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Article: Acute appendicitis in children

TitleAcute appendicitis in children
Authors
Issue Date1987
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS
Citation
Australian And New Zealand Journal Of Surgery, 1987, v. 57 n. 12, p. 927-931 How to Cite?
AbstractA prospective study was conducted on 344 children aged from 3 months to 16 years with acute appendicitis. Most children presented with typical features of acute of acute appendicitis (70%) or peritonitis (28%). Atypical presentation was uncommon and occurred only in seven young children, masquerading as intestinal obstruction, gastroenteritis or urinary tract infection. Prolonged delay in surgery was associated with a rise in incidence of late appendicitis (gangrenous and perforated appendicitis). This rise was especially marked 37 h after onset of symptoms. The main causes of delay were inability of the parents and primary care medical practitioners to recognize the disease early. Surgeons contributed very little to the delay. High risk factors for postappendectomy sepsis were young children under 6 years old, late appendicitis, obese patients, inferior systemic antibiotic regimes and inexperienced surgeons. Young children had high postoperative sepsis mainly because of the high incidence of late appendicitis due to their inability to express their symptoms properly. They were not especially prone to postappendectomy sepsis; they had the same degree of appendicitis compared with older children. Measures to decrease the postappendectomy mordibity are suggested.
Persistent Identifierhttp://hdl.handle.net/10722/172571
ISSN
2003 Impact Factor: 0.874
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLau, WYen_US
dc.contributor.authorFan, STen_US
dc.contributor.authorYip, WCen_US
dc.contributor.authorChu, KWen_US
dc.contributor.authorYiu, TFen_US
dc.contributor.authorYeung, Cen_US
dc.contributor.authorWong, KKen_US
dc.date.accessioned2012-10-30T06:23:28Z-
dc.date.available2012-10-30T06:23:28Z-
dc.date.issued1987en_US
dc.identifier.citationAustralian And New Zealand Journal Of Surgery, 1987, v. 57 n. 12, p. 927-931en_US
dc.identifier.issn0004-8682en_US
dc.identifier.urihttp://hdl.handle.net/10722/172571-
dc.description.abstractA prospective study was conducted on 344 children aged from 3 months to 16 years with acute appendicitis. Most children presented with typical features of acute of acute appendicitis (70%) or peritonitis (28%). Atypical presentation was uncommon and occurred only in seven young children, masquerading as intestinal obstruction, gastroenteritis or urinary tract infection. Prolonged delay in surgery was associated with a rise in incidence of late appendicitis (gangrenous and perforated appendicitis). This rise was especially marked 37 h after onset of symptoms. The main causes of delay were inability of the parents and primary care medical practitioners to recognize the disease early. Surgeons contributed very little to the delay. High risk factors for postappendectomy sepsis were young children under 6 years old, late appendicitis, obese patients, inferior systemic antibiotic regimes and inexperienced surgeons. Young children had high postoperative sepsis mainly because of the high incidence of late appendicitis due to their inability to express their symptoms properly. They were not especially prone to postappendectomy sepsis; they had the same degree of appendicitis compared with older children. Measures to decrease the postappendectomy mordibity are suggested.en_US
dc.languageengen_US
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANSen_US
dc.relation.ispartofAustralian and New Zealand Journal of Surgeryen_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAnti-Bacterial Agents - Therapeutic Useen_US
dc.subject.meshAppendectomyen_US
dc.subject.meshAppendicitis - Complications - Surgeryen_US
dc.subject.meshAppendix - Pathologyen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshFemaleen_US
dc.subject.meshGangreneen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshIntestinal Perforation - Etiology - Surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshPremedicationen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSurgical Wound Infection - Epidemiologyen_US
dc.titleAcute appendicitis in childrenen_US
dc.typeArticleen_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1445-2197.1987.tb01295.x-
dc.identifier.pmid3439936-
dc.identifier.scopuseid_2-s2.0-0023632713en_US
dc.identifier.volume57en_US
dc.identifier.issue12en_US
dc.identifier.spage927en_US
dc.identifier.epage931en_US
dc.identifier.isiWOS:A1987L376000007-
dc.publisher.placeAustraliaen_US
dc.identifier.scopusauthoridLau, WY=7402933199en_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US
dc.identifier.scopusauthoridYip, WC=7102784410en_US
dc.identifier.scopusauthoridChu, KW=16026609700en_US
dc.identifier.scopusauthoridYiu, TF=36887055400en_US
dc.identifier.scopusauthoridYeung, C=25950985200en_US
dc.identifier.scopusauthoridWong, KK=7404759210en_US

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