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Invited Commentary
November 14, 2018

Treating the Patient With Appendicitis, Not Just the Appendicitis

Author Affiliations
  • 1Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania
  • 2Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania
JAMA Surg. Published online November 14, 2018. doi:10.1001/jamasurg.2018.4300

The option to avoid an appendectomy and potential complications of an operation is appealing (especially for patients) in the management of acute, uncomplicated appendicitis (AUA).1-3 A meta-analysis4 demonstrated that 73.4% of patients treated with antibiotics and without appendectomy were cured without major complication, including recurrence of appendicitis and need for operative management. Many questions remain unanswered, including whether a specific patient subpopulation would be better treated one way or another.5

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