Impact of CT-Guided Drainage in the Treatment of Diverticular Abscesses: Size Matters

作者: Bettina Siewert , Grace Tye , Jonathan Kruskal , Jacob Sosna , Frank Opelka

DOI: 10.2214/AJR.04.1708

关键词:

摘要: OBJECTIVE. Our objective was to determine whether abscess size can be used as a discriminating factor guide management of patients with diverticular abscesses.MATERIALS AND METHODS. We performed word search our CT database between July 2001 and 2002 for the diagnosis diverticulitis. CTs were retrospectively reviewed consensus opinion two reviewers. evaluated presence an abscess, its location, maximum diameter, feasibility percutaneous drainage. Abscesses categorized into smaller than 3 cm larger or equal cm, these groups compared.RESULTS. Thirty-one abscesses noted in 30 (17%) 181 Twenty-two (73%) had 23 abscesses, all which treated resolved antibiotics alone (p < 0.001). Eight (36%) 22 required surgical treatment. (26%) 31 diameter 3...

参考文章(33)
T.C. Böttger, M. Müller, A. Terzic, S. Hermeneit, A. Rodehorst, Laparoskopische Resektion mit primärer Anastomose im Hinchey-Stadium I und II ohne vorherige Abszessdrainage Chirurg. ,vol. 78, pp. 454- 460 ,(2007) , 10.1007/S00104-007-1304-X
Angelika Betsch, Jakub Wiskirchen, Jochen Trübenbach, Klaus H. Manncke, Claus Belka, Claus D. Claussen, Stephan H. Duda, CT-guided percutaneous drainage of intra-abdominal abscesses: APACHE III score stratification of 1-year results European Radiology. ,vol. 12, pp. 2883- 2889 ,(2002) , 10.1007/S00330-002-1398-Y
L. Köhler, S. Sauerland, E. Neugebauer, R. Caprilli, A. Fingerhut, N. Y. Haboubi, L. Hultén, C. G. S. Hüscher, A. Jansen, H-U. Kauczor, M. R. B. Keighley, F. Köckerling, W. Kruis, A. Lacy, K. Lauterbach, J. Leroy, J. M. Müller, H. E. Myrvold, P. Spinelli, Diagnosis and treatment of diverticular disease Surgical Endoscopy and Other Interventional Techniques. ,vol. 13, pp. 430- 436 ,(1999) , 10.1007/S004649901007
Andrea Bernini, Michael P. Spencer, Douglas W. Wong, David A. Rothenberger, Robert D. Madoff, Computed tomography-guided percutaneous abscess drainage in intestinal disease factors associated with outcome Diseases of The Colon & Rectum. ,vol. 40, pp. 1009- 1013 ,(1997) , 10.1007/BF02050920
J T Wroblicka, E Kuligowska, One-step needle aspiration and lavage for the treatment of abdominal and pelvic abscesses. American Journal of Roentgenology. ,vol. 170, pp. 1197- 1203 ,(1998) , 10.2214/AJR.170.5.9574584
C C Neff, E vanSonnenberg, G Casola, G R Wittich, D B Hoyt, N A Halasz, D J Martini, Diverticular abscesses: percutaneous drainage. Radiology. ,vol. 163, pp. 15- 18 ,(1987) , 10.1148/RADIOLOGY.163.1.3823429
Matthew L. Brengman, Daniel P. Otchy, Timing of computed tomography in acute diverticulitis. Diseases of The Colon & Rectum. ,vol. 41, pp. 1023- 1028 ,(1998) , 10.1007/BF02237394
Joseph D. Labs, Michael G. Sarr, Elliot K. Fishman, Stanley S. Siegelman, John L. Cameron, Complications of acute diverticulitis of the colon: Improved early diagnosis with computerized tomography American Journal of Surgery. ,vol. 155, pp. 331- 335 ,(1988) , 10.1016/S0002-9610(88)80726-8
R. Detry, J. Jamez, A. Kartheuser, F. Zech, R. Vanheuverzwijn, P. Hoang, P. J. Kestens, Acute localized diverticulitis: optimum management requires accurate staging. International Journal of Colorectal Disease. ,vol. 7, pp. 38- 42 ,(1992) , 10.1007/BF01647660