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Related Experiment Videos

Diverticular abscesses: percutaneous drainage.

C C Neff, E vanSonnenberg, G Casola

    Radiology
    |April 1, 1987
    PubMed
    Summary
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    Percutaneous catheter drainage effectively treats diverticulitis with abscesses, often avoiding surgery. This minimally invasive approach offers a safe and potentially cost-saving alternative for managing complicated diverticular disease.

    Area of Science:

    • Gastroenterology
    • Minimally Invasive Surgery
    • Abdominal Imaging

    Background:

    • Diverticulitis is a common condition often complicated by abscess formation.
    • Traditional management of diverticular abscesses typically involves surgical intervention.
    • Minimally invasive techniques are increasingly explored for complex abdominal conditions.

    Purpose of the Study:

    • To evaluate the efficacy and safety of percutaneous catheter drainage for complicated diverticulitis.
    • To assess the impact of percutaneous drainage on subsequent surgical management.
    • To explore the cost-saving implications of this interventional radiology technique.

    Main Methods:

    • Percutaneous catheter drainage was performed in 16 patients diagnosed with diverticulitis complicated by abscesses.

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  • Patient outcomes, including fever resolution, need for surgery, and fistula closure, were monitored.
  • Follow-up assessments were conducted to evaluate long-term results and asymptomatic status.

    • Main Results:

    • All 16 patients experienced fever resolution within 72 hours post-drainage.
    • Eleven patients underwent successful sigmoid resection and anastomosis after drainage; three remained asymptomatic without resection.
    • Eight of ten fistulas present in patients closed spontaneously.

    Conclusions:

    • Percutaneous catheter drainage is a safe and effective primary treatment for diverticular abscesses, potentially obviating surgical drainage.
    • This approach facilitates a single-stage elective surgery (sigmoid resection) in most patients, improving outcomes.
    • Percutaneous drainage offers significant cost-saving benefits by reducing the need for multiple operations, especially in high-risk patients.