@article{73405708ec034a729733a994f518329d,
title = "Survey on the current status of the indication and implementation protocols for bile replacement in patients with external biliary drainage with special reference to infection control",
abstract = "Purpose: This survey of bile replacement (BR) was conducted on patients with external biliary drainage to assess the current status of indication and implementation protocol of BR with special reference to infection control. Methods: A 12-item questionnaire regarding the performance of perioperative BR was sent to 124 institutions in Japan. Results: BR was performed in 29 institutions, and the indication protocol was introduced in 19. BR was performed preoperatively in 11 institutions, pre- and postoperatively in 12, and postoperatively in 6. The methods used for BR administration included oral intake (n = 10), nasogastric tube (n = 1), enteral nutrition tube (n = 3), oral intake and enteral nutrition tube (n = 6), oral intake or nasogastric tube (n = 2), nasogastric tube and enteral nutrition tube (n = 2), and oral intake or nasogastric tube and enteral nutrition tube (n = 5). In 10 of 29 institutions, isolation of multidrug-resistant organisms and a high bacterial load were considered contraindications for the use of BR. Seven institutions experienced environmental contamination. Conclusions: Given the different implementation of BR among institutions, the appropriate indication and protocols for BR should be established for infection control.",
keywords = "Bacterial load, Bile replacement, External biliary drainage, Indication",
author = "Hiroji Shinkawa and Shoji Kubo and Hiroshige Mikamo and Naoyuki Matsuda and Kenji Omura and Kohji Okamoto and Satoshi Ono and Hideaki Obara and Minako Kobayashi and Junichi Sasaki and Junzo Shimizu and Susumu Sueyoshi and Junichi Yoshida and Manabu Watanabe and Yoshio Takesue",
note = "Funding Information: This survey was carried out as a project of the Japan Society for Surgical Infection. Participating institutions were as follows: Aichi Medical University Hospital, Asahi Rosai Hospital, Bungoono City Hospital, Chiba Cancer Center, Chiba Rosai Hospital, University of Miyazaki Hospital, Fuji City General Hospital, Fujinomiya City General Hospital, Hiratsuka City Hospital, Hiroshima City Hiroshima Citizens Hospital, Hiroshima University Hospital, Imamura General Hospital, Itoigawa General Hospital, JA Hiroshima General Hospital, JR Sapporo Hospital, Juntendo University Urayasu Hospital, Kanmon Medical Center, Kansai Electric Power Hospital, Kansai Medical University Hospital, Kansai Rosai Hospital, Kanto Central Hospital, Keio University Hospital, Kindai Univerisity Hospital, Kindai University Nara Hospital, Kitakyushu City Yahata Hospital, Kitasato University Hospital, Kochi Health Sciences Center, Kochi Medical School Hospital, Kyoto Teishin Hospital, Machida Municipal Hospital, Matsue City Hospital, Mazda Hospital, Meiwa Hospital, Mie University Hospital, Morioka Red Cross Hospital, Murakami General Hospital, Mutsu General Hospital, Nagano Municipal Hospital, Nagoya City West Medical Center, Nagoya University Hospital, Nara Medical University Hospital, National Cancer Center Hospital East, National Center for Geriatrics and Gerontology, National Defense Medical College Hospital, National Hospital Organization Osaka National Hospital, National Hospital Organization Mito Medical Center, NTT Medical Center Tokyo, Osaka City General Hospital, Osaka City Juso Hospital, Osaka City University Hospital, Osaka Minami Medical Center, Osaka Rosai Hospital, Rumoi City Hospital, Saiseikai Niigata Second Hospital, Saitama Medical University International Medical Center, Saitama Sekishinkai Hospital, Saka General Hospital, Sapporo Medical University, Shiga University of Medical Science, Shinsei Hospital, Shirakawa Hospital, Shizuoka City Shimizu Hospital, Shizuoka City Shizuoka Hospital, Teikyo University Hospital, Teine Keijinkai Hospital, The Jikei University Hospital, The University of Tokyo Hospital, Toho University Ohashi Medical Center, Tohoku University Hospital, Tokyo Women{\textquoteright}s Medical University, Toto Bunkyo Hospital, Toyota Kosei Hospital, University Hospital Kyoto Prefectural University of Medicine, and Yonezawa City Hospital. Publisher Copyright: {\textcopyright} 2022, The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.",
year = "2022",
month = oct,
doi = "10.1007/s00595-022-02475-x",
language = "English",
volume = "52",
pages = "1446--1452",
journal = "Surgery today",
issn = "0941-1291",
publisher = "Springer Japan",
number = "10",
}