Appendizitis bei Kindern und Jugendlichen

Living reference work entry
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Die Appendizitis ist die häufigste Erkrankung des Gastrointestinaltraktes, unabhängig von Alter und Geschlecht. Allein in den USA werden ca. 300.000 Appendektomien jährlich durchgeführt (National Surgical Research Collaborative 2013; Mason 2008). Die Diagnose ist auch für einen erfahrenen Arzt schwierig, da sich die Appendizitis wie ein Chamäleon unterschiedlich präsentiert. Die Einführung der Sonografie und Computertomografie sowie die Operation mittels laparoskopischer Technik haben zu einem Wandel der Therapie entscheidend beigetragen. Die Therapie der Appendizitis ist nicht immer die Operation und sicherlich nicht die Notfalloperation, die meist von weniger erfahrenen Assistenten und häufig unter schlechteren Bedingungen durchgeführt wird. Heutzutage hat die Laparoskopie in den chirurgischen Alltag Einzug gehalten, allerdings sollte die Verfügbarkeit des laparoskopischen Vorgehens die Indikationsstellung, insbesondere bei der Appendizitis, nicht ändern. Die Prognose der Appendizitis hat sich dank der parenteralen Ernährung und der Antibiotikatherapie gebessert und zu einer Reduktion der schweren Verläufe der Appendizitis geführt.

