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    WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

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    Authors
    Di Saverio, Salomone
    Birindelli, 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
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    Issue Date
    2016-07-18
    Keywords
    SURGERY
    Local subject classification
    ACUTE APPENDICITIS
    
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    Citation
    World Journal of Emergency Surgery. 2016 Jul 18;11(1):34
    URI
    http://dx.doi.org/10.1186/s13017-016-0090-5
    http://hdl.handle.net/10147/617872
    Abstract
    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
    Article
    Guideline
    Language
    en
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