論文

基本情報

氏名 加藤 正樹
氏名(カナ) カトウ マサキ
氏名(英語) KATO MASAKI
所属 中村学園大学 栄養科学部 栄養科学科
職名 教授

題名

LOW-FREQUENCY OF BACTEREMIA AFTER ENDOSCOPIC SUBMUCOSAL DISSECTION OF THE STOMACH

単著・共著の別

著者

Soichi Itaba
Yoichiro Iboshi
Kazuhiko Nakamura
Haruei Ogino
Yorinobu Sumida
Akira Aso
Shigetaka Yoshinaga
Hirotada Akiho
Hisato Igarashi
Masaki Kato
Kazuhiro Kotoh
Tetsuhide Ito
Ryoichi Takayanagi

担当区分

概要

Background: 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. Patients and Methods: 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 105 min (range 30-400). The median volume of the submucosal injection was 80 ml (range 20-260). The mean size of the resected specimen was 40 +/- 9.7 mm. 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 10 min after ESD were positive in 4.3% (2/46) of cases; with the same microorganisms being isolated. Blood cultures obtained 3 h after ESD were all negative. No signs of sepsis were seen in the two patients with a positive blood culture 10 min after ESD. Conclusions: 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.

発表雑誌等の名称

DIGESTIVE ENDOSCOPY

出版者

WILEY

23

1

開始ページ

69

終了ページ

72

発行又は発表の年月

2011/01/01

査読の有無

有り

招待の有無

無し

記述言語

英語

掲載種別

研究論文(学術雑誌)

国際・国内誌

国際共著

ISSN

0915-5635

eISSN

DOI

10.1111/j.1443-1661.2010.01066.x

Cinii Articles ID

Cinii Books ID

Pubmed ID

PubMed Central 記事ID

形式

無償ダウンロード

JGlobalID

arXiv ID

ORCIDのPut Code

DBLP ID