Pediatric appendicitis
Conditions
Interventions
Control group:High-dose fractionated oral PEG: First dose at 6–8 p.m. the day before ERAT, second dose 4–6 hours pre-procedure. Each dose <1 hour, total volume =4L. Bowel assessment 2 hours pre-proced
if unsatisfactory, use modified enema for remediation.
Exercise intervention combined with acupoint massage intervention group:Divide the dosage of the medication: for children aged 3 to 7, administer 250 ml of liquid every 15 minutes
for children aged 7 and above, give 400 to 500 ml of liquid orally every 15 minutes. Follow this cycle: take the medicine for 15 minutes, exercise for 15 minutes, and massage for 10 minutes, repeating
Sponsors
The Second Affiliated Hospital of the Air Force Military Medical University
Eligibility
Sex/Gender
All
Age
3 Years to 16 Years
Inclusion criteria
Inclusion criteria: Children aged 3-16 years with uncomplicated appendicitis and no other diseases; abdominal ultrasound shows an enlarged appendix with a diameter >6mm a wall thickness >0.1cm or fecaliths or pus formation in the appendiceal lumen; for bowel preparation the osmotic laxative chosen is PEG4000; the family and patient refuse surgical intervention and agree to undergo ERAT willing to cooperate with bowel preparation.
Exclusion criteria
Exclusion criteria: Contraindications for colonoscopy or hypersensitivity to contrast agents; patients with perforated appendix diffuse peritonitis or periappendiceal abscess; cases where ultrasound shows free gas in the abdomen or acute abdominal conditions caused by urological or gynecological issues; family members who refuse endoscopic treatment or fail to cooperate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of bowel preparation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Compliance with bowel preparation;Incidence of PEG adverse reactions;Incidence rate of unplanned delays for ERAT; | — |
Countries
China
Contacts
Public ContactFeng Bei
The Second Affiliated Hospital of the Air Force Military Medical University
Outcome results
None listed