Abstract
Two patients with ulcerative colitis and chronic active hepatitis with cirrhosis, who developed Gram negative septicaemia after colonoscopy are described. These and two similar reported cases indicate that giving prophylactic antibiotics to patients with cirrhosis undergoing colonoscopy should be considered, particularly when the cirrhosis is advanced.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Chapman R. W., Arborgh B. A., Rhodes J. M., Summerfield J. A., Dick R., Scheuer P. J., Sherlock S. Primary sclerosing cholangitis: a review of its clinical features, cholangiography, and hepatic histology. Gut. 1980 Oct;21(10):870–877. doi: 10.1136/gut.21.10.870. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dew M. J., Thompson H., Allan R. N. The spectrum of hepatic dysfunction in inflammatory bowel disease. Q J Med. 1979 Jan;48(189):113–135. [PubMed] [Google Scholar]
- Macrae F. A., Tan K. G., Williams C. B. Towards safer colonoscopy: a report on the complications of 5000 diagnostic or therapeutic colonoscopies. Gut. 1983 May;24(5):376–383. doi: 10.1136/gut.24.5.376. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Meyer G. W. Prophylaxis of infective endocarditis during colonoscopy: report of a survey. Gastrointest Endosc. 1981 May;27(2):58–59. doi: 10.1016/s0016-5107(81)73149-3. [DOI] [PubMed] [Google Scholar]
- Olsson R., Hultén L. Concurrence of ulcerative colitis and chronic acitve hepatitis, Clinical courses and results of colectomy. Scand J Gastroenterol. 1975;10(3):331–335. [PubMed] [Google Scholar]
- Runyon B. A. Spontaneous bacterial peritonitis: an explosion of information. Hepatology. 1988 Jan-Feb;8(1):171–175. doi: 10.1002/hep.1840080131. [DOI] [PubMed] [Google Scholar]
- Shrake P. D., Troiano F., Rex D. K. Peritonitis following colonoscopy in a cirrhotic with ascites. Am J Gastroenterol. 1989 Apr;84(4):453–454. [PubMed] [Google Scholar]