Bacterial peritonitis following esophageal injection sclerotherapy for variceal hemorrhage.
Patients presenting with ascites and upper gastrointestinal hemorrhage were studied prospectively. Five patients presenting with acute variceal hemorrhage were found not to have pre-existing spontaneous bacterial peritonitis on initial paracentesis. However, three of these five developed findings compatible with bacterial peritonitis after sclerotherapy. Although the number of cases is small, our results support the monitoring of ascitic fluid after sclerotherapy.
Tam
F
F
Department of Medicine, University of California, Davis Medical Center, Sacramento 95817.
Chow
H
H
Prindiville
T
T
Cornish
D
D
Haulk
T
T
Trudeau
W
W
Hoeprich
P
P
D000328:Adult; D001202:Ascitic Fluid / Q000032:analysis; D001424:Bacterial Infections / Q000175:diagnosis / Q000209:etiology*; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000628:therapy*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology*; D012189:Retrospective Studies; D015911:Sclerotherapy / Q000009:adverse effects*