The outcome of initial percutaneous drainage versus surgical drainage for intra-abdominal abscesses in Crohn’s disease
- 502 Downloads
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.
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.
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).
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.
KeywordsCrohn’s disease Abscess Percutaneous drainage Stoma creation Subsequent surgery Post-drainage complication
Continuous irrigation and aspiration drainage
Body mass index
White blood cell
C reactive protein
Erythrocyte sedimentation rate
Crohn’s disease activity index
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.
- 12.Georgopoulos F, Mylonaki M, Malgarinos G, Malli Ch, Fouskas J, Panteris V, Cheracakis P, Merikas E, Peros G, Triantafillidis JK (2008) Intraabdominal abscesses in patients with Crohn’s disease: clinical data and therapeutic manipulations in 17 cases of a single hospital setting. Ann Gastroenterol 21:188–192Google Scholar