Which dietary modifications are used in the treatment of pediatric appendicitis?

Updated: Oct 25, 2018
  • Author: Adam C Alder, MD; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Patients with nonperforated appendicitis may be started on clear fluids postoperatively. Diet is advanced as tolerated.

Patients who can tolerate regular diet may be discharged home. These patients have minimal delay in the return of bowel function and do not need to have a bowel movement prior to discharge.

Patients with perforated appendicitis who have immediate appendectomy should remain NPO until their bowel function returns. They should then be started on clear fluids, and the diet advanced as tolerated. Total parental nutrition may be needed in children with prolonged hospitalization from a ruptured appendicitis.


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