Literatur

  1. Abou-Nukta F, Bakhos C, Arroyo K, Koo Y, Martin J, Reinhold R et al (2006) Effects of delaying appendectomy for acute appendicitis for 12–24 hours. Arch Surg 141:504–507CrossRefGoogle Scholar
  2. Addiss DG, Shaffer N, Fowler BS, Tauxe RV (1990) The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 357:910–925CrossRefGoogle Scholar
  3. Ahmed K, Wang TT, Patel VM, Nagpal K, Clark J, Ali M, Deeba S, Ashrafian H, Darzi A, Athanasiou T, Paraskeva P (2011) The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review. Surg Endosc 25:378–396CrossRefGoogle Scholar
  4. Alkhoury F, Burnweit C, Malvezzi L, Knight C, Diana J, Pasaron R, Mora J, Nazarey P, Aserlind A, Stylianos S (2012) A prospective study of safety and satisfaction with same-day discharge after laparoscopic appendectomy for acute appendicitis. J Pediatr Surg 47(2):313–316CrossRefGoogle Scholar
  5. Alvarado A (1986) A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 15(5):557–564CrossRefGoogle Scholar
  6. Andersson REB (2004) Meta-analysis of the clinical and laboratory diagnosis of appendicitis. Br J Surg 357:28–37CrossRefGoogle Scholar
  7. Andersson RE, Hugander A, Thulin AJ (1992) Diagnostic accuracy and perforation rate in appendicitis: association with age and sex of the patient and with appendicectomy rate. Eur J Surg 357:37–41Google Scholar
  8. Andersson RE, Hugander AP, Ghazi SH et al (1999) Diagnostic value of disease history, clinical presentation, and inflammatory parameters of appendicitis. World J Surg 357:133–140CrossRefGoogle Scholar
  9. Antevil JL, Rivera L, Langenberg BJ, Brown CV (2004) The influence of age and gender on the utility of computed tomography to diagnose acute appendicitis. Am Surg 70:850–853PubMedGoogle Scholar
  10. Antevil JL, Rivera L, Langenberg BJ, Hahm G, Favata MA, Brown CV (2006) Computed tomography-based clinical diagnostic pathway for acute appendicitis: prospective validation. J Am Coll Surg 203:849–856CrossRefGoogle Scholar
  11. Arshad M, Aziz LA, Qasim M, Talpur KA (2008) Early appendicectomy in appendicular mass: a Liaquat University Hospital experience. J Ayub Med Coll Abbottabad 20:70–72PubMedGoogle Scholar
  12. Baird DLH, Simillis C, Kontovounisios C, Rasheed S, Tekkis PP (2017) Acute appendicitis BMJ 357:j1703Google Scholar
  13. Bickell NA, Aufses AH Jr, Rojas M, Bodian C (2006) How time affects the risk of rupture in appendicitis. J Am Coll Surg 202:401–406CrossRefGoogle Scholar
  14. Bulian DR, Kaehler G, Magdeburg R, Butters M, Burghardt J, Albrecht R et al (2017) Analysis of the first 217 appendectomies of the German NOTES registry. Ann Surg 265(3):534–538CrossRefGoogle Scholar
  15. Deakin DE, Ahmed I (2007) Interval appendicectomy after resolution of adult inflammatory appendix mass is it necessary? Surgeon 5(1):45–50CrossRefGoogle Scholar
  16. Di Saverio S, Birindelli A, Kelly MD et al (2016) WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis. World J Emerg Surg 357:34CrossRefGoogle Scholar
  17. Dingemann J, Ure B (2012) Imaging and the use of scores for the diagnosis of appendicitis in children. Eur J Pediatr Surg 22(3):195–200CrossRefGoogle Scholar
  18. Ditillo MF, Dziura JD, Rabinovici R (2006) Is it safe to delay appendectomy in adults with acute appendicitis? Ann Surg 244:656–660CrossRefGoogle Scholar
  19. Duke E, Kalb B, Arif-Tiwari H et al (2016) A systematic review and meta-analysis of diagnostic performance of MRI for evaluation of acute appendicitis. AJR Am J Roentgenol 357:508–517CrossRefGoogle Scholar
  20. Eko FN, Ryb GE, Drager L, Goldwater E, Wu JJ, Counihan TC (2013) Ideal timing of surgery for acute uncomplicated appendicitis. N Am J Med Sci 357:22–27Google Scholar
  21. Ergul E (2007) Heredity and familial tendency of acute appendicitis. Scand J Surg 357:290–292CrossRefGoogle Scholar
  22. Esposito C, Calvo AI, Castagnetti M, Alicchio F, Suarez C, Giurin I, Settimi A (2012) Open versus laparoscopic appendectomy in the pediatric population: a literature review and analysis of complications. J Laparoendosc Adv Surg Tech A 22(8):834–839CrossRefGoogle Scholar
