ArticleSurgical endoscopy2004
Experience with routine intraabdominal cultures during laparoscopic gastric bypass with implications for antibiotic prophylaxis.
Article in Surgical endoscopy, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 15 citations in OpenAlex.
- Transgastric endoscopic peritoneoscopy does not require decontamination of the stomach in humans.Surgical endoscopy · 2009Trial
- Concurrent minimally invasive bariatric surgery and ventral hernia repair with mesh; Is it safe? Propensity score matching analysis using the 2015-2022 MBSAQIP database.Surgical endoscopy · 2024Article
- Concomitant laparoscopic ventral hernia mesh repair and bariatric surgery: a retrospective study from a tertiary care center.Obesity surgery · 2012Article
- Transgastric instrumentation and bacterial contamination of the peritoneal cavity.Surgical endoscopy · 2008Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTechniques for laparoscopic Roux-en-Y gastric bypass that do not use bowel cross-clamping raise a question of increased risk for infectious complications. However, to the authors' knowledge, no studies have recorded routine intraoperative peritoneal cultures. This article reports the authors' experience with routine peritoneal cultures during laparoscopic Roux-en-Y gastric bypass and the role of antibiotic prophylaxis.
methodsFrom January 2000 to March 2000, 66 consecutive patients undergoing a laparoscopically divided proximal Roux-en-Y gastric bypass had peritoneal fluid aspirated for routine culture. No mechanical or oral antibiotic bowel preparation was used. All the patients received preoperative intravenous antibiotic prophylaxis with Levoquin 500 mg and Flagyl 500 mg. Peritoneal fluid was aspirated from the left gutter near the site of the enteroenterostomy before irrigation with 1,000 ml of normal saline containing 50,000 U of bacitracin and 1 of kanamycin.
resultsThe follow-up period averaged 9 months for 100% of patients. For 15 patients (22.7%), the culture results were positive. The 22 organisms cultured involved 15 streptococcus species, 4 anaerobes, 2 staphylococcus species, and 1 enterobacter. None of the patients experienced a clinical infection or required an extension of antibiotics beyond the first 24 h.
conclusionsThis study demonstrated frequent peritoneal contamination during laparoscopic gastric bypass. Prophylactic intravenous antibiotics and antibiotic irrigation may have reduced the risk of clinically significant infections in this small uncontrolled series.
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