1.Treatment for Intraabdominal Abscess in Crohn's Disease.
The Korean Journal of Gastroenterology 2009;53(1):60-61
No abstract availble.
Abdominal Abscess/diagnosis/*surgery
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Crohn Disease/etiology/surgery/*therapy
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Humans
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Length of Stay
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Predictive Value of Tests
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Recurrence
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Severity of Illness Index
2.Clinical Efficacy of Nonsurgical Treatment of Crohn's Disease-related Intraabdominal Abscess.
Duk Hwan KIM ; Jae Hee CHEON ; Chang Mo MOON ; Jae Jun PARK ; Song Yi HAN ; Eun Soo KIM ; Moon Jae CHUNG ; Jin Ha LEE ; Min Kyu JUNG ; Soo Hyun LEE ; Jung Woo SON ; Tae Il KIM ; Won Ho KIM
The Korean Journal of Gastroenterology 2009;53(1):29-35
BACKGROUND/AIMS: This study was conducted to compare the clinical efficacy between surgical and nonsurgical treatments for patients with Crohn's disease-related intraabdominal abscess. METHODS: A retrospective review of medical records was performed for patients admitted to a single institution due to Crohn's disease-related intraabdominal abscess from February, 1996 to February, 2008. Clinical outcomes were compared between surgical and nonsurgical groups in terms of treatment responses and recurrences. RESULTS: A total of 47 episodes of intraabdominal abscesses in 43 patients (12.7%) were identified from 339 patients with Crohn's disease. Of these, initially, 18 cases (38.3%) underwent surgical treatment and 29 (61.7%) were treated medically (antibiotic treatments with or without percutaneous drainage). The overall treatment response rates of surgical and nonsurgical group were 100% versus 89.7% (p=0.11) and recurrence rates were 27.8% versus 30.8% (p=1.00). Three patients in nonsurgical group (10.3%) showed no response to therapy and ultimately received surgical drainages. The median length of hospitalization in nonsurgical group was shorter than in surgical group (12 and 29.5 days, respectively. p=0.02). CONCLUSIONS: Nonsurgical treatment might be as effective as surgical treatment for the treatment of Crohn's disease-related intraabdominal abscess, especially considering shorter hospital stay.
Abdominal Abscess/diagnosis/surgery/*therapy
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Adolescent
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Adult
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Crohn Disease/diagnosis/surgery/*therapy
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Drainage
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Female
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Humans
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Length of Stay
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Male
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Middle Aged
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Predictive Value of Tests
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Recurrence
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Retrospective Studies
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Severity of Illness Index