Yıl: 2017 Cilt: 16 Sayı: 3 Sayfa Aralığı: 123 - 127 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?

Öz:
Aim: In this study, we aimed to assess whether there is any difference between the time and effectiveness seen in the diagnostic stage of acute appendicitis when an appropriate imaging method is selected for the patients in different age groups.Materials and Methods: During the 6-month period between October 1, 2015, and April 1, 2016, we retrospectively reviewed the files of patients who visited our emergency clinic, which is a third-step emergency department of a university hospital, and who then underwent operations at our hospital. Patients were evaluated according to their age: Group 1, 40 years and younger; Group 2, 40-60 years; Group 3, 60 years and older.Results: In this study, 97 patients (59.1%) were male and 67 patients (40.9%) were female. Their ages ranged from 19 to 86 years (mean age, 36.7±14.7 years). The percentage of patients who underwent only ultrasonography (US) was 52.3% in the first age group, 39.5% in the second age group, and 0.0% in the third age group (p<0.0001). The rates of patients who underwent only computerized tomography (CT) were 15.3% in the first age group, 28.9% in the second age group, and 60% in the third age group (p<0.0001). There was a statistically significant difference between the sensitivities of CT and US by age group (p<0.001).Conclusion: We believe that US should be the first method to be preferred in young and uncomplicated cases and that CT should be preferred in elderly patients with atypical presentations.
Anahtar Kelime:

Konular: Acil Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Demircan A, Aygencel G, Karamercan M, Ergin M, Yilmaz TU, Karamercan A. Ultrasonographic findings and evaluation of white blood cell counts in patients undergoing laparotomy with the diagnosis of acute appendicitis. Ulus Travma Acil Cerrahi Derg, 2010; 16: 248-52.
  • 2. Prystowsky JB, Pugh CM, Nagle AP. Current problems in surgery. Appendicitis. Curr Probl Surg 2005; 42: 688-742. [CrossRef]
  • 3. Van Randen A, Bipat S, Zwinderman AH, Ubbink DT, Stoker J, Boermeester MA, et al. Acute appendicitis: meta-analysis of diagnostic performance of CT and graded compression US related to prevalence of disease. Radiology 2008; 249: 97-106. [CrossRef]
  • 4. Gaitini D, Beck-Razi N, Mor-Yosef D, Fischer D, Itzhak OB, Krausz MM, et al. Diagnosing acute appendicitis in adults: accuracy of color Doppler sonography and MDCT compared with surgery and clinical follow-up. AmJ Roentgenol AJR 2008; 190: 1300-6. [CrossRef]
  • 5. Ünlüer EE, Urnal R, Eser U, Bilgin S, Hacıyanlı M, Oyar O, et al. Application of scoring systems with point-of-care ultrasonography for bedside diagnosis of appendicitis. World J Emerg Med 2016; 7: 124-9. [CrossRef]
  • 6. İnan M, Tulay SH, Besim H, Karakaya J. The role of ultrasonography and Alvarado score in diagnosis of acute appendicitis. Ulus Cerrahi Derg 2011; 27: 149-53.
  • 7. Jan YT, Yang FS, Huang JK. Visualization rate and pattern of normal appendix on multidetector computed tomography by using multiplanar reformation display. J Comput Assist Tomogr 2005; 29: 446-51. [CrossRef]
  • 8. Anderson JE, Bickler SW, Chang D, Talamini MA. Examining a common disease with unknown etiology: trends in epidemiology and surgical management of appendicitis in California, 1995-2009. World J Surg 2012; 36: 2787-94. [CrossRef]
  • 9. Kong VY, Bulajic B, Allorto NL, Handley J, Clarke DL. Acute appendicitis in a developing country. World J Surg 2012; 36: 2068-73. [CrossRef]
  • 10. Toorenvliet BR, Wiersma F, Bakker RFR, Merkus JW, Breslau PJ, Hamming JF. Routine ultra-sound and limited computed tomography for the diagnosis of acute appendicitis. World J Surg 2010; 34: 2278-85. [CrossRef]
  • 11. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 1986; 15: 557-64. [CrossRef]
  • 12. De Castro SM, Unlu C, Steller EP, van Wagensveld BA, Vrouenraets BC. Evaluation of the appendicitis inflammatory response score for patients with acute appendicitis. World J Surg 2012; 36: 1540-5. [CrossRef]
  • 13. Mallin M, Craven P, Ockerse P, Steenblik J, Forbes B, Boehm K, et al. Diagnosis of appendicitis by bedside ultrasound in the ED. Am J Emerg Med 2015; 33: 430-2. [CrossRef]
  • 14. Chen KC, Arad A, Chen KC, Storrar J, Christy AG. The clinical value of pathology tests and imaging study in the diagnosis of acute appendicitis. Postgrad Med J 2016; 92: 611-9. [CrossRef]
  • 15. Salahuddin O, Malik MA, Sajid MA, Azhar M, Dilawar O, Salahuddin A. Acute appendicitis in the elderly; Pakistan Ordnance Factories Hospital, Wah Cantt. experience. J Pak Med Assoc 2012; 62: 946-9.
