Brian Stewart Pugmire MD, Presenter: Nothing to Disclose

Michael Stanley Gee MD, PhD, Abstract Co-Author: Nothing to Disclose

Debra Ann Gervais MD, Abstract Co-Author: Research Grant, Covidien AG

1. Abscesses are a common feature of Crohn’s disease (CD) and percutaneous drainage (PD) plays an important role in their management. 2. Technical success rates with PD in pediatric patients with CD are high and PD can serve as a surgical sparing procedure allowing initiation of immunomodulatory or anti-TNF medical therapy or as a bridge to elective surgical intervention when needed. 3. There are specific considerations when performing these procedures in pediatric patients regarding sedation and radiation exposure. 4. Appropriate technique and patient selection help to ensure satisfactory outcomes.  

1. Epidemiology of CD related abscesses in pediatric patients 2. Imaging evaluation of patients with CD related abscess     a. Pros and cons of US, CT, and MRI including a discussion of the relevant imaging features for each modality. 3. Concise review of literature regarding PD drainage in CD related abscesses including technical and clinical success rates 4. Current management of CD related abscesses in pediatric patients including role of PD 5. Clinical and technical considerations     a. Indications and patient selection     b. Sedation     c. Choice of modality for image-guidance and radiation exposure concerns     d. Procedural technique 6. Case examples 7. Conclusion    

http://abstract.rsna.org/uploads/2014/14011983/14011983_bxac.pdf

Pugmire, B, Gee, M, Gervais, D, Role of Percutaneous Abscess Drainage in Pediatric Crohn’s Disease.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14011983.html