Manejo conservador do paciente com Apendicite Aguda
Conservative management of the patient with Acute Appendicitis
DOI:
https://doi.org/10.34117/bjdv8n9-168Keywords:
Apendicite, manejo, Apendicite agudaAbstract
Para pacientes adultos saudáveis com apendicite não perfurada, o manejo não cirúrgico com antibióticos e apendicectomia são opções de tratamento seguras para a apresentação inicial. O gerenciamento não operatório pode oferecer certos benefícios, como recuperação acelerada e menos dias de afastamento do trabalho ou outras atividades. Em troca, os pacientes devem ser aconselhados e dispostos a aceitar maiores incertezas da possível progressão da doença, apesar de antibióticos, recorrência da doença. Se a decisão for pela cirurgia, tanto a apendicectomia aberta quanto a laparoscópica são apropriadas para todos os pacientes; a escolha é por fatores do paciente e preferência do cirurgião.
References
Talan DA, Di Saverio S. Treatment of Acute Uncomplicated Appendicitis. N Engl J Med 2021; 385:1116.
Sartelli M, Baiocchi GL, Di Saverio S, et al. Prospective Observational Study on acute Appendicitis Worldwide (POSAW). World J Emerg Surg 2018; 13:19.
CODA Collaborative, Flum DR, Davidson GH, et al. A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis. N Engl J Med 2020; 383:1907.
Marudanayagam R, Williams GT, Rees BI. Review of the pathological results of 2660 appendicectomy specimens. J Gastroenterol 2006; 41:745.
Kırkıl C, Yiğit MV, Aygen E. Long-term results of nonoperative treatment for uncomplicated acute appendicitis. Turk J Gastroenterol 2014; 25:393.
McCutcheon BA, Chang DC, Marcus LP, et al. Long-term outcomes of patients with nonsurgically managed uncomplicated appendicitis. J Am Coll Surg 2014; 218:905.
Carpenter SG, Chapital AB, Merritt MV, Johnson DJ. Increased risk of neoplasm in appendicitis treated with interval appendectomy: single-institution experience and literature review. Am Surg 2012; 78:339.
Chandrasegaram MD, Rothwell LA, An EI, Miller RJ. Pathologies of the appendix: a 10-year review of 4670 appendicectomy specimens. ANZ J Surg 2012; 82:844.
Harnoss JC, Zelienka I, Probst P, et al. Antibiotics Versus Surgical Therapy for Uncomplicated Appendicitis: Systematic Review and Meta-analysis of Controlled Trials (PROSPERO 2015: CRD42015016882). Ann Surg 2017; 265:889.
Talan DA, Saltzman DJ, DeUgarte DA, Moran GJ. Methods of conservative antibiotic treatment of acute uncomplicated appendicitis: A systematic review. J Trauma Acute Care Surg 2019; 86:722.
Sippola S, Haijanen J, Grönroos J, et al. Effect of Oral Moxifloxacin vs Intravenous Ertapenem Plus Oral Levofloxacin for Treatment of Uncomplicated Acute Appendicitis: The APPAC II Randomized Clinical Trial. JAMA 2021; 325:353.
Salminen P, Sippola S, Haijanen J, et al. Antibiotics versus placebo in adults with CT-confirmed uncomplicated acute appendicitis (APPAC III): randomized double-blind superiority trial. Br J Surg 2022; 109:503.
Park HC, Kim MJ, Lee BH. Randomized clinical trial of antibiotic therapy for uncomplicated appendicitis. Br J Surg 2017; 104:1785.
Oliak D, Yamini D, Udani VM, et al. Initial nonoperative management for periappendiceal abscess. Dis Colon Rectum 2001; 44:936.
