{"id":79331,"date":"2024-09-20T21:26:41","date_gmt":"2024-09-20T18:26:41","guid":{"rendered":"https:\/\/new.gaps.gr\/?p=79331"},"modified":"2024-11-16T03:20:36","modified_gmt":"2024-11-16T00:20:36","slug":"oxeia-skolikoeiditida","status":"publish","type":"post","link":"https:\/\/www.gaps.gr\/en\/oxeia-skolikoeiditida\/","title":{"rendered":"Acute Appendicitis"},"content":{"rendered":"<figure style=\"width: 402px\" class=\"wp-caption alignright\"><img fetchpriority=\"high\" decoding=\"async\" style=\"border-style: solid; border-width: 2px; margin: 10px;\" src=\"https:\/\/gaps.gr\/wp-content\/uploads\/2024\/09\/Appendicitis-1.jpg\" alt=\"\" width=\"402\" height=\"301\" data-wp-editing=\"1\" \/><figcaption class=\"wp-caption-text\">Figure.1<\/figcaption><\/figure>\r\n<p><strong>Appendix and Appendicitis<\/strong><br \/>The appendix is located on the lower right side of the abdomen, connected to a part of the large intestine called the cecum, and plays a role in the immune system (Figure 1). Appendicitis refers to inflammation of the appendix, usually due to a blockage inside it that leads to infection. It is unknown why some children develop appendicitis while others do not. It is a common condition (1 in 13 people) and can occur at any age, though it is most frequent between the ages of 10 and 20.<br \/><strong>Symptoms<\/strong><br \/>Abdominal pain is the main symptom. The pain often starts around the navel and later moves to the right side. The pain usually develops quickly, gets worse over 6-24 hours and may worsen with movement. Other symptoms include malaise, loss of appetite and fever. In young children and infants symptoms may be vague, with malaise, anorexia, vague abdominal pain and perhaps vomiting or loose stools.<br \/><strong>Diagnosis<\/strong><br \/>You will be asked about your child's symptoms, when they started and their severity. The doctor will examine the child's abdomen and may ask the child to bounce or otherwise move around for evaluation. Blood tests will be taken to help identify signs of infection, although these alone cannot confirm appendicitis.<br \/>Some patients will undergo a painless abdominal ultrasound. No test or finding is 100% accurate in diagnosis. The child may be admitted to hospital for monitoring and reassessment to see if other symptoms develop or increase in severity.<br \/>During this time your child may need to stay and receive intravenous fluids. Occasionally, the only way to diagnose appendicitis is surgery that may result in the removal of a normal appendix.<br \/><strong>Treatment<\/strong><br \/>Appendicitis is treated by removing the infected appendix. Once the decision is made that your child should undergo an appendectomy, he or she will not be allowed to drink or eat by mouth, will receive intravenous hydration antibiotics and painkillers. A parent or legal guardian will be asked to sign a consent form. The procedure will be described in detail at that time and any questions you have will be asked. The procedure and can be performed open surgically or laparoscopically. In open surgery, the surgeon reaches the appendix to remove it through an incision (5 to 10 cm long) over the lower right side of the abdomen. In laparoscopic appendectomy, small incisions (5 to 10 mm long) are made in the abdominal wall, through which special instruments are used to release the appendix and remove it. 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