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크론병과 연관된 복강 내 농양에서 비수술 치료의 효용성

Other Titles
 Clinical Efficacy of Nonsurgical Treatment of Crohn`s Disease-related Intraabdominal Abscess 
Authors
 김덕환  ;  천재희  ;  문창모  ;  박재준  ;  한송이  ;  김은수  ;  정문재  ;  이진하  ;  정민규  ;  이수현  ;  손정우  ;  김태일  ;  김원호 
Citation
 Korean Journal of Gastroenterology (대한소화기학회지), Vol.53(1) : 29-35, 2009 
Journal Title
 Korean Journal of Gastroenterology (대한소화기학회지) 
ISSN
 1598-9992 
Issue Date
2009
MeSH
Abdominal Abscess/diagnosis ; Abdominal Abscess/surgery ; Abdominal Abscess/therapy* ; Adolescent ; Adult ; Crohn Disease/diagnosis ; Crohn Disease/surgery ; Crohn Disease/therapy* ; Drainage ; Female ; Humans ; Length of Stay ; Male ; Middle Aged ; Predictive Value of Tests ; Recurrence ; Retrospective Studies ; Severity of Illness Index
Keywords
Crohn\'s disease ; Inflammatory bowel disease ; Abdominal abscess
Abstract
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 intra-abdominal 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 intra-abdominal 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
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
7. Others (기타) > Dept. of Health Promotion (건강의학과) > 1. Journal Papers
Yonsei Authors
Kim, Duk Hwan(김덕환)
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Eun Soo(김은수)
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Moon, Chang Mo(문창모)
Park, Jae Jun(박재준)
Son, Jung Woo(손정우)
Lee, Soo Hyeon(이수현)
Lee, Jin Ha(이진하)
Chung, Moon Jae(정문재) ORCID logo https://orcid.org/0000-0002-5920-8549
Jung, Min Kyu(정민규) ORCID logo https://orcid.org/0000-0001-8281-3387
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
Han, Song Yi(한송이)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103624
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