Does size matter? Correlation of ultrasound findings in children without clinical evidence of acute appendicitis

Wijayanayaka, Tishara; Davidson, Jacob; Bütter, Andreana

doi:10.1016/j.jpedsurg.2018.02.025

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…Dalia M et al also show decrease CT usage and US as more promising image modality [ 15 ]. Andreana B et al in their retrospective analysis found average size 6.93 although sample size was small, But, in our observation upper normal value of 6 mm is probably too sensitive [ 7 , 16 , 17 ]. Among these 31 patients, the appendix was either not visualized at all (17 patients) or with secondary signs (14 patients), by the radiologist in all cases, emphasizing the importance of visualization of the appendix.…”

Section: Discussioncontrasting

confidence: 61%

To determine validity of ultrasound in predicting acute appendicitis among children keeping histopathology as gold standard

Khan

Kitar

Krichen

et al. 2019

Annals of Medicine and Surgery

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BackgroundTo determined the accuracy of ultrasound in diagnosis of acute appendicitis in children keeping histopathology as gold standard.MethodsA prospective evaluations of all ultrasound for appendicitis from January 1, 2014, to June 15, 2017, was conducted at our hospital. A diagnostic protocol was implemented to reduce radiation exposure employing US as the initial imaging modality followed by CT for non-diagnostic US studies in patients with an equivocal clinical presentation. The imaging, operative findings, and pathology of 223 patients (females 80, males 143, age less than 14years) with diagnosed appendicitis were collected. The sensitivity, specificity, predictive value, and negative appendectomy rate were also analyzed. All those patients which had subjected to surgery were included to evaluate the true result of ultrasound in diagnosis of appendicitis.ResultsOf the 223 pediatric appendectomies performed in this time period, a total of 192 (86%) were diagnosed by ultrasound. The histopathology of 8 was normal (3.6%), CT done in 11 and three was normal. The negative appendectomy rate was 3.6%. US were the sole imaging modality in all patients.ConclusionsIn the diagnosis of acute appendicitis in children, ultrasound is useful and accurate mode, which results in a significant decrease in negative appendectomies with no increase in the number of CT scans. This has important implications in the reduction of childhood radiation exposure.Study designcross sectional validation.

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Section: Discussioncontrasting

confidence: 61%

To determine validity of ultrasound in predicting acute appendicitis among children keeping histopathology as gold standard

Khan

Kitar

Krichen

et al. 2019

Annals of Medicine and Surgery

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show abstract

“…Eat more high-fiber fruits and vegetables after operation, and eat less gas-producing food to avoid postoperative abdominal distension (21). In recent years, there have been many reports regarding the treatment of acute appendicitis with the ERAS concept in adults at home and abroad, but there have been few reports regarding children (22)(23)(24). Therefore, the innovation of this study is to use meta-analysis method to analyze the effectiveness and safety of ERAS concept in the surgical treatment of acute appendicitis in children.…”

Section: Discussionmentioning

confidence: 99%

Systematic review and meta-analysis of the effects of the perioperative enhanced recovery after surgery concept on the surgical treatment of acute appendicitis in children

Zhang¹,

Liang²,

Chen³

et al. 2021

Transl Pediatr

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“…Another study suggests that observation or discharge are safe measures when clinical probability is low. In these cases ultrasound may even yield false positives and this can affect the decision‐making process . We also found four patients who had false negative ultrasound and subsequently perforated appendix.…”

Section: Discussionmentioning

confidence: 80%

The use of abdominal imaging studies in children visiting emergency department was variable and unsystematic

et al. 2019

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Aim: As imaging is used for various reasons in children with acute gastrointestinal complaints, we evaluated the indications and diagnostic yield of abdominal imaging, particularly ultrasound at emergency department (ED). Methods: Indications and imaging reports of consecutive children who had undergone abdominal imaging in general, surgical and paediatric EDs in the Tampere University Hospital, Finland, in 2015 were collected. Symptoms, clinical findings, imaging indications and findings were categorised and further analysed.Results: Altogether 394 imaging studies, 310 ultrasounds, 72 X-rays and 12 computed tomographies (CT), for 348 children (55% boys) aged 0-16.9 years, median 7.1 years, were performed. The most common indications for ultrasound were suspected appendicitis or infection (36%) and explanation for symptoms (32%), for X-ray suspected foreign body (39%) and obstruction (39%) and for CT trauma (50%). The cause of the symptoms or a clinically significant finding was established in 23% of ultrasounds, varying from 0% to 50% depending on the indication, symptoms and age.Conclusion: There was wide variation in the indications and yield of abdominal imaging.The clinical benefits, particularly those of US, were often questionable, even leading to delayed diagnosis and complications. More uniform imaging guidelines are needed in the paediatric ED.

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Does size matter? Correlation of ultrasound findings in children without clinical evidence of acute appendicitis

Cited by 4 publications

References 22 publications

To determine validity of ultrasound in predicting acute appendicitis among children keeping histopathology as gold standard

To determine validity of ultrasound in predicting acute appendicitis among children keeping histopathology as gold standard

Systematic review and meta-analysis of the effects of the perioperative enhanced recovery after surgery concept on the surgical treatment of acute appendicitis in children

The use of abdominal imaging studies in children visiting emergency department was variable and unsystematic

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