Septicemia after endoscopic retrograde cholangiopancreatography

Endoscopy
J DevièreM Cremer

Abstract

Clinical and bacteriological data from 55 patients who developed septicemia within 3 days after ERCP were collected. Forty-four patients presented with septicemia after therapeutic endoscopy, with incomplete drainage in forty, eight after diagnostic ERCP performed in obstructed bile ducts in another center and not followed by endoscopic therapy, and three with a normal common bile duct after diagnostic ERCP. The incidence of septicemia is significantly higher in cases of malignant obstruction than in benign obstruction (21% vs 3%; p less than 0.01), due mainly to the problems of drainage associated with tumoral infiltration. Forty-eight patients (87%) had incomplete bile duct drainage when they developed septicemia, and among the seven remaining cases, 3 had cholecystitis and 3 abscesses in the biliopancreatic area. Previous diagnostic ERCP without drainage was also clearly associated with septicemia after therapeutic ERCP. The most commonly isolated bacteria from blood and bile cultures were Pseudomonas aeruginosa and Escherichia coli. P. aeruginosa was observed mainly in patients referred from other centers after previous diagnostic ERCP, and was unusual in patients without previous ERCP. It is associated with problems in the...Continue Reading

Citations

Apr 8, 2014·Gastroenterología y hepatología·Gloria Fernández-EsparrachÀngels Ginès
Aug 1, 1994·Digestive Diseases and Sciences·C AlvarezH A Reber
Mar 10, 2009·Digestive Diseases and Sciences·Henry HoMichel Kahaleh
Nov 8, 2011·Digestive Diseases and Sciences·Yeon Joo ChunIn-Sik Chung
Oct 20, 2012·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Alireza NorouziRasoul Sotoudehmanesh
Sep 1, 1996·Abdominal Imaging·S A CohenF E Kasmin
Apr 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Rajan Kochar, Subhas Banerjee
May 1, 1991·Gastrointestinal Endoscopy·P B CottonN Nickl
Jul 1, 1992·Gastrointestinal Endoscopy·E KullmanB Anderberg
Apr 1, 2008·Gastrointestinal Endoscopy·Subhas BanerjeeLeslie E Stewart
Jun 5, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Michael J LevyWalter R Wilson
Jun 9, 2007·Gastrointestinal Endoscopy Clinics of North America·Timothy P Kinney
Aug 2, 2006·Gastroenterology Clinics of North America·Waqar A Qureshi
Sep 26, 2006·Gastrointestinal Endoscopy·Ki Tae SukDong Ki Lee
Sep 25, 2008·Nature Clinical Practice. Gastroenterology & Hepatology·Jacques Devière
Jan 5, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kazumichi KawakuboKazuhiko Koike
Apr 1, 2003·Gastrointestinal Endoscopy·Douglas B Nelson
Oct 1, 1996·Gastrointestinal Endoscopy·S N MehtaA N Barkun
Jan 8, 2013·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Goh OhjiKentaro Iwata
Mar 29, 2014·Journal of Vascular and Interventional Radiology : JVIR·Riccardo De RobertisGiancarlo Mansueto
Apr 28, 2004·Clinical Journal of Oncology Nursing·Christine A Muir
Nov 24, 2004·Gastrointestinal Endoscopy·Merete ChristensenJacob Rosenberg
Dec 3, 2010·Nature Reviews. Gastroenterology & Hepatology·Antony J Ellis, Roger W Chapman
Mar 28, 1998·The American Journal of Gastroenterology·M A von WichmannP Lopez
Apr 5, 2013·Clinical Microbiology Reviews·Julia KovalevaJohn E Degener
Nov 1, 1993·The British Journal of Surgery·C M GuthrieD C Carter
Jan 1, 1994·Journal of Gastroenterology and Hepatology·L C MollisonK Breen
Aug 5, 2009·Nature Reviews. Gastroenterology & Hepatology·John G Lee
Apr 6, 2013·Gut and Liver·Min-Sun KwakJoo Kyung Park
Jul 4, 2018·Scientific Reports·Hiroyuki MiyataniSatohiro Matsumoto
May 25, 2021·Gastroenterology Clinics of North America·Zhibo AnNadav Sahar

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