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[Percutaneous abscess drainage in Crohn disease]
1Institut für Röntgendiagnostik, Universität Regensburg.
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|December 16, 1998
Summary
Percutaneous, CT-guided abscess drainage (PAD) successfully treated intra-abdominal abscesses in Crohn's disease patients. However, PAD did not achieve long-term results, especially for fistulas, but improved the situation for subsequent surgery.
Area of Science:
- Gastroenterology
- Interventional Radiology
Background:
- Crohn's disease frequently leads to intra-abdominal abscesses.
- Abscesses in Crohn's disease can be spontaneous or postoperative.
- Fistulas are a common complication and cause of abscesses in Crohn's disease.
Purpose of the Study:
- To evaluate the efficacy of percutaneous, CT-guided abscess drainage (PAD) in managing intra-abdominal abscesses in Crohn's disease patients.
Main Methods:
- Retrospective analysis of 8 Crohn's disease patients treated with PAD over 5 years.
- Utilized 10 F, 12 F, and 14 F catheters for drainage, with durations ranging from 8 to 20 days.
- Investigated causes including spontaneous abscesses (7 patients) and postoperative abscesses (1 patient), with fistulas present in 4 patients.
Main Results:
- Successful drainage of all abscesses was achieved via PAD.
- Only two patients experienced an operation-free interval exceeding three months.
- No fistula healing was observed in the 4 patients with pre-existing fistulas.
- No new enterocutaneous fistulas developed during PAD treatment.
Conclusions:
- PAD is a valuable tool for Crohn's disease patients, improving the preoperative condition for necessary surgeries.
- Long-term therapeutic success is limited, particularly in cases involving enterogenic fistulas.
- PAD serves as an effective bridge to surgery rather than a definitive treatment for complex cases.