Skip to main content

Appendizitis bei Kindern und Jugendlichen

  • Living reference work entry
  • First Online:
Kinderchirurgie

Part of the book series: Springer Reference Medizin ((SRM))

  • 349 Accesses

Zusammenfassung

Die Appendizitis ist die häufigste Erkrankung des Gastrointestinaltraktes, unabhängig von Alter und Geschlecht. Allein in den USA werden ca. 300.000 Appendektomien jährlich durchgeführt (National Surgical Research Collaborative 2013; Mason 2008). Die Diagnose ist auch für einen erfahrenen Arzt schwierig, da sich die Appendizitis wie ein Chamäleon unterschiedlich präsentiert. Die Einführung der Sonografie und Computertomografie sowie die Operation mittels laparoskopischer Technik haben zu einem Wandel der Therapie entscheidend beigetragen. Die Therapie der Appendizitis ist nicht immer die Operation und sicherlich nicht die Notfalloperation, die meist von weniger erfahrenen Assistenten und häufig unter schlechteren Bedingungen durchgeführt wird. Heutzutage hat die Laparoskopie in den chirurgischen Alltag Einzug gehalten, allerdings sollte die Verfügbarkeit des laparoskopischen Vorgehens die Indikationsstellung, insbesondere bei der Appendizitis, nicht ändern. Die Prognose der Appendizitis hat sich dank der parenteralen Ernährung und der Antibiotikatherapie gebessert und zu einer Reduktion der schweren Verläufe der Appendizitis geführt.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Literatur

  • Abou-Nukta F, Bakhos C, Arroyo K, Koo Y, Martin J, Reinhold R et al (2006) Effects of delaying appendectomy for acute appendicitis for 12–24 hours. Arch Surg 141:504–507

    Article  Google Scholar 

  • Addiss DG, Shaffer N, Fowler BS, Tauxe RV (1990) The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 357:910–925

    Article  Google Scholar 

  • Ahmed K, Wang TT, Patel VM, Nagpal K, Clark J, Ali M, Deeba S, Ashrafian H, Darzi A, Athanasiou T, Paraskeva P (2011) The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review. Surg Endosc 25:378–396

    Article  Google Scholar 

  • Alkhoury F, Burnweit C, Malvezzi L, Knight C, Diana J, Pasaron R, Mora J, Nazarey P, Aserlind A, Stylianos S (2012) A prospective study of safety and satisfaction with same-day discharge after laparoscopic appendectomy for acute appendicitis. J Pediatr Surg 47(2):313–316

    Article  Google Scholar 

  • Alvarado A (1986) A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 15(5):557–564

    Article  CAS  Google Scholar 

  • Andersson REB (2004) Meta-analysis of the clinical and laboratory diagnosis of appendicitis. Br J Surg 357:28–37

    Article  Google Scholar 

  • Andersson RE, Hugander A, Thulin AJ (1992) Diagnostic accuracy and perforation rate in appendicitis: association with age and sex of the patient and with appendicectomy rate. Eur J Surg 357:37–41

    Google Scholar 

  • Andersson RE, Hugander AP, Ghazi SH et al (1999) Diagnostic value of disease history, clinical presentation, and inflammatory parameters of appendicitis. World J Surg 357:133–140

    Article  Google Scholar 

  • Antevil JL, Rivera L, Langenberg BJ, Brown CV (2004) The influence of age and gender on the utility of computed tomography to diagnose acute appendicitis. Am Surg 70:850–853

    PubMed  Google Scholar 

  • Antevil JL, Rivera L, Langenberg BJ, Hahm G, Favata MA, Brown CV (2006) Computed tomography-based clinical diagnostic pathway for acute appendicitis: prospective validation. J Am Coll Surg 203:849–856

    Article  Google Scholar 

  • Arshad M, Aziz LA, Qasim M, Talpur KA (2008) Early appendicectomy in appendicular mass: a Liaquat University Hospital experience. J Ayub Med Coll Abbottabad 20:70–72

