ANTIBIÓTICOS VS APENDICECTOMÍA TEMPRANA EN APENDICITIS AGUDA NO COMPLICADA
Palabras clave:
Apendicitis. Apendicectomía. Terapia antibiótica. Tratamiento no quirúrgico. Calidad de vidaResumen
DOI: https://doi.org/10.46296/yc.v10i18.0878
Resumen
Se realizó una revisión de tema crítica sobre el manejo con antibióticos frente a la apendicectomía temprana en apendicitis aguda no complicada. Se revisó literatura reciente en bases biomédicas, priorizando ensayos clínicos, metaanálisis, cohortes comparativas y guías. La evidencia mostró que los antibióticos evitaron la cirugía inmediata en una proporción importante de pacientes y no aumentaron de forma consistente las complicaciones mayores tempranas en enfermos bien seleccionados. No obstante, esta estrategia se asoció con recurrencia acumulada relevante durante el seguimiento, especialmente en presencia de apendicolito. La cirugía mantuvo la mayor eficacia definitiva, mientras que el tratamiento conservador ofreció menor invasividad inicial, recuperación más rápida y costos más bajos. Se concluyó que ambas estrategias fueron válidas, pero la selección clínica, la confirmación por imagen y la toma de decisiones compartida determinaron la mejor opción terapéutica.
Palabras claves: Apendicitis. Apendicectomía. Terapia antibiótica. Tratamiento no quirúrgico. Calidad de vida.
Abstract
A critical topic review was conducted on antibiotic management versus early appendectomy in uncomplicated acute appendicitis. Recent biomedical literature was examined, prioritizing randomized trials, meta-analyses, comparative cohorts, and guidelines. The evidence showed that antibiotics avoided immediate surgery in a substantial proportion of patients and did not consistently increase early major complications in well-selected cases. However, this strategy carried a relevant cumulative recurrence risk during follow-up, particularly when an appendicolith was present. Surgery remained the most definitive treatment, whereas conservative management offered lower initial invasiveness, faster recovery, and lower costs. Both strategies were considered valid, but patient selection, imaging confirmation, and shared decision-making were essential to determine the most appropriate therapeutic approach.
Keywords: Appendicitis. Appendectomy. Anti-Bacterial Agents. Nonoperative Management. Quality of Life.
Información del manuscrito:
Fecha de recepción: 09 de febrero de 2026.
Fecha de aceptación: 15 de abril de 2026.
Fecha de publicación: 13 de mayo de 2026.
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Derechos de autor 2026 REVISTA CIENTÍFICA MULTIDISCIPLINARIA ARBITRADA YACHASUN - ISSN: 2697-3456
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