The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Shatobalov V.K.

Detskaia gorodskaia klinicheskaia bol'nitsa #3, Novokuznetsk

Ramazanov R.R.

Detskaia gorodskaia klinicheskaia bol'nitsa #3, Novokuznetsk

The acute appendicitis' diagnostic Alvorado's system

Authors:

Shatobalov V.K., Ramazanov R.R.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2012;(4): 36‑42

Views: 1571

Downloaded: 48

Download PDF (RU)
Contact the author
Table of contents

THE ACUTE APPENDICITIS' DIAGNOSTIC ALVORADO'S SYSTEM
THE ACUTE APPENDICITIS' DIAGNOSTIC ALVORADO'S SYSTEM

To cite this article:

Shatobalov VK, Ramazanov RR. The acute appendicitis' diagnostic Alvorado's system. Pirogov Russian Journal of Surgery. 2012;(4):36‑42. (In Russ.)

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Close metadata
Recommended articles:
Factors asso­ciated with normal leukocyte count and C-reactive protein in adults with acute appe­ndicitis: a retrospective cohort study. Piro­gov Russian Journal of Surgery. 2024;(8):15-20
Diagnostic scales for acute appe­ndicitis in children. Piro­gov Russian Journal of Surgery. 2024;(10):80-87
Influence of Clinical, Labo­ratory and Intraoperative Para­meters on Postoperative Complications in Geriatric Patients with Acute Appe­ndicitis: A Cross-Sectional Analysis. Piro­gov Russian Journal of Surgery. 2024;(11):106-112
Modern approaches in endo­vascular and endo­scopic treatment of isolated sple­nic injury. Piro­gov Russian Journal of Surgery. 2024;(12):5-12
Unplanned redo surgeries after appe­ndectomy characterizing the quality of acute appe­ndicitis mana­gement. Piro­gov Russian Journal of Surgery. 2025;(5):29-35
Modern treatment of perianal fistulas following Crohn’s disease. Rege­nerative Biotechnologies, Preventive, Digi­tal and Predictive Medi­cine. 2024;(2):49-56
On the problem of endo­videosurgery of appe­ndicular peri­tonitis. Endo­scopic Surgery. 2024;(6):13-17
Conservative treatment for avascular necrosis of the femo­ral head: a systematic review. Rege­nerative Biotechnologies, Preventive, Digi­tal and Predictive Medi­cine. 2024;(4):52-67
The resu­lts of a 5-year clinical and epidemiological study of the National Program “Chronic tonsillitis”. Russian Bulletin of Otorhinolaryngology. 2024;(6):28-39
Therapeutic options in patients with neuralgic amyotrophy. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(3):39-45

The recent studies prove that the treatment of the acute appendicitis should aim the preservation of the organ, considering the important functions of the least. The combined antimicrobial therapy allows the successful conservative treatment of all cases of the acute appendicitis but the gangrenous, which should be treated operatively. The use of glucocorticosteroids together with antibiotics is pathogenetically substantiated. To improve the diagnostics of the acute appendicitis, the modernized Alvorado's system was suggested by the authors. The least is adopted for the diagnostics of intraabdominal abscesses and gangrenous appendicitis.

Keywords:

acute appendicitis
Alvorado's system
conservative treatment
intraabdominal abscess

Authors:

Shatobalov V.K.

Detskaia gorodskaia klinicheskaia bol'nitsa #3, Novokuznetsk

Ramazanov R.R.

Detskaia gorodskaia klinicheskaia bol'nitsa #3, Novokuznetsk

List of references:

