sdü tıp fak derg

Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.1184859

Surgery

Cerrahi

ALVARDO SCORE AND COMPUTED TOMOGRAPHY FOR PREVENT FROM NEGATIVE APPENDECTOMY

NEGATİF APPENDEKTOMİYİ ÖNLEMEDE ALVARADO SKORU VE BİLGİSAYARLI TOMOGRAFİ

https://orcid.org/0000-0002-2933-3170

Martlı

Hüseyin Fahri

SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ATATÜRK GÖĞÜS HASTALIKLARI VE GÖĞÜS CERRAHİSİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ

https://orcid.org/0000-0002-7561-1741

Keçelioğlu

Yasir

SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ

03 14 2023

30 1 107 110 10 05 2022 12 01 2022

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

ObjectiveThe functionality of computed tomography andAlvarado score were investigated to prevent negativeappendectomy.Material and MethodPatients who had appendectomy surgery at NiğdeÖmer Halisdemir University Training and ResearchHospital between June 2020 and March 2021 wereretrospectively scanned. Correlations with pathologyresults were made.ResultsA positive correlation was found between the highAlvarado score and the diagnosis of appendicitis incomputed tomography. The lower alvarado scoreof those without appendicitis than those with acuteappendicitis; It was found statistically significant thatthose with acute appendicitis were lower than thosewith perforated-gangrene-plastrone appendicitis.ConclusionAlvarado scoring system is less specific than computedtomography and it is possible to reduce the negativeappendectomy rate with radiological examinations.

AmaçNegatif apepndektomiyi engellemk için bilgisayarlı tomografive Alvarado skorunun işlevselliği araştırıldı.Gereç ve YöntemNiğde Ömer Halisdemir Üniversitesi E.A.H.’de Haziran2020 ve Mart 2021 tarihleri arasında appendektomioperasyonu olan hastalar retrospektif olarak tarandı.Patoloji sonuçları ile korelasyonları yapıldı.BulgularAlvarado skoru yüksekliği ile bilgisayarlı tomografideapandisit tanısı arasında pozitif yönde korelasyonbulunmuştur. Apandisiti olmayanların alvarado skorununakut apandisiti olanlara göre düşük olması; akutapandisiti olanların perfore-gangrene-plastrone apandisitiolanlara göre düşük olması istatistiksel olarakanlamlı bulunmuştur.SonuçAlvarao Skorlama sistemi bilgisayarlı tomografiyegöre daha düşük oranda spesifiktir ve negative appendektomioranını radyolojik tetkikler ile azaltmakmümkündür.

Apandisit Alvarado Skoru Bilgisayarlı tomografi

Appandicitis Alvarado Score computed tomograpy

1. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. American journal of epidemiology. 1990;132(5):910-25.

2. Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015;386(10000):1278-87.

3. Di Saverio S, Podda M, De Simone B, Ceresoli M, Augustin G, Gori A, et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World journal of emergency surgery. 2020;15(1):27.

4. Loye A, Zhang XC. Calculated decisions: Alvarado score for acute appendicitis. Emergency medicine practice. 2019;21(6):Cd1-2.

5. Jose T, Rajesh PS. Appendicitis Inflammatory Response Score in Comparison to Alvarado Score in Acute Appendicitis. Surgery journal. 2021;7(3):e127-e31.

6. Martli Hf, Bolat H. Comparison of the Laparoscopic Appendicitis (LAPP) score with the Alvarado and Appendicitis Inflammatory Response (AIR) scores and computed tomography and pathology results. Archives of Current Medical Research 2022;3(2):147-53.

7. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Annals of emergency medicine. 1986;15(5):557-64.

8. Ohle R, O'Reilly F, O'Brien KK, Fahey T, Dimitrov BD. The Alvarado score for predicting acute appendicitis: a systematic review. BMC medicine. 2011;9:139.

9. Rud B, Vejborg TS, Rappeport ED, Reitsma JB, Wille-Jørgensen P. Computed tomography for diagnosis of acute appendicitis in adults. The Cochrane database of systematic reviews. 2019;2019(11).

10. Slotboom T, Hamminga JT, Hofker HS, Heineman E, Haveman JW. Intraoperative motive for performing a laparoscopic appendectomy on a postoperative histological proven normal appendix. Scandinavian journal of surgery. 2014;103(4):245-8.

11. Jeon BG. Predictive factors and outcomes of negative appendectomy. American journal of surgery. 2017;213(4):731-8.

12. Mostbeck G, Adam EJ, Nielsen MB, Claudon M, Clevert D, Nicolau C, et al. How to diagnose acute appendicitis: ultrasound first. Insights into imaging. 2016;7(2):255-63.

13. Shah SWA, Khan CA, Malik SA, Waqas A, Tarrar Am, Bhutta Ia. Modified Alvarado score: Accuracy in diagnosis of acute appendicitis in adults. The Professional Medical Journal. 2010;17(04):546-50.

14. Gelpke K, Hamminga JTH, van Bastelaar JJ, de Vos B, Bodegom ME, Heineman E, et al. Reducing the negative appendectomy rate with the laparoscopic appendicitis score; a multicenter prospective cohort and validation study. International journal of surgery. 2020;79:257-64.

15. Westfall KM, Purcell LN, Charles AG. Computed Tomography for Acute Appendicitis Diagnosis and Confirmation in Men: Trends and Cost Implications. The American surgeon. 2021;87(3):364-9.

16. Drake FT, Mottey NE, Castelli AA, Florence MG, Johnson MG, Steele SR, et al. Time-of-day and appendicitis: Impact on management and outcomes. Surgery. 2017;161(2):405-14.

17. Florence M, Flum DR, Jurkovich GJ, Lin P, Steele SR, Symons RG, et al. Negative appendectomy and imaging accuracy in the Washington state surgical care and outcomes assessment program. Annals of surgery. 2008;248(4):557-63.

18. Boonstra P, Van Veen R, Stockmann H. Less negative appendectomies due to imaging in patients with suspected appendicitis. Surgical Endoscopy. 2015;29(8):2365-70.