The role of microbiological analysis of bile from patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) is unclear. Although the majority of such patients have positive cultures, only a few develop postprocedural bacteremia or fever. Microbiological bile analysis might, however, have a role in patients with complications of orthotopic liver transplantation and those in whom adequate biliary drainage has not been achieved.
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Ellis, A., Chapman, R. Microbiological analysis of bile during cholangiography. Nat Rev Gastroenterol Hepatol 7, 655–656 (2010). https://doi.org/10.1038/nrgastro.2010.167
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DOI: https://doi.org/10.1038/nrgastro.2010.167
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