To the Editor I read with interest the meta-analysis by Huang et al¹ combining results of 5 studies (n = 404 patients) with uncomplicated appendicitis (AUA) evaluating efficacy of nonoperative treatment (NOT). They found NOT was successful in 90% of cases and concluded that antibiotics as the initial treatment for pediatric patients with AUA may be feasible and effective without increasing the risk for complications.

中文翻译：

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阑尾炎的非手术治疗

我对编者感兴趣的是，阅读了Huang等[ ^1]的荟萃分析，将5项研究（n = 404例患者）的结果与单纯性阑尾炎（AUA）结合起来，评估了非手术治疗（NOT）的疗效。他们发现90％的病例均未成功，并得出结论认为，抗生素作为小儿AUA患者的初始治疗可能是可行且有效的，而不会增加并发症的风险。