title: [Clinical efficacy of nonsurgical treatment of Crohn's disease-related intraabdominal abscess].
abstract: OBJECTIVE
  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 intraabdominal 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 intraabdominal 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.
authors.affiliation: Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Duk Hwan
authors.initials: DH
authors.lastname: Kim
authors.forename: Jae Hee
authors.initials: JH
authors.lastname: Cheon
authors.forename: Chang Mo
authors.initials: CM
authors.lastname: Moon
authors.forename: Jae Jun
authors.initials: JJ
authors.lastname: Park
authors.forename: Song Yi
authors.initials: SY
authors.lastname: Han
authors.forename: Eun Soo
authors.initials: ES
authors.lastname: Kim
authors.forename: Moon Jae
authors.initials: MJ
authors.lastname: Chung
authors.forename: Jin Ha
authors.initials: JH
authors.lastname: Lee
authors.forename: Min Kyu
authors.initials: MK
authors.lastname: Jung
authors.forename: Soo Hyun
authors.initials: SH
authors.lastname: Lee
authors.forename: Jung Woo
authors.initials: JW
authors.lastname: Son
authors.forename: Tae Il
authors.initials: TI
authors.lastname: Kim
authors.forename: Won Ho
authors.initials: WH
authors.lastname: Kim
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D003424:Crohn Disease / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D004322:Drainage; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012008:Recurrence; D012189:Retrospective Studies; D012720:Severity of Illness Index