ULTRASOUND AND COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF ACUTE APPENDICITIS

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Issue: 
12
Year: 
2016

Professor N. Krylov, MD; A. Samokhvalov, Candidate of Medical Sciences I.M. Sechenov First Moscow State Medical University

The introduction of high-tech methods in the diagnosis of acute appendicitis – ultrasound and CT have not led to fundamental changes for the better. Significantly reduce the frequency of unnecessary those appendectomies have not yet succeeded. This seemingly simple disease like OA, still in some cases remains extremely difficult to diagnose. OA remains largely a clinical diagnosis than instrumental. Clinical diagnosis should be the cornerstone for planning the future of the diagnostic process. It is necessary to allocate «risk» patients in whom the use of imaging methods will bring actual favor. We recommend you doctors not to rely entirely on the results of imaging methods of research and not to lose skill in clinical diagnosis. Teachers of medical universities need to be still demanding in the teaching of clinical diagnosis of OA and manual skills.

Keywords: 
surgery
acute appendicitis
diagnosis
ultrasound
CT
treatment



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References: 
  1. Torgunakov A.P. Appenditsit – bolezn' adaptatsii // Hirurgija. – 2015; 2: 75–8.
  2. Sovtsov S.A. Ostryj appenditsit: chto izmenilos' v nachale novogo veka // Hirurgija. – 2013; 7: 37–40.
  3. Krylov N.N., Samohvalov A.V. Mozhno li izlechit' ostryj appenditsit bez operatsii? // Vrach. – 2015; 4: 18–20.
  4. Krylov N.N. Ostryj appenditsit i drugie bolezni cherveobraznogo otrostka / M.: Mul'tiprint, 2007; 102 s.
  5. Schok T., Simons P., Janssen-Heijnen M. et al. Prospective evaluation off added value within the Dutch national diagnostic a appendicitis guidline – do we forget our clinical eye? // Dig. Surg. – 2014; 31: 436–43.
  6. Andersson M., Andersson R. Causes of short-term mortality after appendectomy. A population-based case-controlled study // Ann. Surg. – 2011; 254 (1): 103–7.
  7. Carbous S., Meursing A., van Kleef J. et al Impact of anesthesia management characteristics on severe mobidity and mortality // Anesthesiology. – 2005; 102: 257–68.
  8. Alvorado A. A practical score for early diagnosis of acute appendicitis // Ann. Emerg. Med. – 1986; 15: 557–64.
  9. Leeuenberg M., Bakker O., Gorzeman M. et al. Fewer unnecessary appendectomies following ultrasonography and CT // Ned. Tijdschr. Geneeskd. – 2010; 154: A869.
  10. Poortman P., Oostvogel H., Bosma E. et al. Improving diagnosis of acute appendicitis: results of a diagnostic pathway with standard use of ultrasonography followed by selective use of CT // J. Am. Coll. Surg. – 2009; 208: 434–44.
  11. van Breda Vriesman A., Kole B., Puylaert J. Effect of ultrasonography and optional computed tomography on the outcome of appendectomy // Eur. Radiol. – 2003; 13: 2278–82.
  12. Flum D., McClure T., Morris A. et al. Misdiagnosing of appendicitis and the use of diagnostic imaging // J. Am. Coll. Surg. – 2005; 201: 933–9.
  13. Addiss D., Shaffer B., Tauxe R. Epidemiology of appendicitis and appendectomy in the United States // Am. J. Epidemiol. – 1990; 132: 910–25.