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Related Experiment Videos

[Radiological interventions in inflammatory bowel disease].

C Krolak1, C Rock, M Reiser

  • 1Institut für Klinische Radiologie/Innenstadt, Klinikum der Universität München, Munich. Christoph.Krolak@radin.med.uni-muenchen.de

Der Radiologe
|January 29, 2003
PubMed
Summary

Percutaneous abscess drainage (PAD) is effective for inflammatory bowel disease complications, potentially avoiding surgery in 50% of cases. Embolization and dilatation are reserved for rare situations.

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Area of Science:

  • Gastroenterology
  • Interventional Radiology

Background:

  • Inflammatory bowel diseases (IBD) frequently cause abscesses, fistulas, hemorrhages, and stenoses.
  • Radiological interventions offer therapeutic options for these complications.

Purpose of the Study:

  • To review radiological intervention methods for IBD complications.
  • To analyze the clinical usefulness and success rates of these interventions.

Main Methods:

  • Review of percutaneous abscess drainage (PAD), embolization of hemorrhages, and bowel stenosis dilatation.
  • Analysis of success rates defined by cure and need for further surgery.
  • Literature review of current practices.

Main Results:

  • PAD avoids surgery in approximately 50% of patients with Crohn's disease or diverticulitis abscesses.

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  • Preoperative PAD minimizes surgical invasiveness and risk; abscess recurrence rates are similar to surgery.
  • Bowel dilatation is feasible with radiological or endoscopic guidance.
  • GI hemorrhage embolization is technically possible but indicated in highly selected cases.

    • Conclusions:

    • Percutaneous abscess drainage (PAD) is a valuable option for treating abscesses and fistulas in Crohn's disease and diverticulitis.
    • Embolization and dilatation interventions are suitable for rare, specific cases.