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Comment & Response
September 11, 2017

Nonoperative Treatment of Appendicitis

Author Affiliations
  • 1Pediatric Emergency Medicine, Maimonides Medical Center, Brooklyn, New York
JAMA Pediatr. Published online September 11, 2017. doi:10.1001/jamapediatrics.2017.2937

To the Editor I read with interest the meta-analysis by Huang et al1 combining results of 5 studies (n = 404 patients) with uncomplicated appendicitis (AUA) evaluating efficacy of nonoperative treatment (NOT). They found NOT was successful in 90% of cases and concluded that antibiotics as the initial treatment for pediatric patients with AUA may be feasible and effective without increasing the risk for complications.

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