Risk factors for septicemia following endoscopic biliary stenting

Motte, Serge; Devière, Jacques; Dumonceau, Jean‐Marc; Serruys, Elisabeth Schoutens; Thys, Jean-Pierre; Cremer, Michel

doi:10.1016/0016-5085(91)90091-x

Cited by 162 publications

(85 citation statements)

References 18 publications

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“…Severe health care-associated postendoscopic infections due to P. aeruginosa include sepsis, liver abscess, and ascending cholangitis after flexible GI endoscopy (particularly after ERCP) and bloodstream infection and pneumonia after bronchoscopy. Post-ERCP P. aeruginosa infectious complications occur most frequently in patients with biliary obstruction undergoing endoscopic biliary stenting (94).…”

Section: Bacteriamentioning

confidence: 99%

Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

et al. 2013

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SUMMARY Flexible endoscopy is a widely used diagnostic and therapeutic procedure. Contaminated endoscopes are the medical devices frequently associated with outbreaks of health care-associated infections. Accurate reprocessing of flexible endoscopes involves cleaning and high-level disinfection followed by rinsing and drying before storage. Most contemporary flexible endoscopes cannot be heat sterilized and are designed with multiple channels, which are difficult to clean and disinfect. The ability of bacteria to form biofilms on the inner channel surfaces can contribute to failure of the decontamination process. Implementation of microbiological surveillance of endoscope reprocessing is appropriate to detect early colonization and biofilm formation in the endoscope and to prevent contamination and infection in patients after endoscopic procedures. This review presents an overview of the infections and cross-contaminations related to flexible gastrointestinal endoscopy and bronchoscopy and illustrates the impact of biofilm on endoscope reprocessing and postendoscopic infection.

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Section: Bacteriamentioning

confidence: 99%

Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

et al. 2013

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“…If signs of cholangitis develop, the stent should be replaced in order to avoid the occurrence of life-threatening sepsis. 16 The risk of occlusion of standard polyethylene stents appears to increase progressively after 3 months. In fact, a median patency of 4 to 5 months has been estimated for the 10 Fr plastic stents.…”

Section: Types Of Biliary Stentsmentioning

confidence: 99%

Plastic Biliary Stent Occlusion: Factors Involved and Possible Preventive Approaches

Donelli

Guaglianone

Rosa

et al. 2007

Clinical Medicine & Research

138

114

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“…Risk factors identified as significant in univariate analysis include the use of combined percutaneousendoscopic procedures, stent placement in malignant strictures, the presence of jaundice, low case volume, and incomplete or failed biliary drainage [11] . A special circumstance is the presence of a hilar obstruction (e.g., "Klatskin tumor").…”

Section: Discussionmentioning

confidence: 99%

Contrast-free endoscopic stent insertion in malignant biliary obstruction

Palma

Lombardi²,

Rega³

et al. 2007

WJG

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AIM:To present a case series of MRCP-guided endoscopic biliary stent placement, performed entirely without contrast injection. METHODS:Contrast-free endoscopic biliary drainage was attempted in 20 patients with malignant obstruction, unsuitable for resection on the basis of tumor extent or medical illness. MRCP images were used to confirm the diagnosis of tumor, to exclude other biliary diseases and to demonstrate the stenoses as well as dilation of proximal liver segments. The procedure was carried out under conscious sedation. Patients were placed in the left lateral decubitus position. The endoscope was inserted, the papilla identified and cannulated by a papillotome. A guide wire was inserted and guided deeply into the biliary tree, above the stenosis, by fluoroscopy. A papillotomy approximately 1 cm. long was performed and the papillotome was exchanged with a guiding-catheter. A 10 Fr, Amsterdam-type plastic stent, 7 to 15 cm long, was finally inserted over the guide wire/ guiding catheter by a pusher tube system. RESULTS:Successful stent insertion was achieved in all patients. There were no major complications. Successful drainage, with substantial reduction in bilirubin levels, was achieved in all patients. CONCLUSION:This new method of contrast-free endoscopic stenting in malignant biliary obstruction is a safe and effective method of palliation. However, a larger, randomized study comparing this new approach www.wjgnet.com with the standard procedure is needed to confirm the findings of the present study.

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Risk factors for septicemia following endoscopic biliary stenting

Cited by 162 publications

References 18 publications

Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

Plastic Biliary Stent Occlusion: Factors Involved and Possible Preventive Approaches

Contrast-free endoscopic stent insertion in malignant biliary obstruction

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