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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216224:14110/23:00131653 RIV/61989592:15110/23:73620023 RIV/00098892:_____/23:10157903 RIV/00209805:_____/23:00079387

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

Background: Management of spontaneous intra-abdominal abscess (IAA) in patients with Crohn&apos;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 &lt; .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.

Název v anglickém jazyce

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

Popis výsledku anglicky

Background: Management of spontaneous intra-abdominal abscess (IAA) in patients with Crohn&apos;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 &lt; .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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30219 - Gastroenterology and hepatology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Crohn&apos;s &amp; Colitis 360

ISSN

2631-827X

e-ISSN

2631-827X

Svazek periodika

5

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

4

Strana od-do

"otad038"

Kód UT WoS článku

001186353800001

EID výsledku v databázi Scopus

2-s2.0-85171442441