ISSN |
1007-9327 (print) and 2219-2840 (online) |
Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. |
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Case Control Study |
Article Title |
Recent upper gastrointestinal panendoscopy increases the risk of pyogenic liver abscess
|
Manuscript Source |
Unsolicited Manuscript |
All Author List |
Ming-Jen Tsai, Chin-Li Lu, Ying C. Huang, Chung Hsien Liu, Wan-Ting Huang, Kai-Yuan Cheng and Solomon Chih-Cheng Chen |
Funding Agency and Grant Number |
|
Corresponding Author |
Solomon Chih-Cheng Chen, MD, MS, PhD, Heng Chun Christian Hospital, No. 21, Hengxi Road, Hengchun Township, Pingtung County 946,
Taiwan. solomon.ccc@gmail.com |
Key Words |
Appendicitis; Colonoscopy; Diverticulitis; Gastrointestinal endoscopy; Panendoscopy; Pyogenic liver abscess |
Core Tip |
A pyogenic liver abscess (PLA) is a potential lethal disease with known pathogeneses, including biliary tract infection and portal venous bacterial spreading. Gastrointestinal (GI) endoscopies are common procedures that sometimes have complications of mucosa trauma, local infection, and bacteremia. The relationship between GI endoscopy and subsequent PLA has not yet been documented. This large nested case-control study has shown a significant association between a recent upper GI panendoscopy and increased risk of PLA, though a lower GI endoscopy and the invasive procedure itself of a GI endoscopy did not increase the risk of PLA. Furthermore, patients with diabetes mellitus, end-stage renal disease, liver cirrhosis, biliary tract infection, and GI malignancies could also have a higher risk of PLA. In summary, clinical physician should not ignore the risk of development of PLA after patients receiving an upper GI panendoscopy, especially in those with diabetes mellitus, end-stage renal disease, liver cirrhosis, biliary tract infection, and GI malignancies. |
Publish Date |
2017-04-28 10:26 |
Citation |
Tsai MJ, Lu CL, Huang YC, Liu CH, Huang WT, Cheng KY, Chen SCC. Recent upper gastrointestinal panendoscopy increases the risk of pyogenic liver abscess. World J Gastroenterol 2017; 23(16): 2948-2956 |
URL |
http://www.wjgnet.com/1007-9327/full/v23/i16/2948.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v23.i16.2948 |