Abstract
Appendicitis is one of the most common acute abdominal conditions in all age groups, including elderly. The signs and symptoms of acute appendicitis can be more subtle in elderly; hence, high index of suspicion is required to make the diagnosis. Morbidity and mortality of appendicitis are higher in elderly patients, especially ones with complicated appendicitis. To date, appendectomy is still a standard treatment of acute appendicitis, and it should be done in a timely fashion to prevent perforation and other morbidities.
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References
Lapsa S, Ozolins A, Strumfa I, Gardovskis J. Acute appendicitis in the elderly: a literature review on an increasingly frequent surgical problem. Geriatrics (Basel). 2021;6(3):93.
Dahdaleh FS, Heidt D, Turaga KK. The appendix. In: Brunicardi FC, Andersen DK, Billiar TR, et al., editors. Schwartz’s principles of surgery. 11th ed. New York: McGraw-Hill; 2019. p. 1331–43.
Tantarattanapong S, Arwae N. Risk factors associated with perforated acute appendicitis in geriatric emergency patients. Open Access Emerg Med. 2018;10:129–34.
Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986;15:557–64.
Lintula H, Kokki H, Pulkkinen J, Kettunen R, Gröhn O, Eskelinen M. Diagnostic score in acute appendicitis. Validation of a diagnostic score (Lintula score) for adults with suspected appendicitis. Langenbecks Arch Für Chir. 2010;395:495–500.
Shchatsko A, Brown R, Reid T, Adams S, Alger A, Charles A. The utility of the alvarado score in the diagnosis of acute appendicitis in the elderly. Am Surg. 2017;83:793–8.
Eskelinen M, Meklin J, Syrjänen K, Eskelinen M. A diagnostic score (DS) is a powerful tool in diagnosis of acute appendicitis in elderly patients with acute abdominal pain. Anticancer Res. 2021;41:1459–69.
Ooler BD, Lawrence EM, Pickhardt PJ. MDCT for suspected appendicitis in the elderly: diagnostic performance and patient outcome. Emerg Radiol. 2012;19(1):27–33.
Salminen P, Paajanen H, Rautio T, et al. Antibiotic therapy vs appendectomy for treatment of uncomplicated acute appendicitis. JAMA. 2015;313(23):2340–8.
Salminen P, Tuominen R, Paajanen H, Rautio T, Nordström P, Aarnio M, Rantanen T, Hurme S, Mecklin JP, Sand J, et al. Five-year follow-up of antibiotic therapy for uncomplicated acute appendicitis in the APPAC randomized clinical trial. JAMA. 2018;320:1259–65.
CODA collaborative a randomized trial comparing antibiotics with appendectomy for appendicitis. N Engl J Med. 2020;383:1907–19. https://doi.org/10.1056/NEJMoa2014320.
Ahmed A, Feroz S, Dominic J, et al. Is emergency appendicectomy better than elective appendicectomy for the treatment of appendiceal phlegmon: A review. Cureus. 2020;12(12):e12045.
Prasertsuntarasai S, Prichayudh S. Is interval appendectomy necessary for appendiceal mass? Chula Med J. 2007;51(5):273–9.
Segev L, Keidar A, Schrier I, Rayman S, Wasserberg N, Sadot E. Acute appendicitis in the elderly in the twenty-first century. J Gastrointest Surg. 2015;19:730–5.
Renteria O, Shahid Z, Huerta S. Outcomes of appendectomy in elderly veteran patients. Surgery. 2018;164:460–5.
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Prichayudh, S., Pak-art, R. (2023). Appendicitis in Elderly. In: Petrone, P., Brathwaite, C.E. (eds) Acute Care Surgery in Geriatric Patients. Springer, Cham. https://doi.org/10.1007/978-3-031-30651-8_43
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DOI: https://doi.org/10.1007/978-3-031-30651-8_43
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