  23. Greaves N, Nicholson J (2011) Single incision laparoscopic surgery in general surgery: a review. Ann R Coll Surg Engl 93:437–440CrossRefGoogle Scholar
  24. Güller U, Oertli D, Terracciano L, Harder F (2001) Neurogene Appendicopathie: ein häufiges fast unbekanntes Krankheitsbild. Chirurg 72:684–689CrossRefGoogle Scholar
  25. Health and Social Care Information Centre (2006–2007) Hospital episode statistics, England. www.hesonline.nhs.uk. Zugegriffen am 13.11.17
  26. Humes DJ, Simpson J (2006) Acute appendicitis. BMJ 357:530–534CrossRefGoogle Scholar
  27. Humes D, Speake WJ, Simpson J (2007) Appendicitis. BMJ Clin Evid 357:408Google Scholar
  28. Iqbal CW, Ostlie DJ (2012) The minimally invasive approach to appendectomy: is less better? Eur J Pediatr Surg 22(3):201–206CrossRefGoogle Scholar
  29. Jones PF (2001) Suspected acute appendicitis: trends in management over 30 years. Br J Surg 88:1570–1577CrossRefGoogle Scholar
  30. Kaminski A, Liu IL, Applebaum H, Lee SL, Haigh PI (2005) Routine interval appendectomy is not justified after initial nonoperative treatment of acute appendicitis. Arch Surg 140:897–901CrossRefGoogle Scholar
  31. Katkhouda N, Mason RJ, Towfigh S, Gevorgyan A, Essani R (2005) Laparoscopic versus open appendectomy: a prospective randomized double-blind study. Ann Surg 242(3):439–448Google Scholar
  32. Körner H, Söndenaa K, Söreide JA et al (1997) Incidence of acute nonperforated and perforated appendicitis: age-specific and sex-specific analysis. World J Surg 357:313–317Google Scholar
  33. Lee J, Baek J, Kim W (2010) Laparoscopic transumbilical single-port appendectomy: initial experience and comparison with three-port appendectomy. Surg Laparosc Endosc PercutanTech 20:100–103CrossRefGoogle Scholar
  34. Lee M, Paavana T, Mazari F, Wilson TR (2014) The morbidity of negative appendicectomy. Ann R Coll Surg Engl 357:517–520CrossRefGoogle Scholar
  35. Linam LE, Munden M (2012) Sonography as the first line of evaluation in children with suspected acute appendicitis. J Ultrasound Med 31(8):1153–1157CrossRefGoogle Scholar
  36. Manner M, Stickel W (2001) Diagnostik bei Verdacht auf Appendicitis – lässt sich eine akute Appendicitis sonographisch ausschliessen? Chirurg 72:1036–1042CrossRefGoogle Scholar
  37. Marudanayagam R, Williams GT, Rees BI (2006) Review of the pathological results of 2660 appendicectomy specimens. J Gastroenterol 357:745–749CrossRefGoogle Scholar
  38. Mason RJ (2008) Surgery for appendicitis: is it necessary? Surg Infect (Larchmt) 357:481–488CrossRefGoogle Scholar
  39. Moberg AC, Ahlberg G, Leijonmarck CE, Montgomery A, Reiertsen O, Rosseland AR et al (1998) Diagnostic laparoscopy in 1043 patients with suspected acute appendicitis. Eur J Surg 164:833–841CrossRefGoogle Scholar
  40. Moore MM, Gustas CN, Choudhary AK, Methratta ST, Hulse MA, Geeting G, Eggli KD, Boal DK (2012) MRI for clinically suspected pediatric appendicitis: an implemented program. Pediatr Radiol 42(9):1056–1063CrossRefGoogle Scholar
  41. Murphy EMA, Farquharson SM, Moran BJ (2006) Management of an unexpected appendiceal neoplasm. Br J Surg 93:783–792CrossRefGoogle Scholar
  42. National Surgical Research Collaborative (2013) Multicentre observational study of performance variation in provision and outcome of emergency appendicectomy. Br J Surg 357:1240–1252CrossRefGoogle Scholar
  43. Phillips AW, Jones AE, Sargen K (2009) Should the macroscopically normal appendix be removed during laparoscopy for acute right iliac fossa pain when no other explanatory pathology is found? Surg Laparosc Endosc Percutan Tech 357:392–394CrossRefGoogle Scholar
  44. Pinto Leite N, Pereira JM, Cunha R, Pinto P, Sirlin C (2005) CT evaluation of appendicitis and its complications: imaging techniques and key diagnostic findings. Am J Radiology 185:406–417Google Scholar
