Keywords
Pediatria
Cirurgia Geral
Tratamento Conservador
Antibacterianos
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Abstract
Objective: To analyze the management of acute appendicitis in pediatric patients. Bibliographic Review: Acute appendicitis is an abdominal surgical emergency, being considered as an infection in the appendix organ that can have a complicated evolution of the disease. Its etiology is still unclear and its diagnosis is based mainly on detailed clinical history and physical examination. Therefore, there are several therapeutic options for acute appendicitis, including the surgical treatment, the conservative treatment and antibiotic therapy. Furthermore, appendicitis occurs predominantly among children and adolescents with the ages 10 to 20 worldwide and is the leading cause of emergency surgery in children. Thus, due to the high prevalence of complicated and uncomplicated acute appendicitis in children and adolescents, the present study aims to analyze the management of the disease in pediatric patients. Final considerations: Among the management options for the cases aimed at the target audience of this study, it can be observed that the choice of treatment based on the analysis of the case, presented itself as a better alternative in the conduct of the same, considering its indications, contraindications and consequences associated with the condition.
References
ANDRADE FC, et al. Estudo das características clínico-epidemiológicas de crianças internadas com apendicite aguda em um hospital terciário. Revista Brasileira de Iniciação Científica, 2017; 4(9): 1-14.
CASTRO BA, et al. Impact of the appendiceal position on the diagnosis and treatment of pediatric appendicitis. Revista Paulista de Pediatria, 2019; 37: 161-165.
MACIEL ALDS, et al. Apendicectomia laparoscópica versus apendicectomia aberta em crianças: uma revisão sistemática. Brazilian Journal of Development, 2020; 6(10): 78669-78681.
DOTLACIL V, et al. Current management of pediatric appendicitis: A Central European survey. Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University, 2020; 29(6): 745-750.
FERNANDES BC, et al. Critério de alvarado para diagnóstico de apendicite aguda infantil. Revista Interdisciplinar em Ciências da Saúde e Biológicas, 2020; 4(2): 75-87.
GADIPARTHI R, WASEEM M. Pediatric Appendicitis. StatPearls Publishing, 2022.
GEORGIOU R, et al. Efficacy and safety of nonoperative treatment for acute appendicitis: a meta-analysis. Pediatrics, 2017; 139(3): e20163003.
HUANG L, et al. Comparison of antibiotic therapy and appendectomy for acute uncomplicated appendicitis in children: a meta-analysis. JAMA pediatrics, 2017; 171(5): 426-434.
IKEGAMI M, et al. Indications for Nonoperative Management of Uncomplicated Appendicitis in Children: A Prospective Analysis at a Single Institution. Journal of Laparoendoscopic & Advanced Surgical Techniques, 2020; 30(1): 70-75.
JUMAH S, WESTER T. Non-operative management of acute appendicitis in children. Pediatric Surgery International, 2022; 39(1): 1-7.
LIPSETT SC, et al. Nonoperative Management of Uncomplicated Appendicitis. Pediatrics, 2022; 149(5): e2021054693.
LIU Y, et al. Laparoscopic versus open appendectomy for acute appendicitis in children. Indian pediatrics, 2017; 54(11): 938-941.
LÓPEZ JJ, et al. Nonoperative management of appendicitis in children. Current opinion in pediatrics, 2017; 29(3): 358-362.
MENDES AFG, et al. Cirurgia minimamente invasiva na patologia anexial. Dissertação (Tese de Doutorado). Universidade de Coimbra, Portugal, 2020.
MINNECI PC, et al. Association of nonoperative management using antibiotic therapy vs laparoscopic appendectomy with treatment success and disability days in children with uncomplicated appendicitis. JAMA, 2020; 324(6): 581-593.
MOSUKA EM, et al. A Systematic Review Comparing Nonoperative Management to Appendectomy for Uncomplicated Appendicitis in Children. Cureus, 2021; 13(10).
POPROM N, et al. Comparison of postoperative complications between open and laparoscopic appendectomy: An umbrella review of systematic reviews and meta-analyses. Journal of Trauma and Acute Care Surgery, 2020; 89(4): 813-820.
RENTEA RB, PETER SDS. Pediatric appendicitis. Surgical Clinics, 2017; 97(1): 93-112.
SCHROEDER AZ, et al. Apendicectomia aberta versus videolaparoscópica em crianças: estudo prospectivo em hospital público terciário. Revista de Medicina, 2021; 100(5): 442-448.
SILVA CP. Investigação de preditores clínicos, laboratoriais e de exames de imagem associados à apendicite complicada em pacientes de 0 a 15 anos. Dissertação (Mestrado Profissional). Repositório Institucional UNESP, São Paulo, 2020.
SNYDER MJ, et al. Acute appendicitis: efficient diagnosis and management. American family physician, 2018; 98(1): 25-33.
SOUZA MTD, et al. Tratamento cirúrgico laparoscópico vrs aberto em casos de apendicite aguda em crianças e adolescentes: uma revisão integrativa: Surgical vs. open treatment in cases of acute appendicitis in children and adolescents: an integrative review. Archives of Health, 2022; 3(2): 330-334.
TÉOULE P, et al. Acute appendicitis in childhood and adulthood: an everyday clinical challenge. Deutsches Ärzteblatt international, 2020; 117(45): 764.
RODRÍGUEZ MGT, et al. Have acute appendicitis complications increased in children as a result of SARS-CoV-2? Cirugia Pediatra, 2022; 35(3): 131-134.
UZUNLU O, GENISOL I. New Criteria Could Improve the Success Rate of Non-operative Management of Acute Appendicitis in Children. Cureus, 2022; 14(6): e25857.