Endotoxemia during percutaneous manipulation of the obstructed biliary tree.

@article{Lumsden1989EndotoxemiaDP,
  title={Endotoxemia during percutaneous manipulation of the obstructed biliary tree.},
  author={Alan B. Lumsden and John Michael Henderson and J P Alspaugh},
  journal={American journal of surgery},
  year={1989},
  volume={158 1},
  pages={21-4}
}
Fourteen patients undergoing percutaneous biliary manipulation were studied on 21 occasions. Using a chromogenic limulus-based assay technique, peripheral endotoxin concentration prior to the procedure was found to be 6.1 +/- 9 pg/ml, increasing to 30.7 +/- 26 pg/ml after the procedure (p less than 0.001). Fourteen of 21 bile cultures and only 1 of 21 blood cultures drawn during the procedure were positive for bacterial growth. There was a clinically modest but statistically significant… CONTINUE READING

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