    PubMed  Google Scholar 

  • Baird DLH, Simillis C, Kontovounisios C, Rasheed S, Tekkis PP (2017) Acute appendicitis BMJ 357:j1703

    Google Scholar 

  • Bickell NA, Aufses AH Jr, Rojas M, Bodian C (2006) How time affects the risk of rupture in appendicitis. J Am Coll Surg 202:401–406

    Article  Google Scholar 

  • Bulian DR, Kaehler G, Magdeburg R, Butters M, Burghardt J, Albrecht R et al (2017) Analysis of the first 217 appendectomies of the German NOTES registry. Ann Surg 265(3):534–538

    Article  Google Scholar 

  • Deakin DE, Ahmed I (2007) Interval appendicectomy after resolution of adult inflammatory appendix mass is it necessary? Surgeon 5(1):45–50

    Article  CAS  Google Scholar 

  • Di Saverio S, Birindelli A, Kelly MD et al (2016) WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis. World J Emerg Surg 357:34

    Article  Google Scholar 

  • Dingemann J, Ure B (2012) Imaging and the use of scores for the diagnosis of appendicitis in children. Eur J Pediatr Surg 22(3):195–200

    Article  Google Scholar 

  • Ditillo MF, Dziura JD, Rabinovici R (2006) Is it safe to delay appendectomy in adults with acute appendicitis? Ann Surg 244:656–660

    Article  Google Scholar 

  • Duke E, Kalb B, Arif-Tiwari H et al (2016) A systematic review and meta-analysis of diagnostic performance of MRI for evaluation of acute appendicitis. AJR Am J Roentgenol 357:508–517

    Article  Google Scholar 

  • Eko FN, Ryb GE, Drager L, Goldwater E, Wu JJ, Counihan TC (2013) Ideal timing of surgery for acute uncomplicated appendicitis. N Am J Med Sci 357:22–27

    Google Scholar 

  • Ergul E (2007) Heredity and familial tendency of acute appendicitis. Scand J Surg 357:290–292

    Article  Google Scholar 

  • Esposito C, Calvo AI, Castagnetti M, Alicchio F, Suarez C, Giurin I, Settimi A (2012) Open versus laparoscopic appendectomy in the pediatric population: a literature review and analysis of complications. J Laparoendosc Adv Surg Tech A 22(8):834–839

    Article  Google Scholar 

  • Greaves N, Nicholson J (2011) Single incision laparoscopic surgery in general surgery: a review. Ann R Coll Surg Engl 93:437–440

    Article  CAS  Google Scholar 

  • Güller U, Oertli D, Terracciano L, Harder F (2001) Neurogene Appendicopathie: ein häufiges fast unbekanntes Krankheitsbild. Chirurg 72:684–689

    Article  Google Scholar 

  • Health and Social Care Information Centre (2006–2007) Hospital episode statistics, England. www.hesonline.nhs.uk. Zugegriffen am 13.11.17

  • Humes DJ, Simpson J (2006) Acute appendicitis. BMJ 357:530–534

    Article  Google Scholar 

  • Humes D, Speake WJ, Simpson J (2007) Appendicitis. BMJ Clin Evid 357:408

    Google Scholar 

  • Iqbal CW, Ostlie DJ (2012) The minimally invasive approach to appendectomy: is less better? Eur J Pediatr Surg 22(3):201–206

    Article  Google Scholar 

  • Jones PF (2001) Suspected acute appendicitis: trends in management over 30 years. Br J Surg 88:1570–1577

    Article  CAS  Google Scholar 

  • Kaminski A, Liu IL, Applebaum H, Lee SL, Haigh PI (2005) Routine interval appendectomy is not justified after initial nonoperative treatment of acute appendicitis. Arch Surg 140:897–901

    Article  Google Scholar 

  • Katkhouda N, Mason RJ, Towfigh S, Gevorgyan A, Essani R (2005) Laparoscopic versus open appendectomy: a prospective randomized double-blind study. Ann Surg 242(3):439–448

