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Wyszukujesz frazę "acute appendicitis" wg kryterium: Temat


Wyświetlanie 1-10 z 10
Tytuł:
An Uncommon Course Of Acute Appendicitis With Sepsis – A Case Report
Autorzy:
Żyluk, Andrzej
Jagielski, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/1395636.pdf
Data publikacji:
2015-05-01
Wydawca:
Index Copernicus International
Tematy:
acute appendicitis – complications
acute appendicitis – diagnosis
sepsis
Opis:
Authors report a case of 54-years-old patient, who presented to the hospital due to three-day history of weakness, abdominal pain and diarrhea. His general shape was severe, abdomen was tender at palpation in hypogastrium, peritoneal signs were positive, and blood tests showed highly elevated markers of inflammation, including procalcitonin, what suggested the sepsis. Despite unclear clinical picture, the presence sepsis was an argument to give the patient surgery. Intraoperatively, perforated appendix was found, being in mass with the omentum and small bowel. An appendectomy was performed. Postoperative course was complicated by the wound infection, but recovery progressed quickly and patient was dismissed at 5 days after operation. In the discussion the authors referred to the similar cases reported in the literature, concluding that acute appendicitis can be a life threating event for – to date – healthy adult person. Although a tendency to treat conservatively an uncomplicated acute appendicitis and to delay operations is supported by scientific evidence, the cases may occur in which only prompt surgical intervention protects the patient from serious complications.
Źródło:
Polish Journal of Surgery; 2015, 87, 5; 272-276
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Differences in the clinical course of acute appendicitis in the elderly in comparison to younger populati
Autorzy:
Zbierska, Katarzyna
Kenig, Jakub
Lasek, Anna
Rubinkiewicz, Mateusz
Wałęga, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1394163.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
acute appendicitis
elderly
symptoms
Opis:
Acute appendicitis (AA) still remains the most common acute surgical abdominal emergency. Although 90% of cases occur in children and young adults, the incidence in the elderly amounts up to 10% and is constantly rising. The aim of the study was to assess the differences between clinical presentation in the elderly patients with AA compared to the younger patients. Additional aim was to assess the correlation between in-hospital time delays and patients’ outcomes. Material and methods. We conducted a retrospective analysis of medical data of 274 patients admitted to 3rd Department of General Surgery in Cracow between January 2011 and December 2013 due to AA. The elderly group comprised 23 patients aged 65 and above and the non-elderly group consisted of 251 patients. Results. The groups did not differ in symptoms and their duration, type of surgery and its duration. However, time from admission to ED to the beginning of the procedure was significantly lower in the elderly group (575.56 vs 858.9 min; p=0.03). The elderly had longer hospital stay (6.08 vs 4.69 days; p=0.004). In the elderly group the perforation rate was close to reaching statistical significance (26.1% vs 12.4%; p=0.06). No mortality was noted in both groups and morbidity was slightly higher in elderly group (17.4% vs 10%; p=0.26). Conclusions. There was no difference in the clinical presentation between elderly and non-elderly patients group. However, elderly patients presented with a more progressed inflammation of the appendix. The hospital stay was longer in the elderly group, without any mortality and with higher rate of morbidity in this group. The length of the preoperative phase was significantly shorter, confirming the awareness of importance of time in the elderly patients with acute abdomen.
Źródło:
Polish Journal of Surgery; 2016, 88, 3; 142-146
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The importance of laboratory tests and Body Mass Index in the diagnosis of acute appendicitis
Autorzy:
Ozkan, Atakan
Gokce, Aylin Hande
Gokce, Feridun Suat
Powiązania:
https://bibliotekanauki.pl/articles/1391807.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
acute abdomen
acute appendicitis
appendectomy
obesity
Opis:
Background: Acute appendicitis is the most common cause of acute abdomen. Delay in diagnosis increases the mortality and morbidity. Aim: In this study, we aimed to investigate whether the body mass index is useful in diagnosis and whether the neutrophil /lymphocyte and platelet/lymphocyte ratios can help in determining the inflammation level of acute appendicitis. Meterial and Methods: Cases of appendectomy performed between June 2012 and December 2018 in our clinic were analyzed retrospectively. Based on the pathology results of the cases included in the study, 4 groups were formed, i.e.: Group 1 (initial stage), Group 2 (catarrhal stage), Group 3 (phlegmonous-gangrenous stage) and Group 4 (perforation). The study compared age, body mass index, leukocyte values, red cell distribution width (RDW), neutrophil/lymphocyte ratio (NLR), platelet /lymphocyte ratio (PLR), and mean platelet volume (MPV) between groups. Results: 828 cases were included in the study. When compared between groups, the values of Group 3 and Group 4 were higher than those of Group 1 and Group 2 for PLR and NLR. There was no difference in RDW and MPV values in the blood. When Body Mass Index (BMI) was compared between groups, it was found to be significantly higher with increasing histopathological stage. Conclusion: In acute appendicitis, the blood leukocyte value, elevated PLR and NLR are helpful in diagnosis. We aimed to emphasize that the diagnosis of acute appendicitis is delayed in patients with a BMI above 30 and/or at age of over 40 years, with the perforation rate being determined more frequently.
