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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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Autores principales: Li, Guohua, Zeng, Sheng, Chen, Youxiang, Zhou, Xiaojiang, Lv, Nonghua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427819/
https://www.ncbi.nlm.nih.gov/pubmed/26060492
http://dx.doi.org/10.1155/2015/306938
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author Li, Guohua
Zeng, Sheng
Chen, Youxiang
Zhou, Xiaojiang
Lv, Nonghua
author_facet Li, Guohua
Zeng, Sheng
Chen, Youxiang
Zhou, Xiaojiang
Lv, Nonghua
author_sort Li, Guohua
collection PubMed
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.
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spelling pubmed-44278192015-06-09 Bacteremia after Endoscopic Submucosal Excavation for Treating the Gastric Muscular Layer Tumors Li, Guohua Zeng, Sheng Chen, Youxiang Zhou, Xiaojiang Lv, Nonghua Gastroenterol Res Pract Clinical Study 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. Hindawi Publishing Corporation 2015 2015-04-28 /pmc/articles/PMC4427819/ /pubmed/26060492 http://dx.doi.org/10.1155/2015/306938 Text en Copyright © 2015 Guohua Li et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Li, Guohua
Zeng, Sheng
Chen, Youxiang
Zhou, Xiaojiang
Lv, Nonghua
Bacteremia after Endoscopic Submucosal Excavation for Treating the Gastric Muscular Layer Tumors
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
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427819/
https://www.ncbi.nlm.nih.gov/pubmed/26060492
http://dx.doi.org/10.1155/2015/306938
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