Comparision of ultrasonographic diagnosis with ‘Tzanakis’ Score in acute appendicitis

Introduction: Acute appendicitis is one of the most common acute surgical abdominal conditions requiring surgery. Ever since the inflamed appendix was demonstrated in the 1980’s by Ultrasonography, it has been used as an aid to clinically diagnose acute appendicitis. Tzanakis scoring system is a co...

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Autores principales:	Ashish Prasad Rajbhandari, Nischal Dhakal, Robin Koirala, Manohar Lal Shrestha
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	A[[pendicitis Tzanakis score ultrasonography Surgery RD1-811
Acceso en línea:	https://doaj.org/article/927805d215064224a3d609b898a8f6d7
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spelling	oai:doaj.org-article:927805d215064224a3d609b898a8f6d72021-12-05T19:16:51ZComparision of ultrasonographic diagnosis with ‘Tzanakis’ Score in acute appendicitis10.3126/jssn.v19i1.245491815-39842392-4772https://doaj.org/article/927805d215064224a3d609b898a8f6d72016-06-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/24549https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Acute appendicitis is one of the most common acute surgical abdominal conditions requiring surgery. Ever since the inflamed appendix was demonstrated in the 1980’s by Ultrasonography, it has been used as an aid to clinically diagnose acute appendicitis. Tzanakis scoring system is a combination of clinical examination, Ultrasonography and inflammatory markers. Methods: A retrospective non-randomized observational study was conducted from April 2014 to March 2015 on all cases of acute appendicitis, which underwent preoperative ultrasound before appendectomy (open/laparoscopic) at the Department of surgery, Nepal Medical College Teaching Hospital. Ultrasound findings and Tzanaki score were compared in the cases. No studies could be found in literature comparing ultrasound diagnosis with Tzanaki score in appendicitis. Results: The sensitivity, specificity, positive predictive value and negative predictive value of ultrasound were 73%, 50%, 95% and 12% respectively. The sensitivity, specificity, positive predictive value and negative predictive value of Tzanaki were 87%, 50%, 96% and 23% respectively. Tzanaki score is better than ultrasound alone as a diagnostic test for acute appendicitis. Conclusion: Tzanaki score is better than ultrasound in diagnosis of acute appendicitis. Ashish Prasad RajbhandariNischal DhakalRobin KoiralaManohar Lal ShresthaSociety of Surgeons of NepalarticleA[[pendicitisTzanakis scoreultrasonographySurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 19, Iss 1 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	A[[pendicitis Tzanakis score ultrasonography Surgery RD1-811
spellingShingle	A[[pendicitis Tzanakis score ultrasonography Surgery RD1-811 Ashish Prasad Rajbhandari Nischal Dhakal Robin Koirala Manohar Lal Shrestha Comparision of ultrasonographic diagnosis with ‘Tzanakis’ Score in acute appendicitis
description	Introduction: Acute appendicitis is one of the most common acute surgical abdominal conditions requiring surgery. Ever since the inflamed appendix was demonstrated in the 1980’s by Ultrasonography, it has been used as an aid to clinically diagnose acute appendicitis. Tzanakis scoring system is a combination of clinical examination, Ultrasonography and inflammatory markers. Methods: A retrospective non-randomized observational study was conducted from April 2014 to March 2015 on all cases of acute appendicitis, which underwent preoperative ultrasound before appendectomy (open/laparoscopic) at the Department of surgery, Nepal Medical College Teaching Hospital. Ultrasound findings and Tzanaki score were compared in the cases. No studies could be found in literature comparing ultrasound diagnosis with Tzanaki score in appendicitis. Results: The sensitivity, specificity, positive predictive value and negative predictive value of ultrasound were 73%, 50%, 95% and 12% respectively. The sensitivity, specificity, positive predictive value and negative predictive value of Tzanaki were 87%, 50%, 96% and 23% respectively. Tzanaki score is better than ultrasound alone as a diagnostic test for acute appendicitis. Conclusion: Tzanaki score is better than ultrasound in diagnosis of acute appendicitis.
format	article
author	Ashish Prasad Rajbhandari Nischal Dhakal Robin Koirala Manohar Lal Shrestha
author_facet	Ashish Prasad Rajbhandari Nischal Dhakal Robin Koirala Manohar Lal Shrestha
author_sort	Ashish Prasad Rajbhandari
title	Comparision of ultrasonographic diagnosis with ‘Tzanakis’ Score in acute appendicitis
title_short	Comparision of ultrasonographic diagnosis with ‘Tzanakis’ Score in acute appendicitis
title_full	Comparision of ultrasonographic diagnosis with ‘Tzanakis’ Score in acute appendicitis
title_fullStr	Comparision of ultrasonographic diagnosis with ‘Tzanakis’ Score in acute appendicitis
title_full_unstemmed	Comparision of ultrasonographic diagnosis with ‘Tzanakis’ Score in acute appendicitis
title_sort	comparision of ultrasonographic diagnosis with ‘tzanakis’ score in acute appendicitis
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/927805d215064224a3d609b898a8f6d7
work_keys_str_mv	AT ashishprasadrajbhandari comparisionofultrasonographicdiagnosiswithtzanakisscoreinacuteappendicitis AT nischaldhakal comparisionofultrasonographicdiagnosiswithtzanakisscoreinacuteappendicitis AT robinkoirala comparisionofultrasonographicdiagnosiswithtzanakisscoreinacuteappendicitis AT manoharlalshrestha comparisionofultrasonographicdiagnosiswithtzanakisscoreinacuteappendicitis
_version_	1718371079036076032

Comparision of ultrasonographic diagnosis with ‘Tzanakis’ Score in acute appendicitis

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