Źródło:
Polish Journal of Surgery; 2020, 92, 6; 7-11
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
“Kappa” conformance test between three acute appendicitis scoring systems (Pediatric Appendicitis Score/Pediatric Appendicitis Risk Calculator/Alvarado) in predicting appendicitis in children
Autorzy:
Felicia, F.
Hendsun, H.
Firmansyah, Y.
Powiązania:
https://bibliotekanauki.pl/articles/2087677.pdf
Data publikacji:
2020
Wydawca:
Uniwersytet Opolski. Instytut Nauk o Zdrowiu
Tematy:
Conformance test
acute appendicitis
PAS
pARC
Alvarado
Opis:
Background: Appendicitis is the most common abdominal emergency in the pediatric population. The clinical features of appendicitis in children are usually atypical, leading to misdiagnosis in 19–57% of preschool age children, which can result in complications. Thus, scoring systems are used to estimate the risk of appendicitis based on symptomatology and laboratory results. Aim of the study: The aims of this study were to analyze the conformance of the Pediatric Appendicitis Score (PAS), the Pediatric Appendicitis Risk Calculator (pARC), and the Alvarado score as screening tools for appendicitis in children attending a public hospital emergency department. Material and methods: The inclusion criteria were all children aged < 14 years who presented with symptoms of appendicitis and were confirmed to have appendicitis either by imaging or surgery. The exclusion criteria were incomplete medical records. Data was collected retrospectively from medical records. Data analysis included examination of the proportion and distribution of data, and statistical analysis in the form of the Kappa conformance test. Results: The result of the conformance test between the PAS and the Alvarado score was 75%, but the Kappa conformance value between them was only 46.8κ although statistically significant (p value = 0.013). The conformance test between the PAS and the pARC was 50%, but the Kappa conformance value was only 19.4κ and not statistically significant (p value = 0.143). The conformance test between the Alvarado score and the pARC was 55%, but the Kappa conformance value was 13.5κ and not statistically significant (p value = 0.492). Conclusions: The PAS has advantages over other appendicitis screening questionnaires with greatest conformance between PAS and Alvarado.
Źródło:
Medical Science Pulse; 2020, 14, 3; 4-9
2544-1558
2544-1620
Pojawia się w:
Medical Science Pulse
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Surgical treatment of acute appendicitis in older patients
Autorzy:
Dowgiałło-Wnukiewicz, Natalia
Kozera, Piotr
Wójcik, Weronika
Lech, Paweł
Rymkiewicz, Przemysław
Michalik, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1392218.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
acute appendicitis
older patients
elderly patients
laparoscopic appendectomy
Opis:
Introduction: Acute appendicitis (AA) is the most common indication for emergency surgery and it occurs more often in children and young adults than in patients of advanced age. AA in older patients is a challenging surgical problem because of its atypical presentation. This study was performed to determine whether the age of a patient impacts the outcomes and whether laparoscopic appendectomy (LA) is a feasible method for treatment of patients > 65 years. Material and methods: We performed a retrospective study of 355 patients with AA who were admitted to the Department of General, Minimally Invasive and Elderly Surgery in Olsztyn from 2014 to 2017. The patients were divided into three age groups: 18 to 40, 41 to 65 and >65 years. The histopathological diagnoses were divided into three types: simple AA, phlegmonous AA, and gangrenous AA. Results. LA was performed in 96% of young adults and in 67% of older patients. The patients older than 65 years had higher preoperative white blood cell counts, higher C-reactive protein (CRP) levels and had a longer length of stay (LOS) than younger patients (P=0.05, P=0.03, and P=0.03, respectively). We found a positive correlation among the CRP levels, open appendectomy (OA), and gangrenous appendicitis. Conclusions: Patients older than 65 years more frequently underwent OA than LA, had higher preoperative CRP levels and had a longer LOS than younger patients. Higher CRP levels were associated with a greater risk of gangrenous appendicitis. LA is a safe and feasible treatment method for patients older than 65 years.
