Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage
BACKGROUND: The aim of our study was to evaluate factors associated with percutaneous drainage (PCD) failure, complications, and stoma creation for patients undergoing sigmoidectomy for diverticular abscess. METHODS: Data for patients with diverticular abscess greater than or equal to 3 cm in diam...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2015
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/69698/ http://irep.iium.edu.my/69698/ http://irep.iium.edu.my/69698/ http://irep.iium.edu.my/69698/7/69698%20Predictors%20of%20postoperative.pdf |
| Summary: | BACKGROUND: The aim of our study was to evaluate factors associated with percutaneous drainage
(PCD) failure, complications, and stoma creation for patients undergoing sigmoidectomy for diverticular abscess.
METHODS: Data for patients with diverticular abscess greater than or equal to 3 cm in diameter
treated with initial PCD from 1994 to 2012 were identified.
RESULTS: One hundred fourteen patients (54% male) with a mean age of 57 years and a mean abscess diameter of 7.1 6 2.4 cm were identified. American Society of Anesthesiologists 4 was the only
independent factor associated with PCD failure (P , .001). On multivariate analysis, factors associated
with postoperative morbidity (n 5 42, 37%) included PCD failure (P 5 .02) and older age (P 5 .04),
while risk for stoma creation was associated with PCD failure (P , .001), multiple PCD attempts (P 5
.002), older age (P , .001), Hinchey II (P 5 .03), and increased body mass index (P 5 .01). American
Society of Anesthesiologists 4 was the only factor associated with permanent stoma (P 5 .02).
CONCLUSIONS: In patients with large diverticular abscess, a successful PCD is associated with
reduced postoperative morbidity. However, a large proportion of patients require stoma creation. Significant comorbidity is associated with both failure of PCD and permanent stoma risk. |
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