Diagnosis and management of acute appendicitis. EAES consensus development conference 2015

Surgical Endoscopy And Other Interventional Techniques - Tập 30 - Trang 4668-4690 - 2016
Ramon R. Gorter1,2,3, Hasan H. Eker1, Marguerite A. W. Gorter-Stam1, Gabor S. A. Abis4, Amish Acharya5, Marjolein Ankersmit1, Stavros A. Antoniou6,7, Simone Arolfo8, Benjamin Babic9, Luigi Boni10, Marlieke Bruntink2, Dieuwertje A. van Dam2, Barbara Defoort11, Charlotte L. Deijen1, F. Borja DeLacy12, Peter MNYH Go13, Annelieke M. K. Harmsen1, Rick S. van den Helder14, Florin Iordache15, Johannes C. F. Ket16, Filip E. Muysoms11, M. Mahir Ozmen17, Michail Papoulas18, Michael Rhodes19, Jennifer Straatman1, Mark Tenhagen2, Victor Turrado20, Andras Vereczkei21, Ramon Vilallonga22, Jort D. Deelder14, Jaap Bonjer1
1Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands
2Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands
3Department of Pediatric Surgery, VU University Medical Centre, Amsterdam, The Netherlands
4Department of Surgery, Spaarne Gasthuis, Haarlem, The Netherlands
5Department of Surgery, St Mary's Hospital, London, UK
6Department of Surgery, Center for Minimally Invasive Surgery, Neuwerk Hospital, Mönchengladbach, Germany
7Department of Surgery, University Hospital of Heraklion, Heraklion, Greece
8Department of Surgery, University of Torino, Torino, Italy
9Department of Surgery, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
10Department of Surgery, Minimally Invasive Surgery Research Center, University of Insubria, Varese, Italy
11Department of Surgery, Maria Middelares Ghent, Ghent, Belgium
12Department of Surgery, Hospital Clinic of Barcelona, Barcelona, Spain
13Department of Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands
14Department of Surgery, Noordwest Clinics Alkmaar, Alkmaar, The Netherlands
15Department of Surgery, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
16Medical Library, Vrije Universiteit, Amsterdam, The Netherlands
17Department of Surgery, School of Medicine, Bahcesehir University, Istanbul, Turkey
18Department of Surgery, Tel Aviv Sourasky Medical Centre, Tel Aviv, Israel
19Department of Surgery, Stepping Hill Hospital, Stockport, UK
20Department of Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
21Department of Surgery, Medical School University of Pécs, Pecs, Hungary
22Department of Surgery, University Hospital Vall Hebrón, Barcelona, Spain

Tóm tắt

Unequivocal international guidelines regarding the diagnosis and management of patients with acute appendicitis are lacking. The aim of the consensus meeting 2015 of the EAES was to generate a European guideline based on best available evidence and expert opinions of a panel of EAES members. After a systematic review of the literature by an international group of surgical research fellows, an expert panel with extensive clinical experience in the management of appendicitis discussed statements and recommendations. Statements and recommendations with more than 70 % agreement by the experts were selected for a web survey and the consensus meeting of the EAES in Bucharest in June 2015. EAES members and attendees at the EAES meeting in Bucharest could vote on these statements and recommendations. In the case of more than 70 % agreement, the statement or recommendation was defined as supported by the scientific community. Results from both the web survey and the consensus meeting in Bucharest are presented as percentages. In total, 46 statements and recommendations were selected for the web survey and consensus meeting. More than 232 members and attendees voted on them. In 41 of 46 statements and recommendations, more than 70 % agreement was reached. All 46 statements and recommendations are presented in this paper. They comprise topics regarding the diagnostic work-up, treatment indications, procedural aspects and post-operative care. The consensus meeting produced 46 statements and recommendations on the diagnostic work-up and management of appendicitis. The majority of the EAES members supported these statements. These consensus proceedings provide additional guidance to surgeons and surgical residents providing care to patients with appendicitis.

Tài liệu tham khảo

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