Appendicitis treated without surgery: Research and more
Yes, some people recover from appendicitis with antibiotic treatment alone, without the need for surgery. However, surgery remains the standard treatment.
Appendicitis is inflammation of the appendix, a small pouch attached to the lower right of the large intestine. The standard treatment for appendicitis is an appendectomy, which is surgery to remove the appendix. This is typically straightforward and can cure the condition, but it carries risks, particularly for older adults and those with other health conditions.
Emerging evidence shows that treating appendicitis with antibiotics is as successful as appendectomy in some people. In a 2023 long-term study in Sweden , researchers tracked the health of 259 people who had either surgery or antibiotics to treat appendicitis in the 1990s. The health of some people was tracked for over 26 years.
The researchers found that in the nonsurgery group: 21 out of 137 people needed an appendectomy while still in the hospital following their initial admission.
34 out of 137 people later developed appendicitis and had appendectomy surgery.
82 out of 137 people did not require an appendectomy over the course of the study.
Around 1 in 10 people required outpatient care for abdominal pain over the course of the study, compared with only 1 in the surgery group.
This study suggests that surgery is not the only treatment option for appendicitis, but also highlights the risk of recurrence for people who do not have surgery.
Researchers are currently working to establish who might be able to avoid surgery based on their general health, symptoms, and test results.
Antibiotic treatment may be particularly helpful for people who are not good candidates for surgery or would prefer to avoid surgery. Some people wish to keep their appendix, which may have long-term benefits that are not yet fully understood.
More research involving larger numbers of people is necessary before experts can draw conclusions about the best way to treat appendicitis.
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