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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
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
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
김덕환(Kim, Duk Hwan)
김원호(Kim, Won Ho) ORCID logo https://orcid.org/0000-0002-5682-9972
김은수(Kim, Eun Soo)
김태일(Kim, Tae Il) ORCID logo https://orcid.org/0000-0003-4807-890X
문창모(Moon, Chang Mo)
박재준(Park, Jae Jun)
손정우(Son, Jung Woo)
이수현(Lee, Soo Hyeon)
이진하(Lee, Jin Ha)
정문재(Chung, Moon Jae) ORCID logo https://orcid.org/0000-0002-5920-8549
정민규(Jung, Min Kyu) ORCID logo https://orcid.org/0000-0001-8281-3387
천재희(Cheon, Jae Hee) ORCID logo https://orcid.org/0000-0002-2282-8904
한송이(Han, Song Yi)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103624
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