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[Current treatment status in juvenile appendicitis. A quality assessment]
I Gastinger1, H Lippert, T Sroka
1Arbeitsgruppe, Leistungserfassung und Qualitätssicherung in der Chirurgie, Chirurgische Klinik Suhl.
Zentralblatt Fur Chirurgie
|January 1, 1992
Summary
This study investigated appendicitis in children aged 1-14, finding acute inflammation in 82.6% of cases. Perforation rates were higher in younger children (2-5 years), but appendectomy resulted in no deaths.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Pathology
Context:
- Appendicitis diagnosis in pediatric patients.
- Prospective investigation of appendicitis in children aged 1-14 years.
Purpose:
- To investigate the diagnosis and outcomes of appendicitis in pediatric patients.
- To determine the incidence of acute inflammatory changes and perforation rates.
- To identify associated conditions and surgical outcomes.
Summary:
- A prospective study of 1989 pediatric patients (1-14 years) diagnosed with appendicitis.
- 82.6% exhibited acute inflammatory changes; perforation rate was 9.9%.
- Patients aged 2-5 years had a significantly higher perforation rate (28.5%).
- Rare cases of colon disease and malignant carcinoid were noted.
- Appendectomy demonstrated a zero mortality rate.
Impact:
- Highlights the diagnostic accuracy and low mortality of appendectomy in children.
- Emphasizes the increased risk of perforation in younger pediatric populations.
- Provides valuable data for clinical decision-making and resource allocation in pediatric appendicitis management.