July 1983

Transient Bacteremia Following Endoscopic Injection Sclerotherapy of Esophageal Varices

Author Affiliations

From the Division of Gastroenterology and the Departments of Medicine (Drs Camara and Barde and Ms Gruber), Pathology (Dr Montes), and Surgery (Dr Caruana), Buffalo Veterans Administration Medical Center and the State University of New York at Buffalo; and the Department of Surgery, Upstate New York Medical Center, Syracuse (Dr Chung).

Arch Intern Med. 1983;143(7):1350-1352. doi:10.1001/archinte.1983.00350070066013

• The incidence of transient bacteremia following endoscopic injection sclerotherapy of esophageal varices was evaluated in 18 patients subjected to 40 sessions of injection sclerotherapy. Blood cultures were obtained before sclerotherapy and at five minutes, 30 minutes, and 24 hours after sclerotherapy. The injectors as well as the endoscope were cultured before and after the procedure. Blood cultures were positive in two patients after injection scierotherapy (Enterobacter cloacae and Staphylococcus species, coagulase-negative, respectively) for an incidence of 5% of transient bacteremia. Pseudomonas aeruginosa was the most frequent bacteria isolated from the injector after sclerotherapy. We conclude that the incidence of transient bacteremia after sclerotherapy is no higher than routine upper-intestinal endoscopy.

(Arch Intern Med 1983;143:1350-1352)