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