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Colin J. Mccarthy - One of the best experts on this subject based on the ideXlab platform.
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factors influencing cumulative radiation dose from percutaneous intra Abdominal Abscess drainage in the setting of inflammatory bowel disease
Abdominal Radiology, 2021Co-Authors: Azadeh Tabari, Michael S. Gee, Colin J. MccarthyAbstract:Patients with inflammatory bowel disease (IBD) are at risk for intra-Abdominal Abscesses requiring CT-guided drainage. These patients are at baseline risk of high cumulative radiation exposure from imaging, which may be exacerbated by CT-guided drainage. This study aimed to determine the radiation dose associated with percutaneous drainage in the setting of IBD and identify risk factors associated with high exposure. An IRB-approved single-center retrospective study was performed to identify patients with IBD who underwent percutaneous Abscess drainage over a 5-year period. An episode of drainage was defined from drain placement to removal, with all intervening procedures and diagnostic CT scans included in the cumulative radiation dose. The mean cumulative effective dose for a drainage episode was 47.50 mSv. The mean duration of a drainage episode was 68.7 days. Patients with a cumulative dose greater than 50 mSv required higher number of follow-up visits compared to patients with less than 50 mSv (6.9 vs. 3.5, p = 0.003*). Patients with higher cumulative dose were also more likely to require drain upsize (54% vs. 13%, p = 0.01*) or additional drain placement (63% vs 24%, p = 0.03*) compared to patients with lower dose. Intra-Abdominal Abscess drainage may be associated with significant cumulative radiation exposure. Requirement of drain upsizing or additional drain placement were associated with higher cumulative radiation dose, which may be related to more severe underlying inflammatory bowel disease.
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Factors influencing cumulative radiation dose from percutaneous intra-Abdominal Abscess drainage in the setting of inflammatory bowel disease
Abdominal Radiology, 2020Co-Authors: Azadeh Tabari, Michael S. Gee, Colin J. MccarthyAbstract:Purpose Patients with inflammatory bowel disease (IBD) are at risk for intra-Abdominal Abscesses requiring CT-guided drainage. These patients are at baseline risk of high cumulative radiation exposure from imaging, which may be exacerbated by CT-guided drainage. This study aimed to determine the radiation dose associated with percutaneous drainage in the setting of IBD and identify risk factors associated with high exposure. Methods An IRB-approved single-center retrospective study was performed to identify patients with IBD who underwent percutaneous Abscess drainage over a 5-year period. An episode of drainage was defined from drain placement to removal, with all intervening procedures and diagnostic CT scans included in the cumulative radiation dose. Results The mean cumulative effective dose for a drainage episode was 47.50 mSv. The mean duration of a drainage episode was 68.7 days. Patients with a cumulative dose greater than 50 mSv required higher number of follow-up visits compared to patients with less than 50 mSv (6.9 vs. 3.5, p = 0.003*). Patients with higher cumulative dose were also more likely to require drain upsize (54% vs. 13%, p = 0.01*) or additional drain placement (63% vs 24%, p = 0.03*) compared to patients with lower dose. Conclusion Intra-Abdominal Abscess drainage may be associated with significant cumulative radiation exposure. Requirement of drain upsizing or additional drain placement were associated with higher cumulative radiation dose, which may be related to more severe underlying inflammatory bowel disease.
Azadeh Tabari - One of the best experts on this subject based on the ideXlab platform.
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factors influencing cumulative radiation dose from percutaneous intra Abdominal Abscess drainage in the setting of inflammatory bowel disease
Abdominal Radiology, 2021Co-Authors: Azadeh Tabari, Michael S. Gee, Colin J. MccarthyAbstract:Patients with inflammatory bowel disease (IBD) are at risk for intra-Abdominal Abscesses requiring CT-guided drainage. These patients are at baseline risk of high cumulative radiation exposure from imaging, which may be exacerbated by CT-guided drainage. This study aimed to determine the radiation dose associated with percutaneous drainage in the setting of IBD and identify risk factors associated with high exposure. An IRB-approved single-center retrospective study was performed to identify patients with IBD who underwent percutaneous Abscess drainage over a 5-year period. An episode of drainage was defined from drain placement to removal, with all intervening procedures and diagnostic CT scans included in the cumulative radiation dose. The mean cumulative effective dose for a drainage episode was 47.50 mSv. The mean duration of a drainage episode was 68.7 days. Patients with a cumulative dose greater than 50 mSv required higher number of follow-up visits compared to patients with less than 50 mSv (6.9 vs. 3.5, p = 0.003*). Patients with higher cumulative dose were also more likely to require drain upsize (54% vs. 13%, p = 0.01*) or additional drain placement (63% vs 24%, p = 0.03*) compared to patients with lower dose. Intra-Abdominal Abscess drainage may be associated with significant cumulative radiation exposure. Requirement of drain upsizing or additional drain placement were associated with higher cumulative radiation dose, which may be related to more severe underlying inflammatory bowel disease.
