Bacteremia after Endoscopic Submucosal Excavation for Treating the Gastric Muscular Layer Tumors
Background. The bacteremia is reported as being infrequent and transient in gastric EMR and ESD for treating gastric mucosa lesions or superficial gastric neoplastic lesion. There was no report of it being investigated in ESD for treating gastric muscular layer tumors (endoscopic submucosal excavati...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2015/306938 |
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| author | Guohua Li Sheng Zeng Youxiang Chen Xiaojiang Zhou Nonghua Lv |
| author_facet | Guohua Li Sheng Zeng Youxiang Chen Xiaojiang Zhou Nonghua Lv |
| author_sort | Guohua Li |
| collection | DOAJ |
| description | Background. The bacteremia is reported as being infrequent and transient in gastric EMR and ESD for treating gastric mucosa lesions or superficial gastric neoplastic lesion. There was no report of it being investigated in ESD for treating gastric muscular layer tumors (endoscopic submucosal excavation, ESE). This study aimed to determine the frequency of bacteremia in gastric ESE. Patients and Methods. A prospective study, in 122 consecutive patients who underwent gastric ESE for treating gastric muscular layer tumors, investigated the frequency of bacteremia before and 15 minutes after the procedure. Results. The median time for the total ESE procedure was 29 min (range from 8 to 62 min). The mean size of the biggest diameter of each resected specimen was 10±2.7 mm (range from 5 mm to 30 mm). Blood cultures obtained before ESE were positive in 0% (0/122) of cases. Blood cultures obtained 15 min after ESE were positive in 2.5% (3/122) of cases. Six blood samples contained Staphylococcus with coagulase negative, which was considered contaminant. No signs of sepsis were seen in all patients. Conclusions. The frequency of bacteremia after gastric ESE was low. ESE for treating gastric lesions is thought to have a low risk of infectious complications; therefore, prophylactic administration of antibiotics may not be warranted. |
| format | Article |
| id | doaj-art-fb3a7d10ed504b8897685e77849f9b99 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-fb3a7d10ed504b8897685e77849f9b992025-08-20T03:25:56ZengWileyGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/306938306938Bacteremia after Endoscopic Submucosal Excavation for Treating the Gastric Muscular Layer TumorsGuohua Li0Sheng Zeng1Youxiang Chen2Xiaojiang Zhou3Nonghua Lv4Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, ChinaBackground. The bacteremia is reported as being infrequent and transient in gastric EMR and ESD for treating gastric mucosa lesions or superficial gastric neoplastic lesion. There was no report of it being investigated in ESD for treating gastric muscular layer tumors (endoscopic submucosal excavation, ESE). This study aimed to determine the frequency of bacteremia in gastric ESE. Patients and Methods. A prospective study, in 122 consecutive patients who underwent gastric ESE for treating gastric muscular layer tumors, investigated the frequency of bacteremia before and 15 minutes after the procedure. Results. The median time for the total ESE procedure was 29 min (range from 8 to 62 min). The mean size of the biggest diameter of each resected specimen was 10±2.7 mm (range from 5 mm to 30 mm). Blood cultures obtained before ESE were positive in 0% (0/122) of cases. Blood cultures obtained 15 min after ESE were positive in 2.5% (3/122) of cases. Six blood samples contained Staphylococcus with coagulase negative, which was considered contaminant. No signs of sepsis were seen in all patients. Conclusions. The frequency of bacteremia after gastric ESE was low. ESE for treating gastric lesions is thought to have a low risk of infectious complications; therefore, prophylactic administration of antibiotics may not be warranted.http://dx.doi.org/10.1155/2015/306938 |
| spellingShingle | Guohua Li Sheng Zeng Youxiang Chen Xiaojiang Zhou Nonghua Lv Bacteremia after Endoscopic Submucosal Excavation for Treating the Gastric Muscular Layer Tumors Gastroenterology Research and Practice |
| title | Bacteremia after Endoscopic Submucosal Excavation for Treating the Gastric Muscular Layer Tumors |
| title_full | Bacteremia after Endoscopic Submucosal Excavation for Treating the Gastric Muscular Layer Tumors |
| title_fullStr | Bacteremia after Endoscopic Submucosal Excavation for Treating the Gastric Muscular Layer Tumors |
| title_full_unstemmed | Bacteremia after Endoscopic Submucosal Excavation for Treating the Gastric Muscular Layer Tumors |
| title_short | Bacteremia after Endoscopic Submucosal Excavation for Treating the Gastric Muscular Layer Tumors |
| title_sort | bacteremia after endoscopic submucosal excavation for treating the gastric muscular layer tumors |
| url | http://dx.doi.org/10.1155/2015/306938 |
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