Źródło:
Polish Journal of Surgery; 2019, 91, 2; 12-15
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The Value of Scoring Systems for the Diagnosis of Acute Appendicitis
Autorzy:
Walczak, Dominik A.
Pawełczak, Dariusz
Żółtaszek, Agata
Jaguścik, Rajmund
Fałek, Wojciech
Czerwińska, Monika
Ptasińska, Karolina
Trzeciak, Piotr W.
Pasieka, Zbigniew
Powiązania:
https://bibliotekanauki.pl/articles/1395540.pdf
Data publikacji:
2015-02-01
Wydawca:
Index Copernicus International
Tematy:
acute appendicitis
scoring systems
diagnosis
appendectomy
symptoms
signs
Opis:
Accurate diagnosis of acute appendicitis (AA) is still a problem and is not always easy, even for experienced surgeons. Studies have shown that 20 to 30% of the appendices removedwere normal. Therefore, various scoring systems have been developed to aid in the diagnosis of doubtful cases and reduce the number of unnecessary appendectomies. The aim of this study was to assess the diagnostic value of different scoring systems in acute appendicitis. Material and methods. The study involved 94 patients who underwent laparotomy due to suspected acute appendicitis. Medical examination at hospital admission was performed by a resident and a general surgery specialist. The probability of AA was evaluated using six different scoring systems: Alvarado, Fenyo, Eskelinen, Ohman, Tzankis, and RIPASA. The resident calculated the results in individual systems. The decision to perform the operation was taken by a specialist surgeon who did not know the results. Results. Normal appendix was removed in 26% of cases. Eskelinen, RIPASA and Alvarado systems showed highest sensitivity (99%, 88% and 85%, respectively). Tzankis and Fenyo systems showed highest specificity (62% and 50%, respectively). Conclusions. Our study has shown limited value of scoring systems for the diagnosis of acute appendicitis. The systems may improve diagnostic accuracy as they require obtaining a more detailed medical history, and making a more thorough and organized data analysis. However, the scoring systems should be treated only as an aid to diagnosis
Źródło:
Polish Journal of Surgery; 2015, 87, 2; 65-70
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effect of BMI on the Quality of Life in Patients After Appendectomy Depending on Surgical Modality
Autorzy:
Hańczewski, Marcin
Marciniak, Ryszard
Powiązania:
https://bibliotekanauki.pl/articles/1396034.pdf
Data publikacji:
2013-02-01
Wydawca:
Index Copernicus International
Tematy:
acute appendicitis
appendectomy
BMI
quality of life
Opis:
Acute appendicitis is one of the most common diseases requiring rapid surgical intervention. The disease occurs most often in people between 10 and 30 years of age, the risk of acute appendicitis during the whole life is 6-20%. The aim of the study was to assess the impact of BMI on the quality of life of patients operated for acute appendicitis according to the method of operation (LA- Laparoscopical Appendectomy OA - Open Appendectomy) and follow-up time after surgery. Material and methods. The study was conducted on a group of 86 randomly selected patients- 40 operated conventionally (18 women and 22 men) and from 46 patients undergoing laparoscopy (33 women and 13 men), which were operated during the period between 15 July 2007 and 27 February 2009. Each patient was assessed by BMI, recognizing the value of > 25 kg/m2 as overweight. In this study the basis of quality of life was a form Medical Outcomes Study36 -the Short Form or SF-36v.2. Results. Patients operated on in LA for 6 months observation to better assessed general health (GH) independently of BMI, while those with BMI ≤ 25 better assessed social functioning (SF) (p =0.027), an overall assessment of Physical Component Summary (PCS) (p = 0.048),Mental Component Summary (MCS) (p = 0.022) as well as an overall indicator of quality of life (p =0.025). The relationships that was not found in observations of more than 6 months after surgery (ns). Conclusions. Questionnaire SF-36v.2 facilitated an objective assessment of quality of life of patients operated on for acute appendicitis. Patients operated on by laparoscopic in observation for 6 months above assessed the quality of life regardless of BMI. The relationships that was not found in observations of more than 6 months after surgery (ns).