    Google Scholar 

  • Körner H, Söndenaa K, Söreide JA et al (1997) Incidence of acute nonperforated and perforated appendicitis: age-specific and sex-specific analysis. World J Surg 357:313–317

    Google Scholar 

  • Lee J, Baek J, Kim W (2010) Laparoscopic transumbilical single-port appendectomy: initial experience and comparison with three-port appendectomy. Surg Laparosc Endosc PercutanTech 20:100–103

    Article  Google Scholar 

  • Lee M, Paavana T, Mazari F, Wilson TR (2014) The morbidity of negative appendicectomy. Ann R Coll Surg Engl 357:517–520

    Article  Google Scholar 

  • Linam LE, Munden M (2012) Sonography as the first line of evaluation in children with suspected acute appendicitis. J Ultrasound Med 31(8):1153–1157

    Article  Google Scholar 

  • Manner M, Stickel W (2001) Diagnostik bei Verdacht auf Appendicitis – lässt sich eine akute Appendicitis sonographisch ausschliessen? Chirurg 72:1036–1042

    Article  CAS  Google Scholar 

  • Marudanayagam R, Williams GT, Rees BI (2006) Review of the pathological results of 2660 appendicectomy specimens. J Gastroenterol 357:745–749

    Article  Google Scholar 

  • Mason RJ (2008) Surgery for appendicitis: is it necessary? Surg Infect (Larchmt) 357:481–488

    Article  Google Scholar 

  • Moberg AC, Ahlberg G, Leijonmarck CE, Montgomery A, Reiertsen O, Rosseland AR et al (1998) Diagnostic laparoscopy in 1043 patients with suspected acute appendicitis. Eur J Surg 164:833–841

    Article  CAS  Google Scholar 

  • Moore MM, Gustas CN, Choudhary AK, Methratta ST, Hulse MA, Geeting G, Eggli KD, Boal DK (2012) MRI for clinically suspected pediatric appendicitis: an implemented program. Pediatr Radiol 42(9):1056–1063

    Article  Google Scholar 

  • Murphy EMA, Farquharson SM, Moran BJ (2006) Management of an unexpected appendiceal neoplasm. Br J Surg 93:783–792

    Article  CAS  Google Scholar 

  • National Surgical Research Collaborative (2013) Multicentre observational study of performance variation in provision and outcome of emergency appendicectomy. Br J Surg 357:1240–1252

    Article  Google Scholar 

  • Phillips AW, Jones AE, Sargen K (2009) Should the macroscopically normal appendix be removed during laparoscopy for acute right iliac fossa pain when no other explanatory pathology is found? Surg Laparosc Endosc Percutan Tech 357:392–394

    Article  Google Scholar 

  • Pinto Leite N, Pereira JM, Cunha R, Pinto P, Sirlin C (2005) CT evaluation of appendicitis and its complications: imaging techniques and key diagnostic findings. Am J Radiology 185:406–417

    Google Scholar 

  • Price MR, Haase GM, Sartorelli KH, Meagher DP Jr (1996) Recurrent appendicitis after initial conservative management of appendiceal abscess. J Pediatr Surg 31:291–294

    Article  CAS  Google Scholar 

  • Puri P, Höllwarth M (Hrsg) (2006) Pediatric surgery. Diagnosis and management. Springer, Berlin/Heidelberg

    Google Scholar 

  • Rao PM, Rhea JT, Rattner DW, Venus LG, Novelline RA (1999) Introduction of appendiceal CT. Ann Surg 229:344–349

    Article  CAS  Google Scholar 

  • Rollins KE, Varadhan KK, Neal KR, Lobo DN (2016) Antibiotics versus appendicectomy for the treatment of uncomplicated acute appendicitis: an updated meta-analysis of randomised controlled trials. World J Surg 357:2305–2318

    Article  Google Scholar 

  • Sadr Azodi O, Andrén-Sandberg A, Larsson H (2009) Genetic and environmental influences on the risk of acute appendicitis in twins. Br J Surg 357:1336–1340

