Is There a Role for Medical Management in Acute Appendicitis?
Acute appendicitis is a common cause of acute abdomen in the emergency department, with appendectomy being the gold standard treatment. A growing body of research explores the safety and efficacy of treatment of acute appendicitis with antibiotics rather than surgery. Data from these studies show that there are many patients that can benefit from an antibiotics-only approach to appendicitis, but these benefits must be considered in the face of higher recurrence rates for patients managed non-operatively. Further research must be completed to allow clinicians to identify patients who will attain the greatest benefit from this treatment approach.
KeywordsAppendicitis Appendectomy Antibiotics Medical management Non-operative management