Surgeon-performed ultrasound at the bedside for the detection of appendicitis and gallstones: systematic review and meta-analysis

Carroll, Patrick J.; Gibson, David J.; Elfaedy, Osama; Dunne, Colum P.; Coffey, Calvin; Hannigan, Ailish; Walsh, Stewart R.

doi:10.1016/j.amjsurg.2012.02.017

Cited by 60 publications

(47 citation statements)

References 17 publications

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“…Although CT has higher sensitivity and specificity [26], concerns about radiation exposure have recently prompted reappraisal of the roles of sonography [27] including performance by surgeons [28]. …”

Section: What Are the Optimal Methods In Diagnosing Iai That Balancesmentioning

confidence: 99%

Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference

et al. 2017

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This paper reports on the consensus conference on the management of intra-abdominal infections (IAIs) which was held on July 23, 2016, in Dublin, Ireland, as a part of the annual World Society of Emergency Surgery (WSES) meeting. This document covers all aspects of the management of IAIs. The Grading of Recommendations Assessment, Development and Evaluation recommendation is used, and this document represents the executive summary of the consensus conference findings.

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Section: What Are the Optimal Methods In Diagnosing Iai That Balancesmentioning

confidence: 99%

Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference

et al. 2017

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“…Ultrasonography is non-invasive, avoids radiation and is associated with a sensitivity rate between 71 and 94 % and a specificity rate between 81 and 98 %. The positive likelihood ratio of ultrasonography is high at values between 6 and 46, while the negative likelihood ratio is moderate (0.08–0.30) [30–39]. Ultrasonography is therefore reliable to confirm presence of appendicitis but unreliable to exclude appendicitis.…”

Section: Pre-operative Carementioning

confidence: 99%

Diagnosis and management of acute appendicitis. EAES consensus development conference 2015

et al. 2016

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Unequivocal international guidelines regarding the diagnosis and management of patients with acute appendicitis are lacking. The aim of the consensus meeting 2015 of the EAES was to generate a European guideline based on best available evidence and expert opinions of a panel of EAES members. After a systematic review of the literature by an international group of surgical research fellows, an expert panel with extensive clinical experience in the management of appendicitis discussed statements and recommendations. Statements and recommendations with more than 70 % agreement by the experts were selected for a web survey and the consensus meeting of the EAES in Bucharest in June 2015. EAES members and attendees at the EAES meeting in Bucharest could vote on these statements and recommendations. In the case of more than 70 % agreement, the statement or recommendation was defined as supported by the scientific community. Results from both the web survey and the consensus meeting in Bucharest are presented as percentages. In total, 46 statements and recommendations were selected for the web survey and consensus meeting. More than 232 members and attendees voted on them. In 41 of 46 statements and recommendations, more than 70 % agreement was reached. All 46 statements and recommendations are presented in this paper. They comprise topics regarding the diagnostic work-up, treatment indications, procedural aspects and post-operative care. The consensus meeting produced 46 statements and recommendations on the diagnostic work-up and management of appendicitis. The majority of the EAES members supported these statements. These consensus proceedings provide additional guidance to surgeons and surgical residents providing care to patients with appendicitis. Electronic supplementary materialThe online version of this article (doi:10.1007/s00464-016-5245-7) contains supplementary material, which is available to authorized users.

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“…Surgeon-performed US for the diagnosis of AA has been increasingly used but with a wide range of reported accuracy [31,32]. According to a systematic review, US diagnosis of AA performed by surgeons has a pool sensitivity of 92% and a pool specificity of 96% [33]. Another study compared the accuracy of appendiceal US performed by surgical residents who participated in a 3-day introductory abdominal US course with that of radiologists.…”

Section: Acute Appendicitismentioning

confidence: 98%

Physician-performed Focused Ultrasound: An Update on Its Role and Performance

Limchareon

Jaidee

2015

Journal of Medical Ultrasound

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Surgeon-performed ultrasound at the bedside for the detection of appendicitis and gallstones: systematic review and meta-analysis

Cited by 60 publications

References 17 publications

Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference

Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference

Diagnosis and management of acute appendicitis. EAES consensus development conference 2015

Physician-performed Focused Ultrasound: An Update on Its Role and Performance

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