Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage

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...

Full description

Bibliographic Details
Main Authors: Elagili, Faisal, Luca, Stocchi, Ozuner, Gokhan, Mody, Rekha, Baker, Mark E, Kiran, Ravi P
Format: Article
Language:English
Published: Elsevier 2015
Subjects:
RD Surgery
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
id iium-69698
recordtype eprints
spelling iium-696982019-04-03T01:49:19Z http://irep.iium.edu.my/69698/ Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage Elagili, Faisal Luca, Stocchi Ozuner, Gokhan Mody, Rekha Baker, Mark E Kiran, Ravi P RD Surgery 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. Elsevier 2015-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/69698/7/69698%20Predictors%20of%20postoperative.pdf Elagili, Faisal and Luca, Stocchi and Ozuner, Gokhan and Mody, Rekha and Baker, Mark E and Kiran, Ravi P (2015) Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage. The American Journal of Surgery, 209 (4). pp. 703-708. ISSN 0002-9610 https://www.americanjournalofsurgery.com/article/S0002-9610(14)00328-6/pdf 10.1016/j.amjsurg.2014.05.018
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RD Surgery
spellingShingle RD Surgery
Elagili, Faisal
Luca, Stocchi
Ozuner, Gokhan
Mody, Rekha
Baker, Mark E
Kiran, Ravi P
Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage
description 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.
format Article
author Elagili, Faisal
Luca, Stocchi
Ozuner, Gokhan
Mody, Rekha
Baker, Mark E
Kiran, Ravi P
author_facet Elagili, Faisal
Luca, Stocchi
Ozuner, Gokhan
Mody, Rekha
Baker, Mark E
Kiran, Ravi P
author_sort Elagili, Faisal
title Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage
title_short Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage
title_full Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage
title_fullStr Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage
title_full_unstemmed Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage
title_sort predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage
publisher Elsevier
publishDate 2015
url 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
first_indexed 2023-09-18T21:38:56Z
last_indexed 2023-09-18T21:38:56Z
_version_ 1777413009243635712

Similar Items