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Komplike olmayan akut apandisitte medikal tedavi

Yıl 2020, Cilt 1, Sayı 2, 32 - 38, 25.08.2020

Öz

Akut apandisit cerrahi acil ve akut batının en sık nedenidir. Akut apandisitin gecikmiş ve komplike hali olan plastrone apandisitte medikal tedavi acil cerrahiden daha düşük morbidite nedeni ile standart olarak uygulanmaktadır. Tedavi başarısı %90’ın üzerinde olup artık interval apendektomi önerilmemektedir. Komplike olmayan akut apandisitte medikal tedavi ise son yıllarda popüler olmuş bir tedavi şekli olup bu derlemede komplike olmayan apandisitte medikal tedavinin gelişim süreci kronolojik olarak ele alınmıştır. Medline, Embase, Cochrane ve Web of Science veri tabanları incelendi. İngilizce olan ve komplike olmayan akut apandisitte medikal tedavi ile ilgili prospektif ve retrospektif çalışmalar incelemeye dahil edildi. Toplam 16 çalışma incelendi ve kronoloijk sıra içinde veriler irdelendi. Retrospektif çalışmalarda medikal tedavinin başarısı daha yüksek ve nüks oranı daha düşük olarak bulunmasına rağmen prospektif çalışmaların büyük kısmında tedavi başarısı plastrone apandisite benzer şekilde yaklaşık %90 olarak oldukça yüksektir. Takip sırasında rekürrens oranı plastrone apandisitlerde yaklaşık %10 iken komplike olmayan apandisitlerin medikal tedavisinde yaklaşık %20’dir. Ancak medikal tedavi komplikasyon oranını artırmamaktadır. Bunun yanı sıra erken işe dönüş, komplikasyonların daha az olması nedeni ile akut apandisit tedavisinde alternatif bir tedavi olarak önerilebilir.

Kaynakça

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Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Derleme
Yazarlar

Ahmet OKUŞ
Konya Medicana Hastanesi, Genel Cerrahi Kliniği
0000-0003-0391-2024
Türkiye


Yusuf TANRIKULU (Sorumlu Yazar)
KTO Karatay Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Konya
Türkiye

Yayımlanma Tarihi 25 Ağustos 2020
Başvuru Tarihi 7 Nisan 2020
Kabul Tarihi 1 Eylül 2020
Yayınlandığı Sayı Yıl 2020, Cilt 1, Sayı 2

Kaynak Göster

APA Okuş, A. & Tanrıkulu, Y. (2020). Komplike olmayan akut apandisitte medikal tedavi . KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi , 1 (2) , 32-38 . Retrieved from https://dergipark.org.tr/tr/pub/ktokusbd/issue/56866/716056