  1. Berman R.E., Vogan V.K. Pediatriya. Rukovodstvo. M 1993; 5: 179, 181-182.
  2. Braunval'd E. Vnutrennie bolezni. M 1996; 7: 167-168.
  3. Golomazov i dr. Prichiny oslozhnenii pri ostrom appenditsite. Klin khir 1987; 4: 53-54.
  4. Gurin N.N. i dr. Ob effektivnosti konservativnogo lecheniya bol'nykh s ostrym appenditsitom na sudakh v more. Vestn khir 1992; 4: 144-150.
  5. Davydovskii I.V. Obshchaya patologiya cheloveka. M 1958; 2: 346-372.
  6. Dronov A.F. i dr. Giperdiagnostika ostrogo appenditsita u detei. Khirurgiya 1999; 11: 16-19.
  7. Doletskii S.Ya., Shchetinin V.E., Arapova A.V. Oslozhnennyi appenditsit u detei. M 1982; 11.
  8. Evseev E.P. K patogenezu ostrogo appenditsita. Stavropol'skii med. in-t. Uchenye zapiski. Stavropol' 1963; 10: 68-76.
  9. Isakov Yu.F., Stepanov E.A., Dronov A.F. Ostryi appenditsit v detskom vozraste. M 1980; 169.
  10. Kaliteevskii P.F. Bolezni cherveobraznogo otrostka. M 1970; 127-163.
  11. Karyakin A.M., Ivanusa Ya.M. "Spaechnaya bolezn'" posle appendektomii. Khirurgiya 1974; 2: 68-70.
  12. Kolesov V.I. Klinika i lechenie ostrogo appenditsita. M 1972; 57-62, 113, 268.
  13. Lenyushkin A.I., Vorokhobov L.A., Slutskaya S.R. Ostryi appenditsit u detei. M 1964; 29.
  14. Malyk U.V., Smirnova S.V., Smol'nikova M.V. Immunopatologicheskie aspekty ostrogo appenditsita v zavisimosti ot geneza zabolevaniya. Tsitokiny i vospalenie. Krasnoyarsk 2010; 9: 3: 68-69.
  15. Malyugina T.A., Subbotin V.M. O stadiinosti ostrogo appenditsita. Khirurgiya 1973; 1: 73-78.
  16. Piter R. MakNelli. Sekrety gastroenterologii. SPb 1999; 493, 546.
  17. Podtyazhkina T.A. Puti snizheniya khirurgicheskoi aktivnosti pri prostom appenditsite: Avtoref. dis. … kan. med. nauk. Kemerovo 2002; 18.
  18. Rusanov A.A. Appenditsit. M 1979; 28-29, 92-94, 163-165.
  19. Savel'ev V.S., Kirienko A.I. Klinicheskaya khirurgiya. Natsional'noe rukovodstvo. M 2009; 2: 103-141, 434-477.
  20. Khegglin R. Differentsial'naya diagnostika vnutrennikh boleznei. M 1997; 523-524, 528-533.
  21. Adams M.L. The medical management of acute appendicitis in a non- surgical environment: a retrospective case review. Mil Med 1990; 155: 345-347.
  22. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 1986; 15: 5: 557-564.
  23. Ajaz A., Malik Shams-ul Bari. Conservative Management of Acute Appendicitis. J Gastrointest Surg 2009.
  24. Kaminski A., Jn-Lu Amy Liv. Routine Interval Appendectomy Is Not Justified After Initial Nonoperative Treatment of Acute Appendicitis. Arch Surg 2005; 140: 897-901.
  25. Abbas A.R. Mohammed, Nadeem Ahmad Bhat. Acute appendicitis dilemma of diagnosis and management. The Internet Journal Surgery 2010; 23: 2.
  26. Baidya G. Rodrigues, Rao S., Khan A. Evalution of Alvarado score in acute appendicitis a prospective study. The Internet Jurnal of Surgery 2007; 9: 1.
  27. Brigand C., Steinmetz J.P., Rohr S. The usefulness of scores in the diagnosis of appendicitis J Chir (Paris) 2009; 146: 1: 2-7.
  28. Colgrey E. Fife years of conservative treatment of acute appendicitis. J Int Coll Surg 1959; 32: 255-261.
  29. Ericsson S., Granstrom L. Randomized controlled trial of appendectomy versus antibiotic therapy for acute appendicitis. British Jornal of Surg 1995; 82: 166-169.
  30. Garba E.S., Ahmed A. Management of Appendiceal Mass. Annals of African Medicine 2008; 7: 4: 200-204.