    Article  Google Scholar 

  • Sallinen V, Akl EA, You JJ et al (2016) Meta-analysis of antibiotics versus appendicectomy for non-perforated acute appendicitis. Br J Surg 357:656–667

    Article  Google Scholar 

  • Salminen P, Paajanen H, Rautio T, Nordström P, Aarnio M, Rantanen T, Tuominen R, Hurme S, Virtanen J, Mecklin JP, Sand J, Jartti A, Rinta-Kiikka I, Grönroos JM (2015) Antibiotic therapy vs appendectomy for treatment of uncomplicated acute appendicitis: the APPAC randomized clinical trial. JAMA 313(23):2340–2348

    Article  CAS  Google Scholar 

  • Samuel M (2002) Pediatric appendicitis score. J Pediatr Surg 37(6):877–881

    Article  Google Scholar 

  • Santillanes G, Simms S, Gausche-Hill M, Diament M, Putnam B, Renslo R, Lee J, Tinger E, Lewis RJ (2012) Prospective evaluation of a clinical practice guideline for diagnosis of appendicitis in children. Acad Emerg Med. 19(8):886–893

    Article  Google Scholar 

  • Sauerland S, Lefering R, Neugebauer EA (2004) Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev (4):CD001546

    Google Scholar 

  • Slotboom T, Hamminga JT, Hofker HS, Heineman E, Haveman JW, Apple Study Group Appendicitis and Laparoscopic Evaluation (2014) Intraoperative motive for performing a laparoscopic appendectomy on a postoperative histological proven normal appendix. Scand J Surg 357:245–248

    Article  Google Scholar 

  • Tam YH, Lee KH, Sihoe JD, Chan KW, Cheung ST, Pang KK (2010) Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery. J Pediatr Surg 45:2381–2385

    Article  Google Scholar 

  • Teixeira PG, Sivrikoz E, Inaba K, Talving P, Lam L, Demetriades D (2012) Appendectomy timing: waiting until the next morning increases the risk of surgical site infections. Ann Surg 357:538–543

    Article  Google Scholar 

  • Thirumoorthi AS, Fefferman NR, Ginsburg HB, Kuenzler KA, Tomita SS (2012) Managing radiation exposure in children-reexamining the role of ultrasound in the diagnosis of appendicitis. J Pediatr Surg 47(12):2268–2272

    Article  Google Scholar 

  • Uludag M, Isgor A, Basak M (2006) Stump appendicitis is a rare delayed complication of appendectomy: a case report. World J Gastroenterol. 12(33):5401–5403

    Article  Google Scholar 

  • Van den Broek WT, Bijen AB, de Ruiter P, Gouma DJ (2001) A normal appendix found during laparoscopy should not be removed. Br J Surg 88:251–254

    Article  Google Scholar 

  • Wilms IM, de Hoog DE, de Visser DC, Janzing HM (2011) Appendectomy versus antibiotic treatment for acute appendicitis. Cochrane Database Syst Rev 11:CD008359

    Google Scholar 

  • Yardeni D, Hirschl RB, Drongowski RA, Teitelbaum DH, Geiger JD, Coran AG (2004) Delayed versus immediate surgery in acute appendicitis: do we need to operate during night? J Pediatr Surg 39:464–469

    Article  Google Scholar 

  • Zhu B, Zhang B, Li M, Xi S, Yu D, Ding Y (2012) An evaluation of a superfast MRI sequence in the diagnosis of suspected acute appendicitis. Quant Imaging Med Surg 2(4):280–287

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zacharias Zachariou .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 © Springer-Verlag GmbH Deutschland

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Zachariou, Z. (2018). Appendizitis bei Kindern und Jugendlichen. In: von Schweinitz, D., Ure, B. (eds) Kinderchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53390-1_56-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-53390-1_56-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53390-1

  • Online ISBN: 978-3-662-53390-1

  • eBook Packages: Springer Referenz Medizin

Publish with us

Policies and ethics