore, Fred
Peitzman, Andrew B
Fraga, Gustavo P
Costa, David
Maier, Ronald V
Rizoli, Sandro
Balogh, Zsolt J
Bendinelli, Cino
Cirocchi, Roberto
Tonini, Valeria
Piccinini, Alice
Tugnoli, Gregorio
Jovine, Elio
Persiani, Roberto
Biondi, Antonio
Scalea, Thomas
Stahel, Philip
Ivatury, Rao
Velmahos, George
Andersson, Roland
Issue Date
2016-07-18Keywords
SURGERYLocal subject classification
ACUTE APPENDICITIS
Metadata
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World Journal of Emergency Surgery. 2016 Jul 18;11(1):34Abstract
Abstract Acute 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.Item Type
ArticleGuideline