Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failure
Background: This study aimed to demonstrate the effectiveness of a percutaneous method for treating intra-abdominal abscesses caused by gastrointestinal anastomotic leakage using tandem catheter placement for simultaneous drainage. Methods: This retrospective study involved 12 patients with intra-a...
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| Format: | Article |
| Language: | English |
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Society of Gastrointestinal Intervention
2025-04-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| Online Access: | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240080 |
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| author | Yutaka Ueno Shuji Kariya Miyuki Nakatani Yasuyuki Ono Takuji Maruyama Yuki Tanaka Kanji Sugiura Noboru Tanigawa |
| author_facet | Yutaka Ueno Shuji Kariya Miyuki Nakatani Yasuyuki Ono Takuji Maruyama Yuki Tanaka Kanji Sugiura Noboru Tanigawa |
| author_sort | Yutaka Ueno |
| collection | DOAJ |
| description | Background: This study aimed to demonstrate the effectiveness of a percutaneous method for treating intra-abdominal abscesses caused by gastrointestinal anastomotic leakage using tandem catheter placement for simultaneous drainage. Methods: This retrospective study involved 12 patients with intra-abdominal abscesses from anastomotic leakage who underwent image-guided percutaneous drainage. In the tandem drainage technique, one or more catheters were inserted into the abscess while an additional catheter was advanced into the gastrointestinal tract through the anastomotic dehiscence to decompress the tract and prevent further leakage. The study evaluated the technical and clinical success rates of this approach. Results: Technical success was achieved in nine of 12 patients (75.0%), with clinical success in eight of these nine patients (88.9%). The mean overall drainage duration after tandem placement was 65.0 days (range, 6-154 days), and the mean hospitalization duration for patients with clinical success was 66.7 days (range, 10-156 days). Conclusion: Simultaneous tandem drainage is a feasible treatment for intra-abdominal abscesses caused by anastomotic leakage and may be a viable option for patients who are not candidates for surgery. |
| format | Article |
| id | doaj-art-0400a484f3fb42e79121e77f70b34cb7 |
| institution | OA Journals |
| issn | 2636-0004 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj-art-0400a484f3fb42e79121e77f70b34cb72025-08-20T02:20:18ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042025-04-01142717610.18528/ijgii240080ijgii240080Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failureYutaka Ueno0Shuji Kariya1Miyuki Nakatani2Yasuyuki Ono3Takuji Maruyama4Yuki Tanaka5Kanji Sugiura6Noboru Tanigawa7Department of Radiology, Kansai Medical University, Osaka, JapanDepartment of Radiology, Kansai Medical University, Osaka, JapanDepartment of Radiology, Kansai Medical University, Osaka, JapanDepartment of Radiology, Kansai Medical University, Osaka, JapanDepartment of Radiology, Kansai Medical University, Osaka, JapanDepartment of Radiology, Kansai Medical University, Osaka, JapanDepartment of Radiology, Kansai Medical University, Osaka, JapanDepartment of Radiology, Kansai Medical University, Osaka, JapanBackground: This study aimed to demonstrate the effectiveness of a percutaneous method for treating intra-abdominal abscesses caused by gastrointestinal anastomotic leakage using tandem catheter placement for simultaneous drainage. Methods: This retrospective study involved 12 patients with intra-abdominal abscesses from anastomotic leakage who underwent image-guided percutaneous drainage. In the tandem drainage technique, one or more catheters were inserted into the abscess while an additional catheter was advanced into the gastrointestinal tract through the anastomotic dehiscence to decompress the tract and prevent further leakage. The study evaluated the technical and clinical success rates of this approach. Results: Technical success was achieved in nine of 12 patients (75.0%), with clinical success in eight of these nine patients (88.9%). The mean overall drainage duration after tandem placement was 65.0 days (range, 6-154 days), and the mean hospitalization duration for patients with clinical success was 66.7 days (range, 10-156 days). Conclusion: Simultaneous tandem drainage is a feasible treatment for intra-abdominal abscesses caused by anastomotic leakage and may be a viable option for patients who are not candidates for surgery.https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240080abscess; anastomotic leak; drainage; peritonitis |
| spellingShingle | Yutaka Ueno Shuji Kariya Miyuki Nakatani Yasuyuki Ono Takuji Maruyama Yuki Tanaka Kanji Sugiura Noboru Tanigawa Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failure International Journal of Gastrointestinal Intervention abscess; anastomotic leak; drainage; peritonitis |
| title | Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failure |
| title_full | Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failure |
| title_fullStr | Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failure |
| title_full_unstemmed | Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failure |
| title_short | Evaluation of simultaneous tandem drainage of intra-abdominal abscesses caused by gastrointestinal anastomotic failure |
| title_sort | evaluation of simultaneous tandem drainage of intra abdominal abscesses caused by gastrointestinal anastomotic failure |
| topic | abscess; anastomotic leak; drainage; peritonitis |
| url | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240080 |
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