The modified endoscopic retrograde appendicitis therapy versus antibiotic therapy alone for acute uncomplicated appendicitis in children

This RCT compared modified endoscopic retrograde appendicitis therapy (mERAT) using contrast-enhanced ultrasound to antibiotics alone in 83 children with acute uncomplicated appendicitis. mERAT achieved 100% success versus 80.9% for antibiotics, with shorter hospital stays and no significant complications, offering a radiation-free alternative to appendectomy.