JLE

Hépato-Gastro & Oncologie Digestive

MENU

“Antibioprophylaxy and digestive endoscopy” Volume 17, issue 6, novembre-décembre 2010

Author
Département de gastroentérologie, chemin des Bourrely, Hôpital Nord, 13915 Marseille Cedex 20, France

The indication of antibiotic prophylaxis requires the assessment of three questions: for which patients? For which endoscopic procedures? What kind of antibiotic protocol? The patients concerned by antibiotic prophylaxis have been defined by the American Heart Association (AHA). High risk patients are patients with previous endocarditis, valvular prosthesis, surgical pulmonary shunt, vascular stent of less than one year. In these patients antibiotic prophylaxis has to be systematically applied whereas other patients require antibiotic prophylaxis only in case of high risk procedures. These high risk procedures are ERCP with biliary stenosis or pancreatic pseudocyst, percutaneous endoscopic gastrostomy, sclerosis of esophageal varices, endoscopic dilation of digestive stenosis. Protocols for antibiotic prophylaxis have to be adapted to the bacteria encountered in the digestive lumen, specially in the oral cavity. Up to now, theses protocols are not standardized by a common agreement between the different scientific society of digestive diseases.