Skip to main content

Advertisement

SpringerLink
Log in

Biliary tract

Microbiological analysis of bile during cholangiography

  • News & Views
  • Published:

From Nature Reviews Gastroenterology & Hepatology

View current issue Sign up to alerts

The role of microbiological analysis of bile from patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) is unclear. Although the majority of such patients have positive cultures, only a few develop postprocedural bacteremia or fever. Microbiological bile analysis might, however, have a role in patients with complications of orthotopic liver transplantation and those in whom adequate biliary drainage has not been achieved.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Freeman, M. L. Adverse outcomes of endoscopic retrograde cholangiopancreatography. Rev. Gastroenterol. Disord. 2, 147–168 (2002).

    PubMed  Google Scholar 

  2. Devière, J. et al. Septicemia after endoscopic cholangiopancreatography. Endoscopy 22, 72–75 (1990).

    Article  Google Scholar 

  3. Cotton, P. B., Connor, P., Rawls, E. & Romagnuolo, J. Infection after ERCP, and antibiotic prophylaxis: a sequential quality-improvement approach over 11 years. Gastrointest. Endosc. 67, 471–475 (2008).

    Article  Google Scholar 

  4. Lai, E. C. et al. Endoscopic biliary drainage for severe acute cholangitis. N. Engl. J. Med. 326, 1582–1586 (1992).

    Article  CAS  Google Scholar 

  5. Negm, A. A. et al. Routine bile collection for microbiological analysis during cholangiography and its impact on the management of cholangitis. Gastrointest. Endosc. 72, 284–291 (2010).

    Article  Google Scholar 

  6. Rerknimitr, R. et al. Microbiology of bile in patients with cholangitis or cholestasis with and without plastic biliary endoprosthesis. Gastrointest. Endosc. 56, 885–889 (2002).

    Article  Google Scholar 

  7. Lenz, P. et al. Prevalence, associations, and trends of biliary-tract candidiasis: a prospective observational study. Gastrointest. Endosc. 70, 480–487 (2009).

    Article  Google Scholar 

  8. Allison, M. C. et al. Antibiotic prophylaxis in gastrointestinal endoscopy. Gut 58, 869–880 (2009).

    Article  CAS  Google Scholar 

  9. Suzuki, Y. et al. Bacteriological study of transhepatically aspirated bile. Relation to cholangiographic findings in 295 patients. Dig. Dis. Sci. 29, 109–115 (1984).

    Article  CAS  Google Scholar 

  10. Sand, J., Airo, I., Hiltunen, K. M., Mattila, J. & Nordback, I. Changes in biliary bacteria after endoscopic cholangiography and sphincterotomy. Ann. Surg. 58, 324–328 (1992).

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Translational Gastroenterology, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK

    Antony J. Ellis & Roger W. Chapman

Authors
  1. Antony J. Ellis
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Roger W. Chapman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Antony J. Ellis.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ellis, A., Chapman, R. Microbiological analysis of bile during cholangiography. Nat Rev Gastroenterol Hepatol 7, 655–656 (2010). https://doi.org/10.1038/nrgastro.2010.167

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrgastro.2010.167

  • Springer Nature Limited

This article is cited by

Search

Navigation