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

Hiroji Shinkawa, 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

研究成果: Article査読

抄録

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.

本文言語English
ジャーナルSurgery today
DOI
出版ステータスAccepted/In press - 2022

ASJC Scopus subject areas

  • 外科

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