  • 16. Bhullar JS, Chaudhary S, Cozacov Y, Lopez P, Mittal VK. Acute appendicitis in the elderly: diagnosis and management still a challenge. Am Surg 2014; 80: 295-7.
  • 17. Hussain S, Rahman A, Abbasi T, Aziz T. Diagnostic accuracy of ultrasonography in acute appendicitis. J Ayub Med Coll Abbottabad 2014; 26: 12-7.
  • 18. Ozkan S, Duman A, Durukan P, Yildirim A, Ozbakan O. The accuracy rate of Alvarado score, ultrasonography, and computerized tomography scan in the diagnosis of acute appendicitis in our center. Niger J Clin Pract 2014; 17: 413-8. [CrossRef]
  • 19. Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet 2015; 386: 1278-87. [CrossRef]
  • 20. Kim SH, Choi YH, Kim WS, Cheon JE, Kim IO. Acute appendicitis in children: ultrasound and CT findings in negative appendectomy cases. Pediatr Radiol. 2014; 44: 1243-51. [CrossRef]
  • 21. Karul M, Berliner C, Keller S, Tsui TY, Yamamura J. Imaging of appendicitis in adults. Rofo 2014; 186: 551-8. [CrossRef]
  • 22. Ho TL, Muo CH, Shen WC, Kao CH. Changing roles of computed tomography in diagnosing acute appendicitis in emergency rooms. QJM 2015; 108: 625-31. [CrossRef]
  • 23. Cağlayan K, Günerhan Y, Koç A, Uzun MA, Altınlı E, Köksal N. The role of computerized tomography in the diagnosis of acute appendicitis in patients with negative ultrasonography findings and a low Alvarado score. Ulus Travma Acil Cerrahi Derg 2010; 16: 445-8.
  • 24. Jang KM, Lee K, Kim MJ, Yoon HS, Jeon EY, Koh SH, et al. What is the complementary role of ultrasound evaluation in the diagnosis of acute appendicitis after CT? Eur J Radiol 2010; 74: 71-6.
  • 25. Drake FT, Flum DR. Improvement in the diagnosis of appendicitis. Adv Surg 2013; 47: 299-328.[CrossRef]
APA Dogruyol S, OZAYDIN V, KAYMAK B, DOĞAN F, Bağdigen S, TUĞAY E (2017). Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?. , 123 - 127.
Chicago Dogruyol Sinem,OZAYDIN VEHBI,KAYMAK Burcu Azapoğlu,DOĞAN Fatma Sarı,Bağdigen Sedanur,TUĞAY Evrin Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?. (2017): 123 - 127.
MLA Dogruyol Sinem,OZAYDIN VEHBI,KAYMAK Burcu Azapoğlu,DOĞAN Fatma Sarı,Bağdigen Sedanur,TUĞAY Evrin Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?. , 2017, ss.123 - 127.
AMA Dogruyol S,OZAYDIN V,KAYMAK B,DOĞAN F,Bağdigen S,TUĞAY E Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?. . 2017; 123 - 127.
Vancouver Dogruyol S,OZAYDIN V,KAYMAK B,DOĞAN F,Bağdigen S,TUĞAY E Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?. . 2017; 123 - 127.
IEEE Dogruyol S,OZAYDIN V,KAYMAK B,DOĞAN F,Bağdigen S,TUĞAY E "Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?." , ss.123 - 127, 2017.
ISNAD Dogruyol, Sinem vd. "Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?". (2017), 123-127.
APA Dogruyol S, OZAYDIN V, KAYMAK B, DOĞAN F, Bağdigen S, TUĞAY E (2017). Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?. Eurasian Journal of Emergency Medicine, 16(3), 123 - 127.
Chicago Dogruyol Sinem,OZAYDIN VEHBI,KAYMAK Burcu Azapoğlu,DOĞAN Fatma Sarı,Bağdigen Sedanur,TUĞAY Evrin Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?. Eurasian Journal of Emergency Medicine 16, no.3 (2017): 123 - 127.
MLA Dogruyol Sinem,OZAYDIN VEHBI,KAYMAK Burcu Azapoğlu,DOĞAN Fatma Sarı,Bağdigen Sedanur,TUĞAY Evrin Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?. Eurasian Journal of Emergency Medicine, vol.16, no.3, 2017, ss.123 - 127.
AMA Dogruyol S,OZAYDIN V,KAYMAK B,DOĞAN F,Bağdigen S,TUĞAY E Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?. Eurasian Journal of Emergency Medicine. 2017; 16(3): 123 - 127.
Vancouver Dogruyol S,OZAYDIN V,KAYMAK B,DOĞAN F,Bağdigen S,TUĞAY E Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?. Eurasian Journal of Emergency Medicine. 2017; 16(3): 123 - 127.
IEEE Dogruyol S,OZAYDIN V,KAYMAK B,DOĞAN F,Bağdigen S,TUĞAY E "Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?." Eurasian Journal of Emergency Medicine, 16, ss.123 - 127, 2017.
ISNAD Dogruyol, Sinem vd. "Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?". Eurasian Journal of Emergency Medicine 16/3 (2017), 123-127.