PDF(Sci-hub)
Abstract：
BACKGROUND: The French Society of Digestive Surgery (SFCD) and the Society of Abdominal and Digestive Imaging (SIAD) have collaborated to propose recommendations for clinical practice in the management of adult appendicitis.
METHODS: An analysis of the literature was carried out according to the methodology of the French National Authority for Health (HAS). A selection was performed from collected references and then a manual review of the references listed in the selected articles was made in search of additional relevant articles. The research was limited to articles whose language of publication was English or French. Articles focusing on the pediatric population were excluded. Based on the literature review, the working group proposed recommendations whenever possible. These recommendations were reviewed and approved by a committee of experts.
RESULTS: Recommendations about appendicitis in adult patients were proposed with regard to clinical, laboratory and radiological diagnostic modalities, treatment strategy for uncomplicated and complicated appendicitis, surgical technique, and specificities in the case of macroscopically healthy appendix, terminal ileitis and appendicitis in the elderly and in pregnant women.
CONCLUSIONS: These recommendations for clinical practice may be useful to the surgeon in optimizing the management of acute appendicitis in adults.
METHODS: An analysis of the literature was carried out according to the methodology of the French National Authority for Health (HAS). A selection was performed from collected references and then a manual review of the references listed in the selected articles was made in search of additional relevant articles. The research was limited to articles whose language of publication was English or French. Articles focusing on the pediatric population were excluded. Based on the literature review, the working group proposed recommendations whenever possible. These recommendations were reviewed and approved by a committee of experts.
RESULTS: Recommendations about appendicitis in adult patients were proposed with regard to clinical, laboratory and radiological diagnostic modalities, treatment strategy for uncomplicated and complicated appendicitis, surgical technique, and specificities in the case of macroscopically healthy appendix, terminal ileitis and appendicitis in the elderly and in pregnant women.
CONCLUSIONS: These recommendations for clinical practice may be useful to the surgeon in optimizing the management of acute appendicitis in adults.
摘要：
背景：法国消化外科学会（SFCD）和腹部和消化成像学会（SIAD）合作提出了成人阑尾炎治疗临床实践的建议。
方法：根据法国国家卫生局（HAS）的方法对文献进行了分析。从收集的参考文献中进行选择，然后对所选文章中列出的参考文献进行手动审查，以搜索其他相关文章。该研究仅限于出版语言为英语或法语的文章。关注儿科人群的文章被排除在外。在文献综述的基础上，工作组尽可能提出建议。这些建议由一个专家委员会审查和批准。
结果：关于成人患者阑尾炎的建议是关于临床，实验室和放射诊断模式，不复杂和复杂阑尾炎的治疗策略，外科技术,以及宏观健康阑尾的特异性，老年人和孕妇的末端回肠炎和阑尾炎。
结论：这些临床实践建议可能有助于外科医生优化成人急性阑尾炎的治疗。
方法：根据法国国家卫生局（HAS）的方法对文献进行了分析。从收集的参考文献中进行选择，然后对所选文章中列出的参考文献进行手动审查，以搜索其他相关文章。该研究仅限于出版语言为英语或法语的文章。关注儿科人群的文章被排除在外。在文献综述的基础上，工作组尽可能提出建议。这些建议由一个专家委员会审查和批准。
结果：关于成人患者阑尾炎的建议是关于临床，实验室和放射诊断模式，不复杂和复杂阑尾炎的治疗策略，外科技术,以及宏观健康阑尾的特异性，老年人和孕妇的末端回肠炎和阑尾炎。
结论：这些临床实践建议可能有助于外科医生优化成人急性阑尾炎的治疗。
