The need for crossover in management and recurrent appendicitis were low among all studies .
For those patients who ultimately required surgery , no increased complications were observed .
Antibiotics may be safely recommended in patients with high surgical risk , such as the elderly or those with multiple comorbidities
AIM To review outcomes of  surgical and antibiotic management of acute appendicitis .
Randomized controlled trial of appendicectomy versus antibiotic therapy for acute appendicitis
In a prospect i ve controlled study the effect of antibiotics as the only treatment in acute appendicitis was evaluated . Of 40 patients admitted with a duration of abdominal pain of less than 72 h , 20 received antibiotics intravenously for 2 days followed by oral treatment for 8 days and 20 considered as controls were r and omized to surgery . All patients treated conservatively were discharged within 2 days , except one who required surgery after 12 h because of peritonitis secondary to perforated appendicitis . Seven patients were readmitted within 1 year as a result of recurrent appendicitis and underwent surgery , when appendicitis was confirmed . The diagnostic accuracy within the operated group was 85 per cent . One patient had perforated appendicitis at operation .  Antibiotic treatment  in patients with  acute appendicitis was as effective as surgery . The patients had less pain and required less analgesia , but the recurrence rate was high
The need for crossover in management and recurrent appendicitis were low among all studies .
For those patients who ultimately required surgery , no increased complications were observed .
Antibiotics may be safely recommended in patients with high surgical risk , such as the elderly or those with multiple comorbidities
AIM To review outcomes of  surgical and antibiotic management of acute appendicitis .