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Doubts, Problems and Certainties about Acute Appendicitis [Working Title]最新文献

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Faecoliths in Appendicitis: Does It Influence the Course and Treatment of the Disease in the Acute Setting? 阑尾炎伴粪石:是否影响急性阑尾炎的病程和治疗?
Doubts, Problems and Certainties about Acute Appendicitis [Working Title] Pub Date : 2021-10-02 DOI: 10.5772/intechopen.97338
Rossi Adu-Gyamfi
{"title":"Faecoliths in Appendicitis: Does It Influence the Course and Treatment of the Disease in the Acute Setting?","authors":"Rossi Adu-Gyamfi","doi":"10.5772/intechopen.97338","DOIUrl":"https://doi.org/10.5772/intechopen.97338","url":null,"abstract":"Luminal obstruction has been widely considered as one of the major causes of appendicitis. Faecolith, in this case called appendicolith, is a hardened lump of faeces in varying sizes, have over the years been closely associated with appendicitis as a potential cause of luminal obstruction. There are varying opinions with regards to role of appendicolith in both uncomplicated and complicated acute appendicitis. While some authors have reported that the presence of appendicolith is a predictive factor for high failure rates, others are of the opinion that appendicolith does not necessarily predict non-operative treatment failure, and even if so, not as an independent factor. Opinions also seem to be divided on the correlation between complicated appendicitis and the presence of appendicolith. This chapter seeks to discuss the evidence available and attempt to clarify the controversies surrounding the role of appendicolith in acute appendicitis using current evidence available.","PeriodicalId":410116,"journal":{"name":"Doubts, Problems and Certainties about Acute Appendicitis [Working Title]","volume":"211 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114994535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Appendicitis in Children: Fundamentals and Particularities 儿童阑尾炎:基础和特点
Doubts, Problems and Certainties about Acute Appendicitis [Working Title] Pub Date : 2021-08-09 DOI: 10.5772/intechopen.97295
A. Castillejos, Carlos Baeza Herrera, Miguel Alejandro Sánchez Durán, Jhonatan Mata Aranda, Miguel Ángel Minero Hibert, R. García, Jorge Escorcia Dominguez
{"title":"Appendicitis in Children: Fundamentals and Particularities","authors":"A. Castillejos, Carlos Baeza Herrera, Miguel Alejandro Sánchez Durán, Jhonatan Mata Aranda, Miguel Ángel Minero Hibert, R. García, Jorge Escorcia Dominguez","doi":"10.5772/intechopen.97295","DOIUrl":"https://doi.org/10.5772/intechopen.97295","url":null,"abstract":"Acute appendicitis in children under 5 years of age is a diagnostic challenge, its delay is usually dramatic and leaves serious sequelae. It is one of the main causes of surgical intervention, it is common for other diseases to be associated with it and to simulate it. Acute appendicitis is of obstructive etiology and its pathophysiology, the bacteriology involved and the evolution of the disease progresses through its phases, from the simple to the complex, is addressed in each case. The typical abdominal pain of appendicitis, in addition to vomiting and fever at a young age, is most often accompanied by an atypical clinical picture such as diarrhea. Integrating the clinical signs at this age requires the full capacity and good sense of the pediatric surgeon. For a correct and timely diagnosis, unfortunately many pediatric patients present in complicated stages of the disease, which implies decision-making regarding the type of surgical intervention and subsequent treatments.","PeriodicalId":410116,"journal":{"name":"Doubts, Problems and Certainties about Acute Appendicitis [Working Title]","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130979996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mimickers of Acute Appendicitis 急性阑尾炎的模仿者
Doubts, Problems and Certainties about Acute Appendicitis [Working Title] Pub Date : 2021-04-26 DOI: 10.5772/INTECHOPEN.96351
E. Amer
{"title":"Mimickers of Acute Appendicitis","authors":"E. Amer","doi":"10.5772/INTECHOPEN.96351","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.96351","url":null,"abstract":"Acute appendicitis (AA) is a common surgical diagnosis in patients presenting to the Emergency Department with acute abdominal pain. A wide variety of other clinical conditions can present with a very similar presentation to acute appendicitis and therefore it can be occasionally challenging to make the correct diagnosis. In this review paper, the focus is to shed some light on the differential diagnosis of acute appendicitis which includes a variety of gastrointestinal, vascular, urological, and gynaecological conditions. In the emergency setting there are three main imaging modalities to evaluate patients presenting with abdominal pain, this includes computed tomography (CT), ultrasound (US) and magnetic resonance imaging (MRI). The choice of imaging modality for each clinical condition is variable and as such being familiar with those differential diagnoses is vital in deciding what is the best imaging modality for every patient presenting with abdominal pain.","PeriodicalId":410116,"journal":{"name":"Doubts, Problems and Certainties about Acute Appendicitis [Working Title]","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133931896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Acute Appendicitis: After Correct Diagnosis Conservative Treatment or Surgery? 急性阑尾炎:正确诊断、保守治疗还是手术?
Doubts, Problems and Certainties about Acute Appendicitis [Working Title] Pub Date : 2021-01-25 DOI: 10.5772/INTECHOPEN.95870
A. Charalampopoulos, N. Koliakos, G. Bagias, G. Bompetsi, N. Zavras, Dimitrios Davris, F. Farrugia, Konstantinos Kopanakis
{"title":"Acute Appendicitis: After Correct Diagnosis Conservative Treatment or Surgery?","authors":"A. Charalampopoulos, N. Koliakos, G. Bagias, G. Bompetsi, N. Zavras, Dimitrios Davris, F. Farrugia, Konstantinos Kopanakis","doi":"10.5772/INTECHOPEN.95870","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.95870","url":null,"abstract":"Acute appendicitis is the most common surgical disease presented in ED. Ongoing evidence in the literature, in the last 20 years, shows a lot of benefits in favor of conservative treatment. Despite that conservative treatment does not gain the correct position at the daily practice up to day. A large number of parameters related to acute appendicitis, present diversity in their appearance, so the final estimation of the disease may by unclear and the decision for treatment may be incorrect. We analyze these parameters, aiming to clarify their role in correct diagnosis and decision making on appropriate treatment. In the present study a review of the literature is performed, regarding the etiology, pathology, clinical presentation, laboratory, and imaging data of acute appendicitis. The collection and correct estimation of these parameters, is the key for the correct diagnosis of acute appendicitis. Complicated or uncomplicated cases should be diagnosed preoperatively. The next step is the appropriate treatment, conservative or by surgery. At the present time, excluding generalized peritonitis and sepsis, the majority of patients with uncomplicated acute appendicitis and selected complicated cases can by treated successfully by conservative treatment. The majority of patients do not benefit from appendectomy.","PeriodicalId":410116,"journal":{"name":"Doubts, Problems and Certainties about Acute Appendicitis [Working Title]","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121034041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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