Diagnosis and Treatment of Appendicitis
Summary of Recommendations
Ultrasound is a reasonable first line study given its low cost and lack of radiation. However, CT and MRI are the most definitive imaging modalities.
(U, CC)The panels suggests that adult and pediatric patients with complicated appendicitis should undergo either suction and lavage or suction alone based on surgeon preference. (very low certainty of evidence in adults and low certainty of evidence in pediatrics)
(C, )Recommendation Grading
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Overview
Title
Diagnosis and Treatment of Appendicitis
Authoring Organization
Society of American Gastrointestinal and Endoscopic Surgeons
Publication Month/Year
May 13, 2024
Last Updated Month/Year
June 11, 2024
Document Type
Guideline
Country of Publication
US
Document Objectives
Appendicitis is an extremely common disease with a variety of medical and surgical treatment approaches. A multidisciplinary expert panel was convened to develop evidence-based recommendations to support clinicians and patients in decisions regarding the diagnosis and treatment of appendicitis.
Inclusion Criteria
Male, Female, Adolescent, Adult, Child, Older adult
Health Care Settings
Ambulatory, Emergency care, Hospital, Outpatient, Operating and recovery room
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Diagnosis, Assessment and screening, Treatment
Diseases/Conditions (MeSH)
D001064 - Appendicitis
Keywords
appendicitis
Source Citation
Kumar SS, Collings AT, Lamm R, Haskins IN, Scholz S, Nepal P, Train AT, Athanasiadis DI, Pucher PH, Bradley JF 3rd, Hanna NM, Quinteros F, Narula N, Slater BJ. SAGES guideline for the diagnosis and treatment of appendicitis. Surg Endosc. 2024 Jun;38(6):2974-2994. doi: 10.1007/s00464-024-10813-y. Epub 2024 May 13. PMID: 38740595.
Supplemental Methodology Resources
Systematic Review Document, Data Supplement, Project Plan, Evidence Tables, Evidence Tables