title: Diagnosis and management of acute appendicitis. EAES consensus development conference 2015.
abstract: 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.
authors.affiliation: Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands. rr.gorter@vumc.nl.|Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands. rr.gorter@vumc.nl.|Department of Pediatric Surgery, VU University Medical Centre, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands. rr.gorter@vumc.nl.
authors.forename: Ramon R
authors.initials: RR
authors.lastname: Gorter
authors.affiliation: Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands.
authors.forename: Hasan H
authors.initials: HH
authors.lastname: Eker
authors.affiliation: Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands.
authors.forename: Marguerite A W
authors.initials: MA
authors.lastname: Gorter-Stam
authors.affiliation: Department of Surgery, Spaarne Gasthuis, Haarlem, The Netherlands.
authors.forename: Gabor S A
authors.initials: GS
authors.lastname: Abis
authors.affiliation: Department of Surgery, St Mary's Hospital, London, UK.
authors.forename: Amish
authors.initials: A
authors.lastname: Acharya
authors.affiliation: Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands.
authors.forename: Marjolein
authors.initials: M
authors.lastname: Ankersmit
authors.affiliation: Department of Surgery, Center for Minimally Invasive Surgery, Neuwerk Hospital, Mönchengladbach, Germany.|Department of Surgery, University Hospital of Heraklion, Heraklion, Greece.
authors.forename: Stavros A
authors.initials: SA
authors.lastname: Antoniou
authors.affiliation: Department of Surgery, University of Torino, Torino, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Arolfo
authors.affiliation: Department of Surgery, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Babic
authors.affiliation: Department of Surgery, Minimally Invasive Surgery Research Center, University of Insubria, Varese, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Boni
authors.affiliation: Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands.
authors.forename: Marlieke
authors.initials: M
authors.lastname: Bruntink
authors.affiliation: Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands.
authors.forename: Dieuwertje A
authors.initials: DA
authors.lastname: van Dam
authors.affiliation: Department of Surgery, Maria Middelares Ghent, Ghent, Belgium.
authors.forename: Barbara
authors.initials: B
authors.lastname: Defoort
authors.affiliation: Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands.
authors.forename: Charlotte L
authors.initials: CL
authors.lastname: Deijen
authors.affiliation: Department of Surgery, Hospital Clinic of Barcelona, Barcelona, Spain.
authors.forename: F Borja
authors.initials: FB
authors.lastname: DeLacy
authors.affiliation: Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
authors.forename: Peter Mnyh
authors.initials: PM
authors.lastname: Go
authors.affiliation: Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands.
authors.forename: Annelieke M K
authors.initials: AM
authors.lastname: Harmsen
authors.affiliation: Department of Surgery, Noordwest Clinics Alkmaar, Alkmaar, The Netherlands.
authors.forename: Rick S
authors.initials: RS
authors.lastname: van den Helder
authors.affiliation: Department of Surgery, University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania.
authors.forename: Florin
authors.initials: F
authors.lastname: Iordache
authors.affiliation: Medical Library, Vrije Universiteit, Amsterdam, The Netherlands.
authors.forename: Johannes C F
authors.initials: JC
authors.lastname: Ket
authors.affiliation: Department of Surgery, Maria Middelares Ghent, Ghent, Belgium.
authors.forename: Filip E
authors.initials: FE
authors.lastname: Muysoms
authors.affiliation: Department of Surgery, School of Medicine, Bahcesehir University, Istanbul, Turkey.
authors.forename: M Mahir
authors.initials: MM
authors.lastname: Ozmen
authors.affiliation: Department of Surgery, Tel Aviv Sourasky Medical Centre, Tel Aviv, Israel.
authors.forename: Michail
authors.initials: M
authors.lastname: Papoulas
authors.affiliation: Department of Surgery, Stepping Hill Hospital, Stockport, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Rhodes
authors.affiliation: Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Straatman
authors.affiliation: Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands.
authors.forename: Mark
authors.initials: M
authors.lastname: Tenhagen
authors.affiliation: Department of Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
authors.forename: Victor
authors.initials: V
authors.lastname: Turrado
authors.affiliation: Department of Surgery, Medical School University of Pécs, Pecs, Hungary.
authors.forename: Andras
authors.initials: A
authors.lastname: Vereczkei
authors.affiliation: Department of Surgery, University Hospital Vall Hebrón, Barcelona, Spain.
authors.forename: Ramon
authors.initials: R
authors.lastname: Vilallonga
authors.affiliation: Department of Surgery, Noordwest Clinics Alkmaar, Alkmaar, The Netherlands.
authors.forename: Jort D
authors.initials: JD
authors.lastname: Deelder
authors.affiliation: Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands.
authors.forename: Jaap
authors.initials: J
authors.lastname: Bonjer
mesh_terms: D000208:Acute Disease; D019072:Antibiotic Prophylaxis; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000000981:diagnostic imaging / Q000601:surgery*; D005060:Europe; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D012955:Societies, Medical; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
keywords: Appendectomy; Appendicitis; Complicated appendicitis; Laparoscopic appendectomy; Uncomplicated appendicitis