Septicemia after endoscopic retrograde cholangiopancreatography

摘要: Clinical and bacteriological data from 55 patients who developed septicemia within 3 days after ERCP were collected. Forty-four presented with therapeutic endoscopy, incomplete drainage in forty, eight diagnostic performed obstructed bile ducts another center not followed by endoscopic therapy, three a normal common duct ERCP. The incidence of is significantly higher cases malignant obstruction than benign (21% vs 3%; p less 0.01), due mainly to the problems associated tumoral infiltration. Forty-eight (87%) had when they septicemia, among seven remaining cases, cholecystitis abscesses biliopancreatic area. Previous without was also clearly most commonly isolated bacteria blood cultures Pseudomonas aeruginosa Escherichia coli. P. observed referred other centers previous ERCP, unusual It disinfection scopes. Six deaths attributed sepsis, always biliary which could be improved. In related drainage, some infected collections. Careful endoscopes devices mandatory avoid an unacceptably high rate infection.