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Treating appendicitis without surgery: Fears raised

from Medscape (free login required)

By managing older, sicker patients' appendicitis without surgery, U.S. clinicians may be increasing their risk for death by a slight but statistically significant degree, data suggest. U.S. clinicians have considered surgery the standard of care for appendicitis for a century. But more recently, the realization that appendicitis may not always result in perforation led researchers to test treatment with antibiotics. Randomized controlled trials conducted in Europe have shown good results with this approach, and the ACS has advised that "antibiotic treatment might be used as an alternative for specific patients." more

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