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Survey on the current status of the indication and implementation protocols for bile replacement in patients with external biliary drainage with special reference to infection control

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Abstract

Purpose

This survey of bile replacement (BR) was conducted on patients with external biliary drainage to assess the current status of indication and implementation protocol of BR with special reference to infection control.

Methods

A 12-item questionnaire regarding the performance of perioperative BR was sent to 124 institutions in Japan.

Results

BR was performed in 29 institutions, and the indication protocol was introduced in 19. BR was performed preoperatively in 11 institutions, pre- and postoperatively in 12, and postoperatively in 6. The methods used for BR administration included oral intake (n = 10), nasogastric tube (n = 1), enteral nutrition tube (n = 3), oral intake and enteral nutrition tube (n = 6), oral intake or nasogastric tube (n = 2), nasogastric tube and enteral nutrition tube (n = 2), and oral intake or nasogastric tube and enteral nutrition tube (n = 5). In 10 of 29 institutions, isolation of multidrug-resistant organisms and a high bacterial load were considered contraindications for the use of BR. Seven institutions experienced environmental contamination.

Conclusions

Given the different implementation of BR among institutions, the appropriate indication and protocols for BR should be established for infection control.

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Acknowledgements

This survey was carried out as a project of the Japan Society for Surgical Infection. Participating institutions were as follows: Aichi Medical University Hospital, Asahi Rosai Hospital, Bungoono City Hospital, Chiba Cancer Center, Chiba Rosai Hospital, University of Miyazaki Hospital, Fuji City General Hospital, Fujinomiya City General Hospital, Hiratsuka City Hospital, Hiroshima City Hiroshima Citizens Hospital, Hiroshima University Hospital, Imamura General Hospital, Itoigawa General Hospital, JA Hiroshima General Hospital, JR Sapporo Hospital, Juntendo University Urayasu Hospital, Kanmon Medical Center, Kansai Electric Power Hospital, Kansai Medical University Hospital, Kansai Rosai Hospital, Kanto Central Hospital, Keio University Hospital, Kindai Univerisity Hospital, Kindai University Nara Hospital, Kitakyushu City Yahata Hospital, Kitasato University Hospital, Kochi Health Sciences Center, Kochi Medical School Hospital, Kyoto Teishin Hospital, Machida Municipal Hospital, Matsue City Hospital, Mazda Hospital, Meiwa Hospital, Mie University Hospital, Morioka Red Cross Hospital, Murakami General Hospital, Mutsu General Hospital, Nagano Municipal Hospital, Nagoya City West Medical Center, Nagoya University Hospital, Nara Medical University Hospital, National Cancer Center Hospital East, National Center for Geriatrics and Gerontology, National Defense Medical College Hospital, National Hospital Organization Osaka National Hospital, National Hospital Organization Mito Medical Center, NTT Medical Center Tokyo, Osaka City General Hospital, Osaka City Juso Hospital, Osaka City University Hospital, Osaka Minami Medical Center, Osaka Rosai Hospital, Rumoi City Hospital, Saiseikai Niigata Second Hospital, Saitama Medical University International Medical Center, Saitama Sekishinkai Hospital, Saka General Hospital, Sapporo Medical University, Shiga University of Medical Science, Shinsei Hospital, Shirakawa Hospital, Shizuoka City Shimizu Hospital, Shizuoka City Shizuoka Hospital, Teikyo University Hospital, Teine Keijinkai Hospital, The Jikei University Hospital, The University of Tokyo Hospital, Toho University Ohashi Medical Center, Tohoku University Hospital, Tokyo Women’s Medical University, Toto Bunkyo Hospital, Toyota Kosei Hospital, University Hospital Kyoto Prefectural University of Medicine, and Yonezawa City Hospital.

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Authors and Affiliations

  1. Department of Hepato-Biliary-Pancreatic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan

    Hiroji Shinkawa & Shoji Kubo

  2. Department of Clinical Infectious Diseases, Aichi Medical University, Aichi, Japan

    Hiroshige Mikamo

  3. Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan

    Naoyuki Matsuda

  4. Department of Surgery, Ageo Central General Hospital, Saitama, Japan

    Kenji Omura

  5. Department of Surgery, Center for Gastroenterology and Liver Disease, Kitakyushu City Yahata Hospital, Fukuoka, Japan

    Kohji Okamoto

  6. Department of Surgery, Gastroenterological Center, Shinkuki General Hospital, Saitama, Japan

    Satoshi Ono

  7. Department of Surgery, Keio University School of Medicine, Tokyo, Japan

    Hideaki Obara

  8. Department of Infection Control and Prevention, Nippon Medical School Musashikosugi Hospital, Kanagawa, Japan

    Minako Kobayashi

  9. Department of Emergency and Critical Care Medicine, Keio University School of Medicine, Tokyo, Japan

    Junichi Sasaki

  10. Department of Surgery, Toyonaka Municipal Hospital, Osaka, Japan

    Junzo Shimizu

  11. Department of Surgery, Omuta City Hospital, Fukuoka, Japan

    Susumu Sueyoshi

  12. Department of Surgery/Chest Surgery, Shimonoseki City Hospital, Shimonoseki, Japan

    Junichi Yoshida

  13. Department of Surgery, Toho University Ohashi Medical Center, Tokyo, Japan

    Manabu Watanabe

  14. Department of Infection Control and Prevention, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan

    Yoshio Takesue

  15. Medical Quality and Safety Committee, Japan Society of Surgical Infection, Tokyo, Japan

    Shoji Kubo, Hiroshige Mikamo, Naoyuki Matsuda, Kenji Omura, Kohji Okamoto, Satoshi Ono, Hideaki Obara, Minako Kobayashi, Junichi Sasaki, Junzo Shimizu, Susumu Sueyoshi, Junichi Yoshida, Manabu Watanabe & Yoshio Takesue

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  1. Hiroji Shinkawa
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  2. Shoji Kubo
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  3. Hiroshige Mikamo
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  8. Hideaki Obara
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  9. Minako Kobayashi
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  14. Manabu Watanabe
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  15. Yoshio Takesue
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Correspondence to Hiroji Shinkawa.

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Shinkawa, H., Kubo, S., Mikamo, H. et al. Survey on the current status of the indication and implementation protocols for bile replacement in patients with external biliary drainage with special reference to infection control. Surg Today 52, 1446–1452 (2022). https://doi.org/10.1007/s00595-022-02475-x

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  • DOI: https://doi.org/10.1007/s00595-022-02475-x

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