{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:47:13Z","timestamp":1753876033757,"version":"3.41.2"},"reference-count":2,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Management of spontaneous intra-abdominal abscess (IAA) in patients with Crohn\u2019s disease (CD) with radiologically guided percutaneous drainage (PD) was debated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This is a secondary analysis from a multicenter, retrospective cohort study of all the patients with CD who underwent PD followed by surgery at 19 international tertiary centers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Seventeen patients (4.8%) who did not undergo surgery after PD were compared to those who had PD followed by surgical intervention 335\/352 (95.2%). Patients who had PD without surgery were those with longer disease duration, more frequently had previous surgery for CD (laparotomies\/laparoscopies), enteric fistula, on steroid treatment before and continue to have it after PD. Patients who had PD without subsequent surgical resection had a higher risk of stoma construction at later stages 8\/17 (47.1%) versus 90\/326 (27.6%) (P\u2005&amp;lt;\u2005.01). Patients with PD with no subsequent surgery had numerically higher rates of abscess recurrence 5\/17 (29.4%) compared to those who had PD followed by surgery 45\/335 (13.4%) the difference was not statistically significant (P\u2005=\u2005.07).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Even with the low number of patients enrolled in this study who had PD of IAA without subsequent surgery, the findings indicate a markedly worse prognosis in terms of recurrence, length of stay, readmission, and stoma construction. Watchful waiting after PD to treat patients with spontaneous IAA might be indicated in selected patients with poor health status or poor prognostic factors.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/crocol\/otad038","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T23:52:09Z","timestamp":1689810729000},"source":"Crossref","is-referenced-by-count":3,"title":["Watchful Waiting After Radiological Guided Drainage of Intra-abdominal Abscess in Patients With Crohn\u2019s Disease Might Be Associated With Increased Rates of Stoma Construction"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0070-8362","authenticated-orcid":false,"given":"Alaa","family":"El-Hussuna","sequence":"first","affiliation":[{"name":"OpenSourceResearch Collaboration , Aalborg , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casper","family":"Steenholdt","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Herlev Hospital , Herlev , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mette Louise","family":"Merrild Karer","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aalborg University , Aalborg , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasja","family":"Nyggard Uldall Nielsen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aalborg University , Aalborg , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Mujukian","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cedars-Sinai Medical Center , Los Angeles, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip R","family":"Fleshner","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cedars-Sinai Medical Center , Los Angeles, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igors","family":"Iesalnieks","sequence":"additional","affiliation":[{"name":"Department of Surgery, St\u00e4dtisches Klinikum M\u00fcnchen Bogenhausen , Munich , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2459-8567","authenticated-orcid":false,"given":"Nir","family":"Horesh","sequence":"additional","affiliation":[{"name":"Sheba Medical Center, Sackler Medical School Tel Aviv University , Ramat Gan , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7156-0588","authenticated-orcid":false,"given":"Uri","family":"Kopylov","sequence":"additional","affiliation":[{"name":"Sheba Medical Center, Sackler Medical School Tel Aviv University , Ramat Gan , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harel","family":"Jacoby","sequence":"additional","affiliation":[{"name":"Sheba Medical Center, Sackler Medical School Tel Aviv University , Ramat Gan , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0592-3712","authenticated-orcid":false,"given":"Hayder Mahmood Waheeb","family":"Alqaisi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aalborg University Hospital , Aalborg , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Colombo","sequence":"additional","affiliation":[{"name":"Division of General and HPB Surgery, Luigi Sacco Hospital , Milano , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca M","family":"Sampietro","sequence":"additional","affiliation":[{"name":"Division of General and HPB Surgery, Luigi Sacco Hospital , Milano , Italy"},{"name":"Surgery, Universit\u00e0 degli Studi di Milano , Milan , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0466-4467","authenticated-orcid":false,"given":"Marco V","family":"Marino","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello , Palermo , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Elleb\u00e6k","sequence":"additional","affiliation":[{"name":"Research Unit for Surgery and IBD-Care, Odense University Hospital, University of Southern Denmark , Odense , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aalborg University Hospital , Aalborg , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerio","family":"Celentano","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital NHS Foundation Trust , London , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikhil","family":"Ladwa","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Mark\u2019s and Northwick Park Hospital , London , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7950-2833","authenticated-orcid":false,"given":"Janindra","family":"Warusavitarne","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Mark\u2019s and Northwick Park Hospital , London , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca","family":"Pellino","sequence":"additional","affiliation":[{"name":"Colorectal Surgery, Vall d\u2019Hebron University Hospital , Barcelona , Spain"},{"name":"Department of Advanced Medical and Surgical Sciences, Universit\u00e0 degli Studi della Campania \u201cLuigi Vanvitelli,\u201d \u00a0 Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aurang","family":"Zeb","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hvidovre Hospital , Hvidovre , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Di Candido","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, IRCCS Humanitas Research Hospital, Humanitas University , Milan , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7010-8584","authenticated-orcid":false,"given":"Luis","family":"Hurtado-Pardo","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital La Fe, University of Valencia , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4753-1832","authenticated-orcid":false,"given":"Matteo","family":"Frasson","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital La Fe, University of Valencia , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2985-8759","authenticated-orcid":false,"given":"Lumir","family":"Kunovsky","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University Hospital Brno, Masaryk University , Brno , Czech Republic"},{"name":"Department of Gastroenterology and Digestive Endoscopy, Masaryk Memorial Cancer Institute , Brno , Czech Republic"},{"name":"Department of Internal Medicine \u2013 Gastroenterology and Geriatrics, University Hospital Olomouc, Faculty of Medicine and Dentistry , Palacky University Olomouc, Olomouc , Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Yalcinkaya","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Gazi University , Ankara , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Alonso","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hospital del Mar , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Pera","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hospital del Mar , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina Ant\u00f3n","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Medicine Faculty, Universidad Francisco de Vitoria , Madrid , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana-Minaya","family":"Bravo","sequence":"additional","affiliation":[{"name":"Medicine Faculty, Universidad Francisco de Vitoria , Madrid , Spain"},{"name":"Colorectal Surgery Unit, Hospital Universitario , Madrid Del Henares , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvaro Garcia","family":"Granero","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit, Hospital Universitario Son Espases , Mallorca , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozan Can","family":"Tatar","sequence":"additional","affiliation":[{"name":"School of Medicine, Kocaeli University , Kocaeli , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonino","family":"Spinelli","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, IRCCS Humanitas Research Hospital, Humanitas University , Milan , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1113-195X","authenticated-orcid":false,"given":"Niels","family":"Qvist","sequence":"additional","affiliation":[{"name":"Research Unit for Surgery and IBD-Care, Odense University Hospital, University of Southern Denmark , Odense , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,7,19]]},"reference":[{"issue":"2","key":"2023102713521450000_CIT0001","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1093\/ecco-jcc\/jjz187","article-title":"ECCO guidelines on therapeutics in Crohn\u2019s disease: surgical treatment","volume":"14","author":"Adamina","year":"2020","journal-title":"J Crohns Colitis"},{"issue":"5","key":"2023102713521450000_CIT0002","doi-asserted-by":"crossref","first-page":"zrab075","DOI":"10.1093\/bjsopen\/zrab075","article-title":"Postoperative complications and waiting time for surgical intervention after radiologically guided drainage of intra-abdominal abscess in patients with Crohn\u2019s disease","volume":"5","author":"El-Hussuna","year":"2021","journal-title":"BJS Open"}],"container-title":["Crohn's &amp; Colitis 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