NOM Appendicitis

What is the most common cause of acute surgical abdomen in children?

• Hernia

• Appendicitis

• Gallstones

• Pancreatitis

What is the approximate lifetime risk of appendicitis in the USA?

• 2-4%

• 5-7%

• 7-9%

• 10-12%

What is the perforation rate of appendicitis if the patient is under 1 year of age?

• 50%

• 100%

• 75%

• 125%

Which study supported the safety of Non-Operative Management (NOM) in adults?

• Di Saverio(2014)

• Salminen(2012)

• Ericksson(1995)

• Hansson(2009)

What percentage of children avoided appendectomy with NOM in the study by Styrud(2006)?

• 77%

• 86%

• 70%

• 65%

Which antibiotic was used in the study by Hartwich et al. for nonoperative treatment of acute appendicitis in children?

• Piperacillin-Tazobactam

• Gentamicin

• Amoxicillin

• Ciprofloxacin

What is the success rate of nonoperative treatment of acute appendicitis in children according to the study by Maita et al.?

• 95%

• 90%

• 85%

• 92%

What is the main indication to abandon Non-Operative Management (NOM)?

• Vomiting for 12 hours

• Fever for 24 hours

• Decreasing abdominal pain

• Signs of generalized peritonitis

Which study compared appendectomy with antibiotic treatment for acute appendicitis?

• Varadhan et al. (2012)

• Liu et al. (2011)

• Vons et al. (2011)

• Minneci et al. (2014)

What is the main caveat mentioned regarding Non-Operative Management (NOM) of appendicitis?

• Recurrence is not possible

• Antimicrobial resistance is not a concern

• Appendectomy is not definitive

• Antibiotics are ineffective