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Pediatric Appendicitis

Rebecca M Rentea1, Shawn D St Peter2

  • 1Department of Surgery, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA.

The Surgical Clinics of North America
|November 30, 2016
PubMed

Insights

Pediatric appendicitis, a common surgical issue, is diagnosed using scoring systems, imaging, and clinical exams. Laparoscopic surgery and nonoperative management are key treatment options for children.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology

Background:

  • Appendicitis is a frequent surgical diagnosis in pediatric patients.
  • It often manifests as right lower quadrant pain, necessitating prompt evaluation.

Purpose of the Study:

  • To outline the diagnostic workup for pediatric appendicitis.
  • To review current management strategies, including surgical and nonoperative options.
  • To highlight ongoing controversies in pediatric appendicitis treatment.

Main Methods:

  • Utilizing scoring systems for initial assessment.
  • Employing selective imaging modalities for diagnosis.
  • Incorporating clinical pathways for standardized care.
  • Evaluating laparoscopic surgical techniques versus nonoperative management.

Main Results:

  • A combination of scoring systems, selective imaging, and surgical examination effectively diagnoses most pediatric appendicitis cases.
  • Laparoscopic appendectomies during the initial hospitalization show improved outcomes for perforated cases.
  • Nonoperative management is a viable option for both uncomplicated and complicated appendicitis.

Conclusions:

  • Standardized clinical pathways improve the diagnosis and management of pediatric appendicitis.
  • Laparoscopic surgery offers benefits, particularly for perforated appendicitis.
  • Nonoperative treatment strategies are increasingly recognized for their role in managing appendicitis in children.

Keywords:
Abdominal painAppendectomyAppendicitisChildrenNonoperative managementRight lower quadrantSurgery

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