Watchful Waiting after Radiological Guided Drainage of Intra-abdominal Abscess in Patients with Crohn's Disease Might Be Associated with Increased Rates of Stoma Construction
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F23%3A00078361" target="_blank" >RIV/65269705:_____/23:00078361 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/23:00131653 RIV/61989592:15110/23:73620023 RIV/00098892:_____/23:10157903 RIV/00209805:_____/23:00079387
Result on the web
<a href="https://academic.oup.com/crohnscolitis360/article/5/3/otad038/7226550" target="_blank" >https://academic.oup.com/crohnscolitis360/article/5/3/otad038/7226550</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1093/crocol/otad038" target="_blank" >10.1093/crocol/otad038</a>
Alternative languages
Result language
angličtina
Original language name
Watchful Waiting after Radiological Guided Drainage of Intra-abdominal Abscess in Patients with Crohn's Disease Might Be Associated with Increased Rates of Stoma Construction
Original language description
Background: Management of spontaneous intra-abdominal abscess (IAA) in patients with Crohn's disease (CD) with radiologically guided percutaneous drainage (PD) was debated. Methods: This is a secondary analysis from a multicenter, retrospective cohort study of all the patients with CD who underwent PD followed by surgery at 19 international tertiary centers. Results: Seventeen patients (4.8%) who did not undergo surgery after PD were compared to those who had PD followed by surgical intervention 335/352 (95.2%). Patients who had PD without surgery were those with longer disease duration, more frequently had previous surgery for CD (laparotomies/laparoscopies), enteric fistula, on steroid treatment before and continue to have it after PD. Patients who had PD without subsequent surgical resection had a higher risk of stoma construction at later stages 8/17 (47.1%) versus 90/326 (27.6%) (P < .01). Patients with PD with no subsequent surgery had numerically higher rates of abscess recurrence 5/17 (29.4%) compared to those who had PD followed by surgery 45/335 (13.4%) the difference was not statistically significant (P = .07). Conclusions: Even with the low number of patients enrolled in this study who had PD of IAA without subsequent surgery, the findings indicate a markedly worse prognosis in terms of recurrence, length of stay, readmission, and stoma construction. Watchful waiting after PD to treat patients with spontaneous IAA might be indicated in selected patients with poor health status or poor prognostic factors.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30219 - Gastroenterology and hepatology
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Crohn's & Colitis 360
ISSN
2631-827X
e-ISSN
2631-827X
Volume of the periodical
5
Issue of the periodical within the volume
3
Country of publishing house
GB - UNITED KINGDOM
Number of pages
4
Pages from-to
"otad038"
UT code for WoS article
001186353800001
EID of the result in the Scopus database
2-s2.0-85171442441