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Factors influencing cumulative radiation dose from percutaneous intra-Abdominal Abscess drainage in the setting of inflammatory bowel disease
Abdominal Radiology, 2020Co-Authors: Azadeh Tabari, Michael S. Gee, Colin J. MccarthyAbstract:Purpose Patients with inflammatory bowel disease (IBD) are at risk for intra-Abdominal Abscesses requiring CT-guided drainage. These patients are at baseline risk of high cumulative radiation exposure from imaging, which may be exacerbated by CT-guided drainage. This study aimed to determine the radiation dose associated with percutaneous drainage in the setting of IBD and identify risk factors associated with high exposure. Methods An IRB-approved single-center retrospective study was performed to identify patients with IBD who underwent percutaneous Abscess drainage over a 5-year period. An episode of drainage was defined from drain placement to removal, with all intervening procedures and diagnostic CT scans included in the cumulative radiation dose. Results The mean cumulative effective dose for a drainage episode was 47.50 mSv. The mean duration of a drainage episode was 68.7 days. Patients with a cumulative dose greater than 50 mSv required higher number of follow-up visits compared to patients with less than 50 mSv (6.9 vs. 3.5, p = 0.003*). Patients with higher cumulative dose were also more likely to require drain upsize (54% vs. 13%, p = 0.01*) or additional drain placement (63% vs 24%, p = 0.03*) compared to patients with lower dose. Conclusion Intra-Abdominal Abscess drainage may be associated with significant cumulative radiation exposure. Requirement of drain upsizing or additional drain placement were associated with higher cumulative radiation dose, which may be related to more severe underlying inflammatory bowel disease.
J P Burke - One of the best experts on this subject based on the ideXlab platform.
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a meta analysis of percutaneous drainage versus surgery as the initial treatment of crohn s disease related intra Abdominal Abscess
Journal of Crohns & Colitis, 2016Co-Authors: Cillian Clancy, Therese Boland, J Deasy, Deborah A Mcnamara, J P BurkeAbstract:Background and Aims: Spontaneous intra-Abdominal Abscess formation is a common complication of Crohn’s disease. Percutaneous drainage [PD] may avoid surgery and preserve bowel length, although there is no consensus on its efficacy as the initial treatment and the associated outcomes if unsuccessful. This study uses meta-analytical techniques to compare the outcomes of PD alone versus primary surgery for Crohn’s-related intra-Abdominal Abscess. Methods: A comprehensive search for comparative studies examining the use of PD and surgery for spontaneous Crohn’s-related intra-Abdominal Abscess was performed. Each study was reviewed and data extracted. Random-effects methods were used to combine data. Results: There were six studies including a total of 333 patients that met the inclusion criteria. Surgery was performed initially in 184 patients, PD was performed in 149. Groups were similar in demographics and Abscess characteristics. There was a significantly higher risk of Abscess recurrence following PD (odds ratio [OR]: 6.544, 95% confidence interval [CI]: 1.783–24.010, p : 0.005]. The pooled proportion of PD patients requiring subsequent surgery was 70.7%. There was no significant difference between approaches in post-procedural complication rate [OR: 0.657, 95% CI: 0.175–2.476, p : 0.535], ultimate permanent stoma requirement [OR: 0.557, 95% CI: 0.147–2.111, p : 0.389] or length of hospital stay [difference in means: -1.006 days, 95% CI: -28.762–26.749, p : 0.943]. Conclusions: PD can avoid surgery in up to 30% of patients presenting with spontaneous Crohn’s-related intra-Abdominal Abscesses. However, the suggested advantages over surgery in relation to complications and length of stay were not apparent. Further studies in this area are needed.
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a meta analysis of percutaneous drainage versus surgery as the initial treatment of crohn s disease related intra Abdominal Abscess
Journal of Crohns & Colitis, 2016Co-Authors: Cillian Clancy, Therese Boland, J Deasy, Deborah A Mcnamara, J P BurkeAbstract:Background and Aims: Spontaneous intra-Abdominal Abscess formation is a common complication of Crohn’s disease. Percutaneous drainage [PD] may avoid surgery and preserve bowel length, although there is no consensus on its efficacy as the initial treatment and the associated outcomes if unsuccessful. This study uses meta-analytical techniques to compare the outcomes of PD alone versus primary surgery for Crohn’s-related intra-Abdominal Abscess. Methods: A comprehensive search for comparative studies examining the use of PD and surgery for spontaneous Crohn’s-related intra-Abdominal Abscess was performed. Each study was reviewed and data extracted. Random-effects methods were used to combine data. Results: There were six studies including a total of 333 patients that met the inclusion criteria. Surgery was performed initially in 184 patients, PD was performed in 149. Groups were similar in demographics and Abscess characteristics. There was a significantly higher risk of Abscess recurrence following PD (odds ratio [OR]: 6.544, 95% confidence interval [CI]: 1.783–24.010, p : 0.005]. The pooled proportion of PD patients requiring subsequent surgery was 70.7%. There was no significant difference between approaches in post-procedural complication rate [OR: 0.657, 95% CI: 0.175–2.476, p : 0.535], ultimate permanent stoma requirement [OR: 0.557, 95% CI: 0.147–2.111, p : 0.389] or length of hospital stay [difference in means: -1.006 days, 95% CI: -28.762–26.749, p : 0.943]. Conclusions: PD can avoid surgery in up to 30% of patients presenting with spontaneous Crohn’s-related intra-Abdominal Abscesses. However, the suggested advantages over surgery in relation to complications and length of stay were not apparent. Further studies in this area are needed.
