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@article{2268697,
author = {Svatoň, Roman and Procházka, Vladimír and Hanslianová, Markéta and Kala, Zdeněk},
article_location = {SINGAPORE},
article_number = {3},
doi = {http://dx.doi.org/10.1016/j.asjsur.2022.08.072},
keywords = {Bacteriobilia; Complications; Periampullary tumor},
language = {eng},
issn = {1015-9584},
journal = {Asian Journal of Surgery},
title = {Influence of bacteriobilia on postoperative complications in patients with periampullary tumors},
url = {https://www.sciencedirect.com/science/article/pii/S1015958422011873},
volume = {46},
year = {2023}
}
TY - JOUR
ID - 2268697
AU - Svatoň, Roman - Procházka, Vladimír - Hanslianová, Markéta - Kala, Zdeněk
PY - 2023
TI - Influence of bacteriobilia on postoperative complications in patients with periampullary tumors
JF - Asian Journal of Surgery
VL - 46
IS - 3
SP - 1193-1198
EP - 1193-1198
PB - ELSEVIER SINGAPORE PTE LTD
SN - 10159584
KW - Bacteriobilia
KW - Complications
KW - Periampullary tumor
UR - https://www.sciencedirect.com/science/article/pii/S1015958422011873
N2 - Background Periampullary tumours (PAT) may cause obstruction of distal choledochus. The bile stasis is a risk factor for microbial colonisation of bile (bacteriobilia), cholangitis, hepatic insufficiency and coagulopathy. PAT obstruction can be managed surgically or non-operatively - by inserting a biliary drain or stent (BDS). Although BDS allows for adequate bile drainage, liver function restitution and coagulopathy, increased bacteriobilia has been reported and this is associated with an increased incidence of postoperative complications. Methods A monocentric, prospective, comparative study including 100 patients operated with PAT. The effects of bacteriobilia and the presence of a drain in the biliary tract on the development of postoperative complications were evaluated. Results Positive microbial findings in bile were found in 67% of patients. It was 98% in the biliary drain group vs. 36% in non-drained patients (p = 0.0001). In 68% 2 or more different bacterial strains were simultaneously present (p = 0.0001). Patients with a positive microbial finding in bile had more frequent incidence of infectious complications 40.2% (27) vs. 9.1% (3); p = 0.0011. The most frequent infectious complication was wound infection 29.8% (20) vs. 3.03% (1); p = 0.0014. Similarly, a higher incidence of postoperative infectious complications occurred in patients with BDS - 36% (18) vs. 24% (12); p = 0.2752. Conclusion The presence of a drain or stent in the biliary tract significantly increases the microbial colonisation of bile. It is associated with a significant increase in infectious complications, especially infections in the wound.
ER -
SVATOŇ, Roman, Vladimír PROCHÁZKA, Markéta HANSLIANOVÁ a Zdeněk KALA. Influence of bacteriobilia on postoperative complications in patients with periampullary tumors. \textit{Asian Journal of Surgery}. SINGAPORE: ELSEVIER SINGAPORE PTE LTD, 2023, roč.~46, č.~3, s.~1193-1198. ISSN~1015-9584. Dostupné z: https://dx.doi.org/10.1016/j.asjsur.2022.08.072.
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