Diagnosis and management of acute appendicitis. EAES consensus development conference 2015
Por:
Gorter, RR, Eker, HH, Gorter-Stam, MAW, Abis, GSA, Acharya, A, Ankersmit, M, Antoniou, SA, Arolfo, S, Babic, B, Boni, L, Bruntink, M, van Dam, DA, Defoort, B, Deijen, CL, DeLacy, FB, Go, PMNYH, Harmsen, AMK, van den Helder, RS, Iordache, F, Ket, JCF, Muysoms, FE, Ozmen, MM, Papoulas, M, Rhodes, M, Straatman, J, Tenhagen, M, Turrado, V, Vereczkei, A, Vilallonga, R, Deelder, JD, Bonjer, J
Publicada:
1 nov 2016
Resumen:
Unequivocal international guidelines regarding the diagnosis and management of patients with acute appendicitis are lacking. The aim of the consensus meeting 2015 of the EAES was to generate a European guideline based on best available evidence and expert opinions of a panel of EAES members. After a systematic review of the literature by an international group of surgical research fellows, an expert panel with extensive clinical experience in the management of appendicitis discussed statements and recommendations. Statements and recommendations with more than 70 % agreement by the experts were selected for a web survey and the consensus meeting of the EAES in Bucharest in June 2015. EAES members and attendees at the EAES meeting in Bucharest could vote on these statements and recommendations. In the case of more than 70 % agreement, the statement or recommendation was defined as supported by the scientific community. Results from both the web survey and the consensus meeting in Bucharest are presented as percentages. In total, 46 statements and recommendations were selected for the web survey and consensus meeting. More than 232 members and attendees voted on them. In 41 of 46 statements and recommendations, more than 70 % agreement was reached. All 46 statements and recommendations are presented in this paper. They comprise topics regarding the diagnostic work-up, treatment indications, procedural aspects and post-operative care. The consensus meeting produced 46 statements and recommendations on the diagnostic work-up and management of appendicitis. The majority of the EAES members supported these statements. These consensus proceedings provide additional guidance to surgeons and surgical residents providing care to patients with appendicitis.
Filiaciones:
Gorter, RR:
Vrije Univ Amsterdam Med Ctr, Dept Surg, Amsterdam, Netherlands
Red Cross Hosp, Dept Surg, Beverwijk, Netherlands
Vrije Univ Amsterdam Med Ctr, Dept Pediat Surg, POB 22660, NL-1100 DD Amsterdam, Netherlands
Eker, HH:
Vrije Univ Amsterdam Med Ctr, Dept Surg, Amsterdam, Netherlands
Gorter-Stam, MAW:
Vrije Univ Amsterdam Med Ctr, Dept Surg, Amsterdam, Netherlands
Abis, GSA:
Spaarne Gasthuis, Dept Surg, Haarlem, Netherlands
Acharya, A:
St Marys Hosp, Dept Surg, London, England
Ankersmit, M:
Vrije Univ Amsterdam Med Ctr, Dept Surg, Amsterdam, Netherlands
Antoniou, SA:
Neuwerk Hosp, Dept Surg, Ctr Minimally Invas Surg, Monchengladbach, Germany
Univ Hosp Heraklion, Dept Surg, Iraklion, Greece
Arolfo, S:
Univ Torino, Dept Surg, Turin, Italy
Babic, B:
Agaples Markus Krankenhaus, Dept Surg, Frankfurt, Germany
Boni, L:
Univ Insubria, Dept Surg, Minimally Invas Surg Res Ctr, Varese, Italy
Bruntink, M:
Red Cross Hosp, Dept Surg, Beverwijk, Netherlands
van Dam, DA:
Red Cross Hosp, Dept Surg, Beverwijk, Netherlands
Defoort, B:
Maria Middelares Ghent, Dept Surg, Ghent, Belgium
Deijen, CL:
Vrije Univ Amsterdam Med Ctr, Dept Surg, Amsterdam, Netherlands
DeLacy, FB:
Hosp Clin Barcelona, Dept Surg, Barcelona, Spain
Go, PMNYH:
St Antonius Hosp, Dept Surg, Nieuwegein, Netherlands
Harmsen, AMK:
Vrije Univ Amsterdam Med Ctr, Dept Surg, Amsterdam, Netherlands
van den Helder, RS:
Noordwest Clin Alkmaar, Dept Surg, Alkmaar, Netherlands
Iordache, F:
Univ Med & Pharm Carol Davila, Dept Surg, Bucharest, Romania
Ket, JCF:
Vrije Univ, Med Lib, Amsterdam, Netherlands
Muysoms, FE:
Maria Middelares Ghent, Dept Surg, Ghent, Belgium
Ozmen, MM:
Bahcesehir Univ, Sch Med, Dept Surg, Istanbul, Turkey
Papoulas, M:
Tel Aviv Sourasky Med Ctr, Dept Surg, Tel Aviv, Israel
Rhodes, M:
Stepping Hill Hosp, Dept Surg, Stockport, Lancs, England
Straatman, J:
Vrije Univ Amsterdam Med Ctr, Dept Surg, Amsterdam, Netherlands
Tenhagen, M:
Red Cross Hosp, Dept Surg, Beverwijk, Netherlands
Turrado, V:
Hosp Santa Creu & Sant Pau, Dept Surg, Barcelona, Spain
Vereczkei, A:
Univ Pecs, Dept Surg, Sch Med, Pecs, Hungary
Vilallonga, R:
Univ Hosp Vall Hebron, Dept Surg, Barcelona, Spain
Deelder, JD:
Noordwest Clin Alkmaar, Dept Surg, Alkmaar, Netherlands
Bonjer, J:
Vrije Univ Amsterdam Med Ctr, Dept Surg, Amsterdam, Netherlands
Green Published
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