Can Acute Appendicitis Be Treated by Antibiotics Alone?

Liu, Katherine; Ahanchi, Sadie; Pisaneschi, Mark; Lin, Irene; Walter, Robert
November 2007
American Surgeon;Nov2007, Vol. 73 Issue 11, p1161
Academic Journal
Emergency appendectomy at presentation has been the standard of care for acute appendicitis. We examined the use of antibiotics as an alternative treatment. From September 2002 to August 2003, 170 consecutive patients diagnosed with acute appendicitis without abscess were reviewed retrospectively. Patients were divided into two groups: Group I (n = 151) underwent emergency appendectomy and Group II (n = 19) received antibiotics alone. The mode of treatment was at the attending surgeon's discretion. The overall complication rate was eight per cent for Group I and 10 per cent for Group II patients (P = 0.22). Group II patients suffered no complications during antibiotic treatment, and any complications that did occur developed after subsequent appendectomy. One Group It patient had recurrent appendicitis (5%). The length of stay was 2.61 ± 0.21 days for Group I and 2.95 ± 0.38 days for Group It patients (P = 0.57). Patients with acute appendicitis may be treated safely with antibiotics alone without emergency appendectomy.


Related Articles

  • Analysis of antibiotics selection in patients undergoing appendectomy in a Chinese tertiary care hospital. Xu, Shengyong; Yu, Xuezhong; Li, Yi; Shi, Donglei; Huang, Jingya; Gao, Qian; Zhang, Ting; Guo, Shigong // SpringerPlus;10/21/2016, Vol. 5 Issue 1, p1 

    Background: To investigate the status of antibiotics use in acute appendicitis patients who undergo appendectomy in a Chinese tertiary care hospital. Methods: A retrospective analysis of 93 patients who underwent appendectomy from June 1, 2011 to May 30, 2012 and had recorded use of intravenous...

  • Stump Appendicitis after Open and Laparoscopic Appendectomies. Buttrick, Simon S.; Choi, Jacqueline J.; Divino, Celia M. // American Surgeon;Jan2012, Vol. 78 Issue 1, p143 

    The article focuses on a study which reviewed appendectomies performed at The Mount Sinai Medical Center between January 2005 and December 2010. The study found 3,252 appendectomies performed at the center during the study period, 78 percent of which were performed laparoscopically. It also...

  • Is laparoscopic appendectomy in children associated with an uncommon postoperative complication? Serour1,2, F.; Witzling, M.; Gorenstein, A. // Surgical Endoscopy;Jul2005, Vol. 19 Issue 7, p919 

    Background: Laparoscopic appendectomy (LA) is controversial due to the high rate of intraabdominal abscess (IAA). We report a postlaparoscopic appendectomy complication (PLAC) observed in pediatric patients discharged after an uneventful postoperative period. Methods: In this case series, a...

  • Successfully treated stump appendicitis diagnosed by CT and ultrasonography. Salehi, Hossein; Anjamrooz, Seyed Hadi // Indian Journal of Surgery;Apr2008, Vol. 70 Issue 2, p89 

    Although rare, inflammation of the appendiceal stump can occur and is still an important clinical entity. There has been a recent increase in interest in stump appendicitis. In this study a case of right lower quadrant pain in an 18-year-old man who underwent an appendicectomy 7 months...

  • Two-port Laparoscopic-assisted Appendicectomy Under Local Anesthesia in Adults: A Pilot Study. Bharati, Saswata; Singh, Dinesh K.; Shukla, Vijay K. // Journal of Surgical Technique & Case Report;Jul-Dec2011, Vol. 3 Issue 2, p84 

    Aim: Nowadays laparoscopic-assisted appendicectomy using the two-port technique is gaining popularity due to its certain benefits over the open version. General anesthesia with positive pressure ventilation is the preferred mode of anesthesia in this technique. We conducted a pilot study using...

  • Appendicitis.  // Independent Nurse;2/16/2009, p37 

    The article discusses the cause and treatment options for appendicitis. It is believed that appendicitis is caused by the blockage of the appendiceal lumen which results in an increase of pressure and stasis within the appendix. The disease could be treated through appendectomy and laparoscopic...

  • MUCINOUS CYSTADENOMA OF APPENDIX. Hussain, Khalid; Aurangzeb; Masood, Javaria // Pakistan Armed Forces Medical Journal;8/31/2015, Vol. 65 Issue 4, p575 

    Appendicular mucocele is rare. Clinical presentation is varied with more than half being asymptomatic. Patients may present with clinical symptoms suggestive of "acute appendicitis" or other non specific abdominal complaints. A case having pain in the right lower abdomen diagnosed as retrocecal...

  • A Brief History of Appendicitis: Familiar Names and Interesting Patients. STRECK JR., CHRISTIAN J.; MAXWELL IV, PINCKNEY J. // American Surgeon;Feb2014, Vol. 80 Issue 2, p105 

    The article discusses the history of appendicitis treatment and research. Surgery professor Berengario Da Carpi is believed to have first described the anatomic structure of the appendix. In June 1886, pathologist Reginald Heber Fitz presented a paper which provided a clear description of the...

  • Acute Appendicitis in the Twenty-First Century: Should We Modify the Management Protocol? Sadot, Eran; Wasserberg, Nir; Shapiro, Ron; Keidar, Andrei; Oberman, Bernice; Sadetzki, Siegal // Journal of Gastrointestinal Surgery;Aug2013, Vol. 17 Issue 8, p1462 

    Background: Recent data challenge the traditional management of acute appendicitis with early surgical intervention. This study evaluated the impact of timing of appendectomy and other potential risk factors on progression of acute appendicitis. Study Design: A search of the relevant databases...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics