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International Journal of Colorectal Disease

, Volume 27, Issue 2, pp 199–206 | Cite as

The outcome of initial percutaneous drainage versus surgical drainage for intra-abdominal abscesses in Crohn’s disease

  • Ying Xie
  • Weiming ZhuEmail author
  • Ning Li
  • Jieshou Li
Original Article

Abstract

Purpose

Percutaneous drainage (PD) of Crohn’s related abscesses is becoming popular with the development of techniques. We retrospectively analyzed the outcome of initial PD versus initial surgical drainage for intra-abdominal abscesses in Crohn’s disease.

Methods

Twenty-three patients of Crohn’s disease complicated with intra-abdominal or pelvic abscesses treated in our institution between July 2001 and April 2010 were retrospectively identified from 188 patients with proven Crohn’s disease. Outcome measures included abscess recurrence after different treatments, post-drainage complications, ultimate stoma creation, and subsequent surgery for Crohn’s disease.

Results

Patients were divided into initial PD group (n = 10) and initial surgery group (n = 13): post-drainage complications were more common in initial surgery group (2/10 vs 9/13, P = 0.036), abscess recurred in three patients (2/10 vs 1/13, NS), and subsequent surgery was needed in 10 patients (6/10 vs 4/13, NS). Ultimate stoma creation were significantly more in initial surgery group (1/10 vs 9/13, P = 0.01).

Conclusions

Initial PD group had lower rate of post-drainage complications and ultimate stoma creation compared to the initial surgery group. Although subsequent surgery may not be avoided after PD, it can provide safe anastomosis for resections. Long-term follow-up should be done to assess the outcome of PD.

Keywords

Crohn’s disease Abscess Percutaneous drainage Stoma creation Subsequent surgery Post-drainage complication 

Abbreviations

PD

Percutaneous drainage

CD

Crohn’s disease

CT

Computed tomography

US

Ultrasound

CIAD

Continuous irrigation and aspiration drainage

EN

Enteral nutrition

PN

Parenteral nutrition

SD

Standard deviation

BMI

Body mass index

WBC

White blood cell

PLT

Platelet

CRP

C reactive protein

ESR

Erythrocyte sedimentation rate

ALB

Albumin

CDAI

Crohn’s disease activity index

Notes

Acknowledgment

This work was partly supported by the National Natural Science Foundation of China (number 30972881). ZWM and LN designed the experiment, XY collected and analyzed the data and wrote the manuscript, and LJS gave the provision of significant advice or consultation. All authors read and approved the final manuscript.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Department of General Surgery, Jinling HospitalMedical School of Nanjing UniversityNanjingChina

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