Body mass index as a predictor of sonographic visualization of the pediatric appendix

Pfeifer, Cory M.; Xie, Luyu; Atem, Folefac; Mathew, M. Sunil; Schiess, Desi; Messiah, Sarah

doi:10.1007/s00247-021-05176-8

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…There were also several cases in which the finding could not be determined with certainty, because the appendix was not visualized. In reported literature, in approximately 10% of cases, appendix can't be visualized, and possible reasons for this are abdominal wall tension, obesity, air or fecal superposition, or atypical position of the appendix [19,23,24]. There were no patients in this study that underwent CT scans.…”

Section: Discussionmentioning

confidence: 80%

Comparison of conservative and operative treatment of uncomplicated appendicitis in the pediatric population

et al. 2023

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Introduction/Objective. Studies about possibilities of conservative, i.e. non-operative management of acute uncomplicated appendicitis in adult and pediatric population have been published lately, considering benefits of preserving appendix and potential complications related to appendectomy. Methods. In this retrospective study medical data of 76 patients treated at the Institute for Child and Youth Health Care of Vojvodina in Novi Sad for acute uncomplicated appendicitis in 2015 and 2016 have been analysed, comparing length of stay, antibiotic therapy use, complications occurement, as well as the financial burden depending of the type of therapy applied. Results. During this period, 76 patients (55 operated and 21 treated conservatively) were treated for acute uncomplicated appendicitis. Conservatively treated children spent statistically significantly shorter period of time at the hospital compared to the operated ones (4.24 vs. 5.76 days; p < 0.001). Early surgical complications occurred in 10.91% operated and 9.52% non-operated children, which wasn?t statistically significant difference (p = 0.863). The total cost of hospital stay was significantly lower in those who underwent non-operative management (10,340 RSD vs. 54,281 RSD; p = 0). The difference was significant even when analyzing costs related to rehospitalization and operative treatment of children initially treated conservatively (p < 0.001). Conclusion. Non-operative i.e. conservative treatment of acute uncomplicated appendicitis in the pediatric population is safe and effective compared to the operative one, and it is not associated with more frequent occurrence of early surgical complications. Total costs for the non-operative treatment are significantly lower, even considering costs related to re-hospitalization of children initially treated conservatively.

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Section: Discussionmentioning

confidence: 80%

Comparison of conservative and operative treatment of uncomplicated appendicitis in the pediatric population

et al. 2023

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“…[2][3][4][5] Ultrasound (US) is currently recognized as the criterion standard for diagnosing AA in the pediatric population. 6,7 However, an inaccurate US result can lead to an unnecessary appendectomy or to appendicitis being missed. Although many studies have examined the effect of obesity on the accuracy of US, the results of these studies are conflicting.…”

Section: To the Editorsmentioning

confidence: 99%

Obesity Is Associated With Decreased Accuracy of Ultrasound for Diagnosing Appendicitis: A Prospective Pediatric Cohort

Zouari,

Hbaieb,

Krichen

et al. 2024

Pediatr Emer Care

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Structured coaching as a means to improve sonographic visualization of the appendix: a quality improvement initiative

Pfeifer

Carrejo²,

Lewis³

et al. 2023

Emerg Radiol

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Body mass index as a predictor of sonographic visualization of the pediatric appendix

Cited by 4 publications

References 20 publications

Comparison of conservative and operative treatment of uncomplicated appendicitis in the pediatric population

Comparison of conservative and operative treatment of uncomplicated appendicitis in the pediatric population

Obesity Is Associated With Decreased Accuracy of Ultrasound for Diagnosing Appendicitis: A Prospective Pediatric Cohort

Structured coaching as a means to improve sonographic visualization of the appendix: a quality improvement initiative

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