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Diagnosis and management of acute appendicitis. EAES consensus development conference 2015
Authors:Ramon R Gorter  Hasan H Eker  Marguerite A W Gorter-Stam  Gabor S A Abis  Amish Acharya  Marjolein Ankersmit  Stavros A Antoniou  Simone Arolfo  Benjamin Babic  Luigi Boni  Marlieke Bruntink  Dieuwertje A van Dam  Barbara Defoort  Charlotte L Deijen  F Borja DeLacy  Peter MNYH Go  Annelieke M K Harmsen  Rick S van den Helder  Florin Iordache  Johannes C F Ket  Filip E Muysoms  M Mahir Ozmen  Michail Papoulas  Michael Rhodes  Jennifer Straatman  Mark Tenhagen  Victor Turrado  Andras Vereczkei  Ramon Vilallonga  Jort D Deelder  Jaap Bonjer
Affiliation:1.Department of Surgery,VU University Medical Centre,Amsterdam,The Netherlands;2.Department of Surgery,Red Cross Hospital,Beverwijk,The Netherlands;3.Department of Surgery,Spaarne Gasthuis,Haarlem,The Netherlands;4.Department of Surgery,St Mary’s Hospital,London,UK;5.Department of Surgery, Center for Minimally Invasive Surgery,Neuwerk Hospital,M?nchengladbach,Germany;6.Department of Surgery,University Hospital of Heraklion,Heraklion,Greece;7.Department of Surgery,University of Torino,Torino,Italy;8.Department of Surgery,Agaplesion Markus Krankenhaus,Frankfurt am Main,Germany;9.Department of Surgery, Minimally Invasive Surgery Research Center,University of Insubria,Varese,Italy;10.Department of Surgery,Maria Middelares Ghent,Ghent,Belgium;11.Department of Surgery,Hospital Clinic of Barcelona,Barcelona,Spain;12.Department of Surgery,St. Antonius Hospital,Nieuwegein,The Netherlands;13.Department of Surgery,Noordwest Clinics Alkmaar,Alkmaar,The Netherlands;14.Department of Surgery,University of Medicine and Pharmacy “Carol Davila”,Bucharest,Romania;15.Medical Library,Vrije Universiteit,Amsterdam,The Netherlands;16.Department of Surgery, School of Medicine,Bahcesehir University,Istanbul,Turkey;17.Department of Surgery,Tel Aviv Sourasky Medical Centre,Tel Aviv,Israel;18.Department of Surgery,Stepping Hill Hospital,Stockport,UK;19.Department of Surgery,Hospital de la Santa Creu i Sant Pau,Barcelona,Spain;20.Department of Surgery,Medical School University of Pécs,Pecs,Hungary;21.Department of Surgery,University Hospital Vall Hebrón,Barcelona,Spain;22.Department of Pediatric Surgery,VU University Medical Centre,Amsterdam,The Netherlands
Abstract:Unequivocal international guidelines regarding the diagnosis and management of patients with acute appendicitis are lacking. The aim of the consensus meeting 2015 of the EAES was to generate a European guideline based on best available evidence and expert opinions of a panel of EAES members. After a systematic review of the literature by an international group of surgical research fellows, an expert panel with extensive clinical experience in the management of appendicitis discussed statements and recommendations. Statements and recommendations with more than 70 % agreement by the experts were selected for a web survey and the consensus meeting of the EAES in Bucharest in June 2015. EAES members and attendees at the EAES meeting in Bucharest could vote on these statements and recommendations. In the case of more than 70 % agreement, the statement or recommendation was defined as supported by the scientific community. Results from both the web survey and the consensus meeting in Bucharest are presented as percentages. In total, 46 statements and recommendations were selected for the web survey and consensus meeting. More than 232 members and attendees voted on them. In 41 of 46 statements and recommendations, more than 70 % agreement was reached. All 46 statements and recommendations are presented in this paper. They comprise topics regarding the diagnostic work-up, treatment indications, procedural aspects and post-operative care. The consensus meeting produced 46 statements and recommendations on the diagnostic work-up and management of appendicitis. The majority of the EAES members supported these statements. These consensus proceedings provide additional guidance to surgeons and surgical residents providing care to patients with appendicitis.
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