With numerous recent studies demonstrating that antibiotics work as well as surgery for most uncomplicated appendicitis cases, the non-surgical approach can now be considered a routine option, according to a review article in JAMA.

“Acute appendicitis is the most common abdominal surgical emergency in the world, striking about one in 1,000 adults,” Pappas said. “Until recently, the only treatment option was surgery, so having a non-surgical approach for many of these cases has significant impact for both patients and the health care system.”

Pappas said the criteria for determining the best treatment approach is nuanced, but not excessively difficult. Appendicitis cases — marked by abdominal pain that often migrates to the lower right side, nausea and vomiting, and low-grade fever – are confirmed with ultrasound and/or CT scans.

Release date: 14 December 2021
Source: Duke University Medical Center

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