Catanzano C, De Palma G D, Manguso L, Sivero L, Caiazzo C
Università degli Studi di Napoli, II Facoltà di Medicina e Chirurgia, Servizio di Endoscopia Digestiva Operatoria.
Minerva Med. 1989 Apr;80(4):357-61.
Selective sampling from the main bile way using endoscopic catheterization was used in the attempt to establish parameters capable of identifying patients at risk of septic complications following endoscopic cholangiopancreatography. The results obtained evidenced a significant relationship between neoplastic type obstructions of the main bile way, age of patient and positive bile culture with increased risk of septic complications. The advisability of using local and/or systemic antibiotic prophylaxis in elderly patients with suspected neoplastic obstruction of the bile way and thus candidates for endoscopic cholangiopancreatography is considered.
为了确定能够识别内镜下胆胰管造影术后有败血症并发症风险患者的参数，采用了经内镜导管插入术从主胆管进行选择性采样。获得的结果表明，主胆管肿瘤性梗阻类型、患者年龄和胆汁培养阳性与败血症并发症风险增加之间存在显著关系。考虑了对怀疑有胆管肿瘤性梗阻并因此可能接受内镜下胆胰管造影术的老年患者使用局部和/或全身抗生素预防的合理性。
