Clinical Efficacy of Nonsurgical Treatment of Crohn's Disease-related Intraabdominal Abscess / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 29-35, 2009.
Article
en Ko
| WPRIM
| ID: wpr-17497
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND/AIMS: This study was conducted to compare the clinical efficacy between surgical and nonsurgical treatments for patients with Crohn's disease-related intraabdominal abscess. METHODS: A retrospective review of medical records was performed for patients admitted to a single institution due to Crohn's disease-related intraabdominal abscess from February, 1996 to February, 2008. Clinical outcomes were compared between surgical and nonsurgical groups in terms of treatment responses and recurrences. RESULTS: A total of 47 episodes of intraabdominal abscesses in 43 patients (12.7%) were identified from 339 patients with Crohn's disease. Of these, initially, 18 cases (38.3%) underwent surgical treatment and 29 (61.7%) were treated medically (antibiotic treatments with or without percutaneous drainage). The overall treatment response rates of surgical and nonsurgical group were 100% versus 89.7% (p=0.11) and recurrence rates were 27.8% versus 30.8% (p=1.00). Three patients in nonsurgical group (10.3%) showed no response to therapy and ultimately received surgical drainages. The median length of hospitalization in nonsurgical group was shorter than in surgical group (12 and 29.5 days, respectively. p=0.02). CONCLUSIONS: Nonsurgical treatment might be as effective as surgical treatment for the treatment of Crohn's disease-related intraabdominal abscess, especially considering shorter hospital stay.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Recurrencia
/
Índice de Severidad de la Enfermedad
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Enfermedad de Crohn
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Drenaje
/
Valor Predictivo de las Pruebas
/
Estudios Retrospectivos
/
Absceso Abdominal
/
Tiempo de Internación
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
Ko
Revista:
The Korean Journal of Gastroenterology
Año:
2009
Tipo del documento:
Article