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.
Bonadio WA. Nonoperative Treatment of Appendicitis. JAMA Pediatr. Published online September 11, 2017. doi:10.1001/jamapediatrics.2017.2937