Michael S. Gee - One of the best experts on this subject based on the ideXlab platform.
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factors influencing cumulative radiation dose from percutaneous intra Abdominal Abscess drainage in the setting of inflammatory bowel disease
Abdominal Radiology, 2021Co-Authors: Azadeh Tabari, Michael S. Gee, Colin J. MccarthyAbstract:Patients with inflammatory bowel disease (IBD) are at risk for intra-Abdominal Abscesses requiring CT-guided drainage. These patients are at baseline risk of high cumulative radiation exposure from imaging, which may be exacerbated by CT-guided drainage. This study aimed to determine the radiation dose associated with percutaneous drainage in the setting of IBD and identify risk factors associated with high exposure. An IRB-approved single-center retrospective study was performed to identify patients with IBD who underwent percutaneous Abscess drainage over a 5-year period. An episode of drainage was defined from drain placement to removal, with all intervening procedures and diagnostic CT scans included in the cumulative radiation dose. The mean cumulative effective dose for a drainage episode was 47.50 mSv. The mean duration of a drainage episode was 68.7 days. Patients with a cumulative dose greater than 50 mSv required higher number of follow-up visits compared to patients with less than 50 mSv (6.9 vs. 3.5, p = 0.003*). Patients with higher cumulative dose were also more likely to require drain upsize (54% vs. 13%, p = 0.01*) or additional drain placement (63% vs 24%, p = 0.03*) compared to patients with lower dose. Intra-Abdominal Abscess drainage may be associated with significant cumulative radiation exposure. Requirement of drain upsizing or additional drain placement were associated with higher cumulative radiation dose, which may be related to more severe underlying inflammatory bowel disease.
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Factors influencing cumulative radiation dose from percutaneous intra-Abdominal Abscess drainage in the setting of inflammatory bowel disease
Abdominal Radiology, 2020Co-Authors: Azadeh Tabari, Michael S. Gee, Colin J. MccarthyAbstract:Purpose Patients with inflammatory bowel disease (IBD) are at risk for intra-Abdominal Abscesses requiring CT-guided drainage. These patients are at baseline risk of high cumulative radiation exposure from imaging, which may be exacerbated by CT-guided drainage. This study aimed to determine the radiation dose associated with percutaneous drainage in the setting of IBD and identify risk factors associated with high exposure. Methods An IRB-approved single-center retrospective study was performed to identify patients with IBD who underwent percutaneous Abscess drainage over a 5-year period. An episode of drainage was defined from drain placement to removal, with all intervening procedures and diagnostic CT scans included in the cumulative radiation dose. Results The mean cumulative effective dose for a drainage episode was 47.50 mSv. The mean duration of a drainage episode was 68.7 days. Patients with a cumulative dose greater than 50 mSv required higher number of follow-up visits compared to patients with less than 50 mSv (6.9 vs. 3.5, p = 0.003*). Patients with higher cumulative dose were also more likely to require drain upsize (54% vs. 13%, p = 0.01*) or additional drain placement (63% vs 24%, p = 0.03*) compared to patients with lower dose. Conclusion Intra-Abdominal Abscess drainage may be associated with significant cumulative radiation exposure. Requirement of drain upsizing or additional drain placement were associated with higher cumulative radiation dose, which may be related to more severe underlying inflammatory bowel disease.
Michael R Curci - One of the best experts on this subject based on the ideXlab platform.
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intra Abdominal Abscess after laparoscopic appendectomy for perforated appendicitis
Archives of Surgery, 2001Co-Authors: Stacy L Krisher, Albert W Dibbins, Nancy Tkacz, Allen Browne, Michael R CurciAbstract:Hypothesis: The incidence of postoperative intraAbdominal Abscess is higher after laparoscopic compared with open appendectomy for perforated appendicitis. Methods: A historical cohort study of pediatric patients operated on for suspected appendicitis by open appendectomy or laparoscopic appendectomy compares the incidence of postoperative intra-Abdominal Abscess for each procedure. Setting: A tertiary care center. Patients: Five hundred thirty-eight pediatric patients were operated on for suspected appendicitis at our institution between 1974 and 1999. Of these, 453 were included in the study. Of the excluded patients, 9 had incomplete medical records, 69 had normal or interval appendectomies, and 7 had appendixes removed by methods other than laparoscopy or right lower quadrant incision. Interventions: Open appendectomy performed through a right lower quadrant incision or laparoscopic appendectomy performed through a 3-trocar approach by 1 of 3 pediatric surgeons at our institution. Main Outcome Measure: The incidence of postoperative intra-Abdominal Abscess after laparoscopic vs open appendectomy.
