TY - JOUR
T1 - Low-frequency of bacteremia after endoscopic submucosal dissection of the stomach.
AU - Itaba, Soichi
AU - Iboshi, Yoichiro
AU - Nakamura, Kazuhiko
AU - Ogino, Haruei
AU - Sumida, Yorinobu
AU - Aso, Akira
AU - Yoshinaga, Shigetaka
AU - Akiho, Hirotada
AU - Igarashi, Hisato
AU - Kato, Masaki
AU - Kotoh, Kazuhiro
AU - Ito, Tetsuhide
AU - Takayanagi, Ryoichi
PY - 2011/1
Y1 - 2011/1
N2 - Mainstream therapy for early gastric cancer in Japan has now shifted from endoscopic mucosal resection (EMR) to endoscopic submucosal dissection (ESD). Although bacteremia is reported as being infrequent and transient in gastric EMR, there are no reports of it being investigated in gastric ESD. This study aimed to determine the frequency of bacteremia in gastric ESD. A prospective study, in 46 consecutive patients who underwent gastric ESD, investigated the frequency of bacteremia before and after the procedure. Results: The median time for the total ESD procedure was 105min (range 30-400). The median volume of the submucosal injection was 80ml (range 20-260). The mean size of the resected specimen was 40±9.7mm. Blood cultures obtained before ESD were positive in 4.4% (2/45) of cases. Bacillus subtilis and Bacillus spp. were the isolated microorganisms. Blood cultures obtained 10min after ESD were positive in 4.3% (2/46) of cases; with the same microorganisms being isolated. Blood cultures obtained 3h after ESD were all negative. No signs of sepsis were seen in the two patients with a positive blood culture 10min after ESD. The frequency of bacteremia after gastric ESD was low and transient. ESD for gastric lesions is thought to have a low risk of infectious complications; therefore, prophylactic administration of antibiotics may not be warranted.
AB - Mainstream therapy for early gastric cancer in Japan has now shifted from endoscopic mucosal resection (EMR) to endoscopic submucosal dissection (ESD). Although bacteremia is reported as being infrequent and transient in gastric EMR, there are no reports of it being investigated in gastric ESD. This study aimed to determine the frequency of bacteremia in gastric ESD. A prospective study, in 46 consecutive patients who underwent gastric ESD, investigated the frequency of bacteremia before and after the procedure. Results: The median time for the total ESD procedure was 105min (range 30-400). The median volume of the submucosal injection was 80ml (range 20-260). The mean size of the resected specimen was 40±9.7mm. Blood cultures obtained before ESD were positive in 4.4% (2/45) of cases. Bacillus subtilis and Bacillus spp. were the isolated microorganisms. Blood cultures obtained 10min after ESD were positive in 4.3% (2/46) of cases; with the same microorganisms being isolated. Blood cultures obtained 3h after ESD were all negative. No signs of sepsis were seen in the two patients with a positive blood culture 10min after ESD. The frequency of bacteremia after gastric ESD was low and transient. ESD for gastric lesions is thought to have a low risk of infectious complications; therefore, prophylactic administration of antibiotics may not be warranted.
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U2 - 10.1111/j.1443-1661.2010.01066.x
DO - 10.1111/j.1443-1661.2010.01066.x
M3 - Article
C2 - 21198920
AN - SCOPUS:79956341161
SN - 0915-5635
VL - 23
SP - 69
EP - 72
JO - Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
JF - Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
IS - 1
ER -
