Safety and efficacy of antibiotics compared with appendicectomy for treatment of uncomplicated acute appendicitis: meta-analysis of randomised controlled trials
Results: Four randomised controlled trials with a total of 900 patients (470 antibiotic treatment, 430 appendicectomy) met the inclusion criteria.
Antibiotic treatment was associated with a 63% (277/438) success rate at one year . . .
. . . Conclusion: Antibiotics are both effective and safe as primary treatment for patients with uncomplicated acute appendicitis.
Initial antibiotic treatment merits consideration as a primary treatment option for early uncomplicated appendicitis. . . . -
Posts: 48021 | From Tree House | Registered: Jul 2007
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- From that same study, additional detail and insight from this NPR feature & the BBC text below:
No Need For The Knife? Antibiotics May Suffice In Some Appendicitis Cases
- by Teresa Tomassoni - NPR - April 06, 2012
Excerpts:
. . . More than 60 percent of those who took antibiotics had no further symptoms after one year.
And the risk of complications from antibiotics was more than 30 percent less, compared with appendectomy. . . .
. . . "If you treat the 80 percent of patients with uncomplicated appendicitis with antibiotics, you'll probably save about 60 percent of those patients from having an operation," he adds. . . .
GMO foods that destroy the GI Tract; Gluten; Dairy. -
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- If surgery is decided upon, it appears that as long as it's not too bad a laproscopic procedure may work.
STERIODS can make lyme MUCH worse. Steroids are often given with surgery or afterward so be sure to check with her LLMD in advance and have full communication regarding all meds she may be given.
If also on (the right kind and right dose of) antibiotics to keep lyme in check, this might be okay IF required. Still, as steroids can hang around for six months, so to speak, it's best to avoid them.
Topic: Minor surgery and steriods - complications from steroids that were not supposed to be administered. -
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Keebler
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posted
- You asked: "Would her LD cause her appendix to be enlarged at all?"
I think so. Lyme causes inflammation anywhere, everywhere it "wants" and it does cause a lot of gut trouble. Be sure to check in with her LLMD about the appendix issues.
PARASITES could also be connected. Parasites do travel with lyme and more and more LLMDs are finging that lyme treatment can be more successful if parasites are first addressed. -
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Keebler
Honored Contributor (25K+ posts)
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posted
- Another possible approach. If lack of circulation lead to the inflammation, take a good look at the CT scan to see if there is any blockage or twists.
If so, VISCERAL MANIPULATION as done by someone trained in this technique through UPLEDGER INSTITUTE (or the like) may be of great help.
Just web search UPLEDGER for their practitioner locator link. It may be covered by insurance.
In some cases, acupuncture can also help improve circulation. Some instances of disease have to do with lack of circulation so if this is a factor, there may be ways to correct that. -
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Keebler
Honored Contributor (25K+ posts)
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posted
- If surgery is to be done:
anesthesia can be hard on the liver so certain liver support is required.
be sure to avoid acetaminophen as it blocks glutatione. Detail below. Pain management links included here, too:
LIVER & KIDNEY SUPPORT & and several HERXHEIMER support links, too.
If to be admitted to hospital, the food served there is often just terrible. See the article here by a doctor "Why My Mother Refused To Eat Hospital Food"
I think everyone going into to hospital should avoid the kinds of foods typically served and have friends and family bring real food instead. It matters greatly. Unless good food is serving in safe containers, dont' even sign up for it to avoid billing. It's that important.
GMO foods that destroy the GI Tract; Gluten; Dairy. -
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Tammy N.
Frequent Contributor (1K+ posts)
Member # 26835
posted
Parasites could be a likely culprit.
At this years ILADS conference they stated that parasites are the number one co-infection to Lyme. Yet most LLMDs are new to the topic and are unaware of how to treat.
I finally starting treating for parasites last year. I am still passing parasites daily. Thankfully more docs are catching on.
Posts: 2238 | From East Coast | Registered: Jul 2010
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Keebler
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