Antibiotic prophylaxis for patients undergoing elective endoscopic retrograde cholangiopancreatography

The Cochrane Database of Systematic Reviews
Martin BrandPeter O'Farrell

Abstract

The use of prophylactic antibiotics before endoscopic retrograde cholangiopancreatography (ERCP) is recommended by all major international gastroenterological societies, especially in the presence of an obstructed biliary system. Their use is intended to decrease or eliminate the incidence of complications following the procedure, namely cholangitis, cholecystitis, septicaemia, and pancreatitis. To assess the benefits and harms of antibiotics before elective ERCP in patients without evidence of acute or chronic cholecystitis, or acute or chronic cholangitis, or severe acute pancreatitis. We searched The Cochrane Hepato-Biliary Group Controlled Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library, MEDLINE, EMBASE, Science Citation Index Expanded, and LILACS until March 2010. Relevant medical and surgical international conference proceedings were also searched. Only randomised clinical trials were included in the analyses, irrespective of blinding, language, or publication status. Participants were patients that underwent elective ERCP that were not on antibiotics, without evidence of acute or chronic cholecystitis, cholangitis, or severe acute pancreatitis before the procedure. We...Continue Reading

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Citations

Jun 22, 2012·World Journal of Gastrointestinal Endoscopy·Juan J VilaJose Pinhata Otoch
Jun 11, 2015·Gastroenterology Research and Practice·Guohua LiNonghua Lv
Aug 4, 2018·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Fernando Alberca de Las ParrasJoaquín León Molina
Jun 19, 2017·The Cochrane Database of Systematic Reviews·Reuben Olugbenga AyelekeVanessa Jordan
Feb 23, 2019·Digestive Diseases and Sciences·Brendan T EverettRichard S Zubarik
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Dec 17, 2019·Anesthesiology·Brooke K DeckerNaomi P O'Grady
Jun 14, 2014·Journal of Hepato-biliary-pancreatic Sciences·Tomoyuki MinamiKazuaki Chayama

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