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Role of percutaneous abscess drainage in the management of young patients with Crohn disease
- Source :
- Pediatric Radiology. 46:653-659
- Publication Year :
- 2016
- Publisher :
- Springer Science and Business Media LLC, 2016.
-
Abstract
- Intra-abdominal abscess is a common complication of Crohn disease in children. Prior studies, primarily in adults, have shown that percutaneous abscess drainage is a safe and effective treatment for this condition; however, the data regarding this procedure and indications in pediatric patients is limited. Our aim was to determine the success rate of percutaneous abscess drainage for abscesses related to Crohn disease in pediatric patients with a focus on treatment endpoints that are relevant in the era of biological medical therapy. We retrospectively reviewed 25 cases of patients ages ≤20 years with Crohn disease who underwent percutaneous abscess drainage. Technical success was defined as catheter placement within the abscess with reduction in abscess size on post-treatment imaging. Clinical success was defined as (1) no surgery within 1 year of drainage or (2) surgical resection following drainage with no residual abscess at surgery or on preoperative imaging. Multiple clinical parameters were analyzed for association with treatment success or failure. All cases were classified as technical successes. Nineteen cases were classified as clinical successes (76%), including 7 patients (28%) who required no surgery within 1 year of percutaneous drainage and 12 patients (48%) who had elective bowel resection within 1 year. There was a statistically significant association between resumption of immunosuppressive therapy within 8 weeks of drainage and both clinical success (P
- Subjects :
- Male
medicine.medical_specialty
Percutaneous
Adolescent
medicine.medical_treatment
Radiography, Interventional
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Crohn Disease
medicine
Humans
Radiology, Nuclear Medicine and imaging
Drainage
Abscess
Ultrasonography, Interventional
Retrospective Studies
Neuroradiology
medicine.diagnostic_test
business.industry
Interventional radiology
Retrospective cohort study
Bowel resection
medicine.disease
Surgery
Treatment Outcome
Pediatrics, Perinatology and Child Health
Female
030211 gastroenterology & hepatology
Complication
business
Subjects
Details
- ISSN :
- 14321998 and 03010449
- Volume :
- 46
- Database :
- OpenAIRE
- Journal :
- Pediatric Radiology
- Accession number :
- edsair.doi.dedup.....8c54d3dca7534cc7a5ccb37037856826