Non-operative Management of Pediatric Appendicitis With an Appendicoltih
| Status: | Terminated |
|---|---|
| Conditions: | Other Indications, Gastrointestinal |
| Therapuetic Areas: | Gastroenterology, Other |
| Healthy: | No |
| Age Range: | 7 - 17 |
| Updated: | 11/29/2018 |
| Start Date: | July 2014 |
| End Date: | July 2015 |
Non-operative Management of Uncomplicated Appendicitis With an Appendicolth in Children
To determine if non-operative management with antibiotics alone is a feasible treatment
alternative for pediatric patients with uncomplicated acute appendicitis with an
appendicolith identified on imaging.
alternative for pediatric patients with uncomplicated acute appendicitis with an
appendicolith identified on imaging.
This study is a prospective randomized clinical trial comparing non-operative management with
antibiotics to urgent appendectomy in children (ages 7-17yrs) with acute appendicitis with
the presence of an appendicolith. Enrolled participants were followed up to 1 year
post-discharge to observe the rates of appendicitis recurrence as well as identify the number
of patients with complicated appendicitis as determined by pathologic examination.
antibiotics to urgent appendectomy in children (ages 7-17yrs) with acute appendicitis with
the presence of an appendicolith. Enrolled participants were followed up to 1 year
post-discharge to observe the rates of appendicitis recurrence as well as identify the number
of patients with complicated appendicitis as determined by pathologic examination.
Inclusion Criteria:
- Age : 7-17 years
- Abdominal pain
- White Blood Cell Count >5 but < 18
- US or CT confirmed early appendicitis plus:
- US:
- CT:
Exclusion Criteria:
- Positive urine pregnancy test
- Pain > 48 hours prior to first antibiotic dose
- Diffuse peritonitis
- History of chronic intermittent abdominal pain
- White Blood Cell count ≤ 5 or ≥ 18
- Absence of appendicolith or any evidence on imaging studies concerning for evolving
perforated appendicitis including abscess or phlegmon
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