How to improve the clinical diagnosis of acute appendicitis in resource limited settings

World Journal of Emergency Surgery

Volumn 11, Issue 1, 2016, Pages

  Alvarado, Alfredo ^a,b,c,d,e  

^a Society of Laparoscopic Surgeons   (United States)

^b International College of Surgeons United States Section   (United States)

^c AMERICAN MEDICAL ASSOCIATION   (United States)

^d AMERICAN COLLEGE OF EMERGENCY PHYSICIANS   (United States)

^e Pennsylvania Medical Society   (United States)

Author keywords

Acute appendicitis; Alvarado score; Diagnosis

Indexed keywords

EID: 84964316678     PISSN: None     EISSN: 17497922     Source Type: Journal    
DOI: 10.1186/s13017-016-0071-8     Document Type: Review

References (26)

1. Lewis FR, Holcroft JW, Boey J, et al. Appendicitis: a critical review of diagnosis and treatment in 1000 cases. Arch Surg. 1975;110:677-84.
2. Silberman VA. Appendectomy in a large metropolitan hospital. Am J Surg. 1981;142:615-6.
3. Langenscheidt P, Puschel W, Feifel G. High rates of appendectomy in a developing country: an attempt to contribute to a more rational use of surgical resources. Eur J Surg. 1999;165(3):248-5.
4. McFee AS, Rogers W. Diagnostic appendicitis in the pediatric patient. Ann Emerg Med. 1982;42-9.
5. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986;15(5):557-64.
6. Moustafa MH, Newton E. Letter to JAMA. Feb 26 1997-Vol 277, No. 8
7. Markle GB. A simple test for intraperitoneal inflammation. Am J Surg. 1973;125:721-2.
8. Ebell MH, Shinholser JA. What are the most clinically useful cutoffs for the Alvarado and pediatric appendicitis scores? A systematic review. Ann Emerg Med. 2014;64(4):365-72.
9. Borgstein PJ, Gordijn RV, Eijsbouts QA, Cuesta MA. Acute appendicitis-a clear cut case in men, a guessing game in young women. A prospective study on the role of laparoscopy. Surg Endosc. 1997;11(9):923-7.
10. Hamminga JT, Hofker HS, Broens PM, et al. Evaluation of the appendix during diagnostic laparoscopy, the laparoscopic appendicitis score: a pilot study. Surg Endosc. 2013;27(5):1594-600.
11. Pinto F, Pinto A, Russo A, et al. Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature. Crit Ultrasound J. 2013;5(1):52.
12. Reich B, Zalut T, Weiner S. An international evaluation of ultrasound vs. computed tomography in the diagnosis of appendicitis. Int J Emerg Med. 2011;4:68.
13. Chiang DT, Tan EI, Birks D. To have or not to have. Should computed tomography and ultrasonography be implemented as a routine work-up for patients with suspected appendicitis in a regional hospital? Ann R Coll Surg Engl. 2008;90(1):17-21.
14. John H, Neff U, Kelemen N. Appendicitis diagnosis today: Clinical and ultrasound deductions. World J Surg. 1993;17:243-9.
15. Mettler FA et al. Effective doses in radiology and diagnostic nuclear medicine: A catalog. Radiology. 2008;24(1):254-63.
16. Guite KM, Hinshaw LH, Ranallo FN, et al. Ionizing radiation in abdominal CT: unindicated multiphase scans are an important source of medically unnecessary exposure. J Am Coll Radiol. 2011;8:756-61.
17. Hong JJ, Cohn SM, Ekeh P, et al. A prospective randomized study of clinical assessment versus computed tomography for the diagnosis of acute appendicitis. Surg Infect. 2003;4(3):231-9.
18. Petrosyan M, Estrada J, Chan S, et al. CT scan in patients with suspected appendicitis: clinical implications for the acute care surgeon. Eur Surg Res. 2008;40(2):211-9.
19. Lee SL, Walsh AJ, Ho HS. Computed tomography and ultrasonography do not improve and may delay the diagnosis and treatment of appendicitis. Arch Surg. 2001;136(5):556-62.
20. McKay R, Shepherd J. The use of the clinical score system by Alvarado in the decision to perform computed tomography for acute appendicitis in the ED. Am J Emerg Med. 2007;25(50):489-93.
21. Tan WJ, Acharyya S, Goh YC, et al. Prospective comparison of the Alvarado score and CT scan in the evaluation of suspected appendicitis: a proposed algorithm to guide CT use. Am Coll Surg. 2015;220:218-24.
22. Inci E, Hocaoglu E, Aydin S, et al. Efficiency of unenhanced MRI in the diagnosis of acute appendicitis: comparison with Alvarado scoring system and histopathological results. Eur J Radiol. 2011;80(2):253-8.
23. Winn RD, Laura S, Douglas C, Davidson P, Gani JS. Protocol-based approach to suspected appendicitis, incorporating the Alvarado score and outpatient antibiotics. ANZ J Surg. 2004;74(5):324-9.
24. Di Saverio S, Sibilo A, Giorgini E, et al. The NOTA study (non-operative treatment for acute appendicitis). Ann Surg. 2014;269:109-17.
25. Salminem P, Paajanem H, Rautio T, et al. Antibiotic therapy vs appendectomy for treatment of uncomplicated acute appendicitis. JAMA. 2015;313(23):2340.
26. Rocha LL, Rossi FM, Pessoa CM, et al. Antibiotics alone versus appendectomy to treat uncomplicated acute appendicitis in adults: what does meta-analysis say? World J Emerg Surg. 2015;10:51.