Percutaneous abscess drainage in Crohn's disease.

Strotzer, Michael and Manke, Christoph and Lock, G. and Bregenzer, N. and Schoelmerich, Juergen and Feuerbach, Stefan (1998) Percutaneous abscess drainage in Crohn's disease. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 169 (5). pp. 510-514. ISSN 0936-6652,

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Abstract

Purpose: To evaluate the success of percutaneous, CT-guided abscess drainage (PAD) in patients with Crohn's disease. Methods: Within the last 5 years 8 patients with Crohn's disease were treated by PAD for intra-abdominal abscesses. A fistula was determined to be the cause in 4 patients. The abscesses arose spontaneously in 7 patients while one patient had a postperative abscess. We used single lumen 10 F- and double lumen 12 F- and 14 F-catheters for drainage (duration of drainage 8-20 days). Results: In all cases the abscess was successfully drained by PAD. However, an operation-free interval of at least three months was achieved in only two patients. A healing of the fistula was not attained in any of the 4 patients with a proven fistula. No enterocutaneous fistulas arose within the course of PAD. Conclusions: PAD is also useful for patients with Crohn's disease since it improves the starting situation for the necessary operative interventions. In most cases (especially with enterogenic fistulas), however, a long-lasting therapeutic result cannot be expected.

Item Type: Article
Uncontrolled Keywords: FLUID COLLECTIONS; MANAGEMENT; Crohn's disease; abscess; percutaneous drainage; fistula, intestinal
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 18 Apr 2023 10:18
Last Modified: 18 Apr 2023 10:18
URI: https://pred.uni-regensburg.de/id/eprint/49405

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