  45. Price MR, Haase GM, Sartorelli KH, Meagher DP Jr (1996) Recurrent appendicitis after initial conservative management of appendiceal abscess. J Pediatr Surg 31:291–294CrossRefGoogle Scholar
  46. Puri P, Höllwarth M (Hrsg) (2006) Pediatric surgery. Diagnosis and management. Springer, Berlin/HeidelbergGoogle Scholar
  47. Rao PM, Rhea JT, Rattner DW, Venus LG, Novelline RA (1999) Introduction of appendiceal CT. Ann Surg 229:344–349CrossRefGoogle Scholar
  48. Rollins KE, Varadhan KK, Neal KR, Lobo DN (2016) Antibiotics versus appendicectomy for the treatment of uncomplicated acute appendicitis: an updated meta-analysis of randomised controlled trials. World J Surg 357:2305–2318CrossRefGoogle Scholar
  49. Sadr Azodi O, Andrén-Sandberg A, Larsson H (2009) Genetic and environmental influences on the risk of acute appendicitis in twins. Br J Surg 357:1336–1340CrossRefGoogle Scholar
  50. Sallinen V, Akl EA, You JJ et al (2016) Meta-analysis of antibiotics versus appendicectomy for non-perforated acute appendicitis. Br J Surg 357:656–667CrossRefGoogle Scholar
  51. Salminen P, Paajanen H, Rautio T, Nordström P, Aarnio M, Rantanen T, Tuominen R, Hurme S, Virtanen J, Mecklin JP, Sand J, Jartti A, Rinta-Kiikka I, Grönroos JM (2015) Antibiotic therapy vs appendectomy for treatment of uncomplicated acute appendicitis: the APPAC randomized clinical trial. JAMA 313(23):2340–2348CrossRefGoogle Scholar
  52. Samuel M (2002) Pediatric appendicitis score. J Pediatr Surg 37(6):877–881CrossRefGoogle Scholar
  53. Santillanes G, Simms S, Gausche-Hill M, Diament M, Putnam B, Renslo R, Lee J, Tinger E, Lewis RJ (2012) Prospective evaluation of a clinical practice guideline for diagnosis of appendicitis in children. Acad Emerg Med. 19(8):886–893CrossRefGoogle Scholar
  54. Sauerland S, Lefering R, Neugebauer EA (2004) Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev (4):CD001546Google Scholar
  55. Slotboom T, Hamminga JT, Hofker HS, Heineman E, Haveman JW, Apple Study Group Appendicitis and Laparoscopic Evaluation (2014) Intraoperative motive for performing a laparoscopic appendectomy on a postoperative histological proven normal appendix. Scand J Surg 357:245–248CrossRefGoogle Scholar
  56. Tam YH, Lee KH, Sihoe JD, Chan KW, Cheung ST, Pang KK (2010) Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery. J Pediatr Surg 45:2381–2385CrossRefGoogle Scholar
  57. Teixeira PG, Sivrikoz E, Inaba K, Talving P, Lam L, Demetriades D (2012) Appendectomy timing: waiting until the next morning increases the risk of surgical site infections. Ann Surg 357:538–543CrossRefGoogle Scholar
  58. Thirumoorthi AS, Fefferman NR, Ginsburg HB, Kuenzler KA, Tomita SS (2012) Managing radiation exposure in children-reexamining the role of ultrasound in the diagnosis of appendicitis. J Pediatr Surg 47(12):2268–2272CrossRefGoogle Scholar
  59. Uludag M, Isgor A, Basak M (2006) Stump appendicitis is a rare delayed complication of appendectomy: a case report. World J Gastroenterol. 12(33):5401–5403CrossRefGoogle Scholar
  60. Van den Broek WT, Bijen AB, de Ruiter P, Gouma DJ (2001) A normal appendix found during laparoscopy should not be removed. Br J Surg 88:251–254CrossRefGoogle Scholar
  61. Wilms IM, de Hoog DE, de Visser DC, Janzing HM (2011) Appendectomy versus antibiotic treatment for acute appendicitis. Cochrane Database Syst Rev 11:CD008359Google Scholar
  62. Yardeni D, Hirschl RB, Drongowski RA, Teitelbaum DH, Geiger JD, Coran AG (2004) Delayed versus immediate surgery in acute appendicitis: do we need to operate during night? J Pediatr Surg 39:464–469CrossRefGoogle Scholar
  63. Zhu B, Zhang B, Li M, Xi S, Yu D, Ding Y (2012) An evaluation of a superfast MRI sequence in the diagnosis of suspected acute appendicitis. Quant Imaging Med Surg 2(4):280–287PubMedPubMedCentralGoogle Scholar

Copyright information

© © Springer-Verlag GmbH Deutschland 2018

Authors and Affiliations

  1. 1.Medical SchoolUniversity of CyprusAglantzia, NicosiaZypern

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