The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?

kutlutürk, koray; ince, volkan; Kutlu, Ramazan; Ersan, Veysel; Barut, Bora; Gonultas, Fatih; Özdemir, Fatih; ONUR, asım; IŞIK, Burak; YILMAZ, Sezai

The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?

Volkan İNCE, (Department of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, Turkey)

Bora BARUT, (Department of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, Turkey)

Fatih ÖZDEMİR, (Department of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, Turkey)

Veysel ERSAN, (Department of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, Turkey)

KORAY KUTLUTÜRK, (Department of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, Turkey)

Fatih GÖNÜLTAŞ, (Department of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, Turkey)

asım ONUR, (Department of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, Turkey)

Burak IŞIK, (Department of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, Turkey)

Ramazan KUTLU, (Department of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, Turkey)

Sezai YILMAZ (Department of Radiology, Inonu University, Liver Transplantation Institute, Malatya, Turkey)

İstanbul Kuzey Klinikleri

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Yıl: 2017 Cilt: 4 Sayı: 3 Sayfa Aralığı: 262 - 266 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?

Öz:

OBJECTIVE: The incidence of acute appendicitis after liver transplantation (LT) is extremely low, reported to be 0.09% to 0.49%, but the efficacy of the Alvarado score in this patient group has not been studied. This study was an investigation of the clinical management of patients who developed acute appendicitis after LT and the usefulness of the Alvarado score in the diagnosis.METHODS: The study was performed using the data of 7 patients treated for acute appendicitis who were among 1990 patients who underwent LT between March 2002 and July 2017. The Alvarado score of the patients was calculated and reliability was analyzed.RESULTS: In this study, the incidence of acute appendicitis in LT patients was 0.35%. All of the patients were in the adult age group; 86% were male. The mean age was 46.4±10.7 years and the timeframe for the development of appendicitis after transplantation was a median of 12 months (range: 4-101 months). The median Alvarado score was 7 . All of the patients had an Alvarado score above 5 and 71% had a score of 7 or more.CONCLUSION: Acute appendicitis is very rare in LT patients. As with non-transplant patients, Alvarado scoring can be safely performed in LT patients.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ince v, Barut B, Özdemir F, Ersan V, kutlutürk k, Gonultas F, ONUR a, IŞIK B, Kutlu R, YILMAZ S (2017). The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?. , 262 - 266.
Chicago	ince volkan,Barut Bora,Özdemir Fatih,Ersan Veysel,kutlutürk koray,Gonultas Fatih,ONUR asım,IŞIK Burak,Kutlu Ramazan,YILMAZ Sezai The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?. (2017): 262 - 266.
MLA	ince volkan,Barut Bora,Özdemir Fatih,Ersan Veysel,kutlutürk koray,Gonultas Fatih,ONUR asım,IŞIK Burak,Kutlu Ramazan,YILMAZ Sezai The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?. , 2017, ss.262 - 266.
AMA	ince v,Barut B,Özdemir F,Ersan V,kutlutürk k,Gonultas F,ONUR a,IŞIK B,Kutlu R,YILMAZ S The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?. . 2017; 262 - 266.
Vancouver	ince v,Barut B,Özdemir F,Ersan V,kutlutürk k,Gonultas F,ONUR a,IŞIK B,Kutlu R,YILMAZ S The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?. . 2017; 262 - 266.
IEEE	ince v,Barut B,Özdemir F,Ersan V,kutlutürk k,Gonultas F,ONUR a,IŞIK B,Kutlu R,YILMAZ S "The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?." , ss.262 - 266, 2017.
ISNAD	ince, volkan vd. "The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?". (2017), 262-266.

APA	ince v, Barut B, Özdemir F, Ersan V, kutlutürk k, Gonultas F, ONUR a, IŞIK B, Kutlu R, YILMAZ S (2017). The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?. İstanbul Kuzey Klinikleri, 4(3), 262 - 266.
Chicago	ince volkan,Barut Bora,Özdemir Fatih,Ersan Veysel,kutlutürk koray,Gonultas Fatih,ONUR asım,IŞIK Burak,Kutlu Ramazan,YILMAZ Sezai The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?. İstanbul Kuzey Klinikleri 4, no.3 (2017): 262 - 266.
MLA	ince volkan,Barut Bora,Özdemir Fatih,Ersan Veysel,kutlutürk koray,Gonultas Fatih,ONUR asım,IŞIK Burak,Kutlu Ramazan,YILMAZ Sezai The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?. İstanbul Kuzey Klinikleri, vol.4, no.3, 2017, ss.262 - 266.
AMA	ince v,Barut B,Özdemir F,Ersan V,kutlutürk k,Gonultas F,ONUR a,IŞIK B,Kutlu R,YILMAZ S The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?. İstanbul Kuzey Klinikleri. 2017; 4(3): 262 - 266.
Vancouver	ince v,Barut B,Özdemir F,Ersan V,kutlutürk k,Gonultas F,ONUR a,IŞIK B,Kutlu R,YILMAZ S The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?. İstanbul Kuzey Klinikleri. 2017; 4(3): 262 - 266.
IEEE	ince v,Barut B,Özdemir F,Ersan V,kutlutürk k,Gonultas F,ONUR a,IŞIK B,Kutlu R,YILMAZ S "The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?." İstanbul Kuzey Klinikleri, 4, ss.262 - 266, 2017.
ISNAD	ince, volkan vd. "The management of acute appendicitis in liver transplant patients: How effective is the Alvarado score?". İstanbul Kuzey Klinikleri 4/3 (2017), 262-266.