IIUM Repository (IREP)

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

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

[img] PDF - Published Version
Restricted to Repository staff only

Download (147kB) | Request a copy

Abstract

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.

Item Type: Article (Journal)
Additional Information: 8115/69698
Uncontrolled Keywords: Sigmoid diverticulitis; Diverticular abscess; Percutaneous drainage; Postoperative outcomes
Subjects: R Medicine > RD Surgery
Kulliyyahs/Centres/Divisions/Institutes: Kulliyyah of Medicine
Depositing User: Asst Prof Faisal Elagili
Date Deposited: 03 Apr 2019 09:48
Last Modified: 03 Apr 2019 09:49
URI: http://irep.iium.edu.my/id/eprint/69698

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year