USG To Decide Non-Operative Management for Appendicitis in Children: A Systematic Review
Gibrael Jireh1*, Febria Valentine Aritonang2
Abstract
Learning Objective: The purpose of this review is to see which condition of appendicitis in children through ultrasonography that applicable to performing Non-Operative Management. Background: Appendicitis is a common gastrointestinal disease affecting approximately 1 per 1000 populations each year in the Western world, with the highest incidence between the ages of 10 and 19 years. Appendectomy surgery is the standard treatment for appendicitis patients. However, in recent times many studies have studied the non-surgical management of appendicitis patients. Several studies have even demonstrated the efficacy and safety of non-surgical treatment in appendicitis patients. Therefore, researchers are interested in conducting a review to see what kind of condition of appendicitis in children through ultrasonography can be performed in non-operative management. Methods: Systematic searches of PUBMED, ScienceDirect, and Cochrane Library from 2018 until 2022 that studied ultrasound or ultrasonography at Non-Operative Management for Appendicitis in Children were conducted according to PRISMA guidelines. Imaging Findings: Nine articles were selected from two non-randomized clinical trials, two randomized-clinical trials, one prospective cohorts, and four retrospective analyses. The success rate of Non-Operative Management Acute Appendicitis in Children ranged from 70% – 86,6%. Ultrasound findings varied about inflammatory signs even about fecalith and also vary about the diameter of the appendix. The ranged appendix diameter from 4.2 – 11 mm on ultrasound findings. Conclusion: Ultrasound is an important option to consider in determining the non-surgical management of children appendicitis patients.
Keywords
ultrasound; ultrasonography; appendicitis; non-operative management; children
Cite This Article
Jireh, G., Aritonang, F. V. (2026). USG To Decide Non-Operative Management for Appendicitis in Children: A Systematic Review. International Journal of Scientific Advances (IJSCIA), Volume 7| Issue 3: May – Jun 2026, Pages 313-318 URL: https://www.ijscia.com/wp-content/uploads/2026/05/Volume7-Issue3-May-Jun-No.1048-313-318.pdf
Volume 7 | Issue 3: May – Jun 2026
