Lasers in Medical Science

, Volume 3, Issue 1–4, pp 13–15 | Cite as

Bacteraemia after endoscopic laser therapy of the upper gastrointestinal tract

  • B. Kohler
  • Ch. Ginsbach
  • J. F. Riemann


In this prospective study, the incidence of bacteraemia after laser treatment of stenosing processes in the upper gastrointestinal tract was 35%, two patients (10%) developing sepsis which required treatment with antibiotics. These figures are in agreement with the results seen in other endoscopic operative interventions. Thus, in patients with heart disease or artificial heart valves, it is recommended that antibiotic prophylaxis should accompany this new therapeutic endoscopic approach. Routine prophylactic antibacterial therapy would appear not to be necessary; however, should a fever develop in patients undergoing laser therapy, immediate broad-spectrum antibiotic cover is urgently recommended to prevent septic complications.


Infective Endocarditis Laser Therapy Prosthetic Heart Valve Bacterial Endocarditis Oesophageal Varix 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Botoman VA, Surawicz CM. Bacteremia with gastrointestinal endoscopic procedures.Gastrointest Endosc 1986,32: 342–6PubMedGoogle Scholar
  2. 2.
    Shorvon PJ, Eykyn SJ, Cotton PB. Gastrointestinal instrumentation, bacteraemia and endocarditis.Gut 1983,24: 1078–93PubMedGoogle Scholar
  3. 3.
    Baltsch AL, Buhac I, Agrawal A et al. Bacteremia after upper gastrointestinal endoscopy.Arch Intern Med 1977,137: 594–7CrossRefGoogle Scholar
  4. 4.
    Liebermann TR. Bacteremia and fiberoptic endoscopy.Gastrointest Endosc 1976,23: 36–7PubMedGoogle Scholar
  5. 5.
    Mellow MH, Lewis RJ. Endoscopy-related bacteremia.Arch Intern Med 1976,136: 667–9PubMedCrossRefGoogle Scholar
  6. 6.
    Norfleet RG, Mitchell PD, Mulholland DD, Philo J. Does bacteremia follow upper gastrointestinal endoscopy?Am J Gastroenterol 1981,76: 420–2PubMedGoogle Scholar
  7. 7.
    O'Connor HJ, Hamilton I, Lindn C et al. Bacteremia with upper gastrointestinal endoscopy.Endoscopy 1983,15: 21–3PubMedGoogle Scholar
  8. 8.
    Brayko CM, Kozarek RA, Sanowski RA. Bacteremia during esophageal variceal sklerotherapy.Gastrointest Endosc 1983,29: 159–60Google Scholar
  9. 9.
    Camara DS, Gruber M, Barde CJ et al. Transient bacteremia following endoscopic injection sclerotherapy of esophageal varices.Arch Intern Med 1983,143: 1350–2PubMedCrossRefGoogle Scholar
  10. 10.
    Cohen LB, Korsten MA, Scherl EJ et al. Bacteremia after endoscopic injection sclerosis.Gastrointest Endosc 1983,29: 198–200PubMedGoogle Scholar
  11. 11.
    Sauerbruch T, Holl J, Ruckdeschel G et al. Bacteriaemia associated with endoscopic sclerotherapy of oesophageal varices.Endoscopy 1985,17: 170–2PubMedGoogle Scholar
  12. 12.
    Snady H, Korsten MA, Weye JD. The relationship of bacteremia to the length of injection needle in endoscopic variceal sclerotherapy.Gastrointest Edosc 1985,31: 243–6Google Scholar
  13. 13.
    Wolf D, Fleischer D, Sivak MV Jr. Incidence of bacteremia with elective upper gastrointestinal endoscopic laser therapy.Gastrointest Endosc 1985,31: 247–50PubMedGoogle Scholar
  14. 14.
    Niv Y, Bat L, Motro M. Bacterial endocarditis after Hurst bougienage.Gastrointest Endosc 1985,31: 265–7PubMedGoogle Scholar
  15. 15.
    Yin TP, Dellipiani AW. Bacterial endocarditis after Hurst bougienage in a patient with a benign oesophageal stricture.Endoscopy 1983,15: 27–8PubMedCrossRefGoogle Scholar
  16. 16.
    Kaplan EL, Anthony BF, Bisno A et al. Prevention of bacterial endocarditis.Circulation 1977,56: 139A-43APubMedGoogle Scholar
  17. 17.
    Shulman ST, Amren DP, Bisno AL et al. Prevention of bacterial endocarditis.Circulation 1984,70: 1123A-7APubMedGoogle Scholar

Copyright information

© Baillière Tindall 1988

Authors and Affiliations

  • B. Kohler
    • 1
  • Ch. Ginsbach
    • 1
  • J. F. Riemann
    • 1
  1. 1.Medizinische Klinik C, Klinikum der Stadt Ludwigshafen am RheinLudwigshafen am RheinFR Germany

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