  31. Kanumba E.S., Mabula J.B., Rambau P., Chalya P.L. Modifed Alvarado Scoring System as a diagnostic tool for Acute Appendicitis. BMC Surg 2011; 17.
  32. Tagnoli G. Clinical Trials Feeds. org Non Operative Treatment for Acute Appendicitis. Maggiore Bellaria Hospital Bologna 2010.
  33. Hansson J., Korner U., Khorram-Manesh A., Solberg A., Lundholm K. Randomized clinical trial of antibiotic therapy versus appendicectomy as primary treatment of acute appendicitis in unselected pacients. Br J Surg 2009; 96: 5: 473-481.
  34. Ho C.M., Chen Y., Lai H.S., Lin W.M., Chen W.J. Comparison of critical conservative treatment versus emergency operacion in chidren with ruptured appendicitis with tumor formation. J Formos Med Assoc 2004; 103: 5: 359-363.
  35. Jeong-Ki Kim, Seungbum Ryoo, Heung-Kwon Oh. Management of Appendicitis Presenting with Abscess or Mass. J Korean Soc coloproctology 2010; 26: 6: 413-419.
  36. Lamparelli M.J., Hogue H.M.R., Pagson C.J., Ball A.B.S. A prospective evaluation of the combined u of the modified Alvarado score with selecti' laparoscopy in adult females in the management of suspected appendicitis. Ann R Coll Surg Engl 2000; 8.
  37. Fisher M., Meates-Dennis M. Is interval appendectomy necessary after conservative treatment of appendiceal mass in children? http://www.bestbest. 27. Aug. 2008
  38. Dhaou M.B., Ghorbel S., Chouikh T. Conservative management of post-appendicectomy intra-abdominal abscesses. Ital Pediatr 2010; 36: 68.
  39. Meshikhes A.W. Management of appendiceal mass: controversial issues revisited. J Gastrointest Surg 2008; 12940: 767-775.
  40. Ohmann C., Yang Q., Franke C. For the Abdominal Pain Study Group. Diagnostic scores for acute appendicitis. Eur J Surg 1995; 161: 14: 273-281.
  41. Rezac Amy, Abbas Hussain M.A., Ajemian Michael S. Decreased use of computed tomography with a modified clinical scoring system in diagnosis of pediatric acute appendicitis. Archives of surgery 01/2011 (Chicago, III: 1960): 146.
  42. Sakorafas G.H., Mastoraki A., Lappas C., Sampanis D., Danias N., Smiriotis V. Conservative treatment of acute appendicitis: heresy or an effective and Acceptable alternative to surgery? Eur J Gastroenterol Hepatol 2011; 23: 2: 121-127.
  43. Sturud J., Eriksson S., Nilsson I., Ahlberg G., Haapaniemi S., Neovius G., Rex L., Baduvt I., Granstrom L. Appendectomy versus antibiotic treatment in acute appendicitis. A prospective multicenter randomized controlled trial. World J Surg 2006; 30: 6: 1033-1037.
  44. Simils C., Symeonides P., Shorthouse A.J., Tekkis P.P. A meta-analysis comparing conservative treatment versus acute appendectomy for complicated appendicitis ( abscess or phlegmon). Surgery 2010; 147: 6: 818-829.
  45. Shreef K.S., Waly A.H., Abd-Elrahman S., Abd-Elhafez M.A. Alvarado score as an admission criterion in childer with pain in right ilias fossa. Afr J Surg Paediatr 2010; 7: 3: 163-165.
  46. Subotic A.M., Sijacki A.D., Dugalic B.D. Evalution of the Alvarado score in the diagnosis of acute appendicitis. Acta chir Iugosl 2008; 55: 1: 55-61.
  47. Wojciechowicz K.N., Hoffkamp H.J., Huls R.A. Conservative treatment of acute appendicitis: an overview. Int Marit Health 2010; 62: 4: 265-272.
  48. Wiegering V.A., Kellenberger C.J. Conservative management of acute appendicitis in childer with hemotologic malignancies during chemotherapy-induced neutropenia. J Pediatr Hemato-Oncol 2008; 30: 6: 464-467.

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.