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 |
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Elsevier
2015
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| Online Access: | http://irep.iium.edu.my/69698/ http://irep.iium.edu.my/69698/7/69698%20Predictors%20of%20postoperative.pdf |
| _version_ | 1848787160763727872 |
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| 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 |
| building | IIUM Repository |
| collection | Online Access |
| 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. |
| first_indexed | 2025-11-14T17:20:31Z |
| format | Article |
| id | iium-69698 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T17:20:31Z |
| publishDate | 2015 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| 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 |
| 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 |
| title | 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_short | 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 |
| topic | RD Surgery |
| 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 |