Źródło:
Polish Journal of Surgery; 2013, 85, 2; 58-64
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Management of solitary cecum diverticulitis – Single-Center Experience
Autorzy:
Gonullu, Emre
Yigit, Merve
Mantoglu, Baris
Capoglu, Recayi
Harmantepe, Tarik
Gunduz, Yasemin
Altintoprak, Fatih
Bayhan, Zulfu
Erkorkmaz, Unal
Powiązania:
https://bibliotekanauki.pl/articles/1391561.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
acute appendicitis
appendectomy
cecum diverticulitis
cecum diverticulum
diverticulitis
Opis:
Objective: Cecal diverticulitis may be encountered as a real etiological factor in 1/300 appendectomies. Differential diagnosis of acute appendicitis and cecal diverticulitis is crucial because of the different treatment methods. Our aim is to reveal the importance of distinguishing acute appendicitis from cecal diverticulitis. Methods: The data of patients who were admitted to the hospital between 2015 and 2019 with the complaint of abdominal pain and then finally diagnosed with colon diverticular disease, colon diverticulitis, or acute appendicitis, analyzed retrospectively. Results: A total of 19 cecum diverticulitis patients were detected during surgery for acute appendicitis or during clinical and radiological evaluation. 1247 appendectomies were evaluated; the final diagnosis was observed as cecal diverticulitis in 5 patients (0,4%). One hundred nineteen patients diagnosed with colonic diverticulitis at admission were evaluated, while 105 (88,2%) of them had left-sided diverticulitis, 14 (11,7%) of them had solitary cecal diverticulitis. All of the solitary cecal diverticulitis patients were treated conservatively, except one patient who has Hinchey 3 diverticulitis. Conclusion: Differential diagnosis of cecum diverticulitis with acute appendicitis is important because cecum diverticulitis can be managed as conservatively in most cases. In order to prevent unnecessary surgical interventions, this importance has increased, especially during the COVID-19 pandemic period.
Źródło:
Polish Journal of Surgery; 2021, 93, 4; 15-20
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
De Garengeot’s Hernia; Acute Appendicitis In An Incarcerated Femoral Hernia
Autorzy:
Kokoszka, Maciej
Wójtowicz, Jacek
Powiązania:
https://bibliotekanauki.pl/articles/1395673.pdf
Data publikacji:
2015-07-01
Wydawca:
Index Copernicus International
Tematy:
incarcerated femoral hernia
de Garengeot’s hernia
acute appendicitis
Amyand’s hernia
Opis:
Acute appendicitis and incarcerated femoral hernia belong to relatively well known surgical diseases with regard to diagnostic workup and treatment. de Garengeot’s hernia is an entity involving concurrent occurrence of both the above mentioned problems. This paper presents history of a 58-year old female patient who was diagnosed with this extremely rare syndrome. She presented to the Emergency Room of a hospital in Żyrardów due to painful mass in the right groin region, persisting for approximately 24 hours. De Garengeot’s hernia, through combination of two separate surgical entities, is associated with diagnostic difficulties and the therapeutic process occasionally requires unconventional decisions to be taken to improve prognosis.
Źródło:
Polish Journal of Surgery; 2015, 87, 7; 365-367
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Multinomial Logistic Regression Approach For The Evaluation Of Binary Diagnostic Test In Medical Research
Autorzy:
Dwivedi, Alok Kumar
Mallawaarachchi, Indika
Figueroa-Casas, Juan B.
Powiązania:
https://bibliotekanauki.pl/articles/465774.pdf
Data publikacji:
2015
Wydawca:
Główny Urząd Statystyczny
Tematy:
multinomial logistic regression predictive values
sensitivity, specificity
acute appendicitis
pulmonary abnormalities
medical diagnostic test
Opis:
Evaluating the effect of variables on diagnostic measures (sensitivity, specificity, positive, and negative predictive values) is often of interest to clinical researchers. Logistic regression (LR) models can be used to predict diagnostic measures of a screening test. A marginal model framework using generalized estimating equation (GEE) with logit/log link can be used to compare the diagnostic measures between two or more screening tests. These individual modeling approaches to each diagnostic measure ignore the dependency among these measures that might affect the association of covariates with each diagnostic measure. The diagnostic measures are computed using joint distribution of screening test result and reference test result which generates a multinomial response data. Thus, multinomial logistic regression (MLR) is a more appropriate approach to modeling these diagnostic measures. In this study, the validity of LR and GEE approaches as compared to MLR model was assessed for modeling diagnostic measures. All methods provided unbiased estimates of diagnostic measures in the absence of any covariate. LR and GEE methods produced more biased estimates as compared to MLR approach especially for small sample size studies. No bias was obtained in predicting sensitivity measure using MLR method for one screening test. Our proposed MLR method is robust for modeling diagnostic measures of a screening test as opposed to LR method. MLR method and GEE method produced similar estimates of diagnostic measures for comparing two screening tests in large sample size studies. The proposed MLR model for diagnostic measures is simple, and available in common statistical software. Our study demonstrates that MLR method should be preferred as an alternative for modeling diagnostic measures.
Źródło:
Statistics in Transition new series; 2015, 16, 2; 203-222
1234-7655
Pojawia się w:
Statistics in Transition new series
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-10 z 10

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