Initial management of intraabdominal abscesses and preventive strategies for abscess recurrence in penetrating Crohn's disease: a national multicenter study based on ENEIDA registry.
Diego Casas DezaCristina Polo CuadroRuth de FranciscoMilagros Vela GonzálezFernando BermejoIgnacio BlancoÁlvaro de la SernaLuis BujandaLorena BernalJosé Luis Rueda GarcíaCarla Jerusalén Gargallo-PuyueloEsteban Fuentes-ValenzuelaBeatriz CastroJordi GuardiolaGemma LadrónCarles SuriaJulia Sáez FusterFrancisco Javier García-AlonsoBeatriz SiciliaRaquel GomezCarmen Muñoz VilafrancaManuel Barreiro-de AcostaElena PeñaMarta Castillo PradilloElena CerrilloXavier CalvetNoemí ManceñidoDavid Monfort I MiquelSandra MarínCristina RoigAinhoa MarcePatricia Ramírez de PiscinaElena BetoréAlbert Martin-CardonaMarta TellerInmaculada Alonso AbreuNuria MarotoSantiago FragoDiego GardeazabalIsabel Pérez-MartínezÁngel David Febles GonzálezSara BarreroCarlos TaxoneraIrene García de la FiliaAnder Ezkurra-AltunaLucía MaderoMaría Dolores Martín-ArranzFernando GomollónEugeni DomènechSantiago García-Lópeznull nullPublished in: Journal of Crohn's & colitis (2023)
Small abscesses (<30mm) can be managed with antibiotics alone, while larger ones require drainage. Percutaneous drainage will be effective and safer than surgery in many cases. After discharge, anti-TNF therapy reduces abscess recurrence risk in a similar way to bowel resection.