Traslocazione batterica e sua rilevanza chirurgica.

Translated title of the contribution: Bacterial translocation and its surgical implications

P. Sileri, G. S. Sica, Cristiana Rastellini, G. Dicuonzo, A. L. Gaspari, Luca Cicalese

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The passage of viable bacteria through epithelial mucosa into lamina propria and then to mesentheric lymphnodes, and possibly other tissues was defined bacterial translocation (BT) by Berg and Garlington. The transepithelial passage of bacteria out of the intestinal lumen seems to occur in a variety of surgical conditions, and it is suspected to be involved in systemic inflammatory response syndrome, sepsis and multiorgan failure. There is increasing evidence that many nosocomial infections are caused by enteric translocating microorganisms, although the exact incidence of BT in humans is difficult to establish. Consensus is emerging that the barrier function of the gut is relevant in established critical illness and in patients at risk of developing sepsis and clinical studies have provided strong evidence that systemic infections often originate from intestinal flora in high risk patients. So the suspect of BT is made when there is infection after trauma, burns, major surgery, chemotherapy and immuno suppression. Bacterial translocation is also associated with organ transplantation, especially with small bowel transplantation. The Authors have summarized published experimental and clinical studies that have tried to understand the occurrence, mechanisms and effects of this complex process. At the present time there is a near full understanding of the relevance of BT like an interplay of diverse factors in a physiologically, immunologically and microbiologically complex intestinal tract. However additional experimental and clinical studies are needed to clarify the relationship between these phenomena and the development of sepsis or multiple organ dysfunction syndrome.

Original languageItalian
Pages (from-to)440-444
Number of pages5
JournalIl Giornale di chirurgia
Volume20
Issue number10
StatePublished - Oct 1999
Externally publishedYes

Fingerprint

Bacterial Translocation
Sepsis
Mucous Membrane
Bacteria
Systemic Inflammatory Response Syndrome
Multiple Organ Failure
Organ Transplantation
Cross Infection
Infection
Burns
Critical Illness
Transplantation
Drug Therapy
Incidence
Wounds and Injuries
Clinical Studies

ASJC Scopus subject areas

  • Surgery

Cite this

Sileri, P., Sica, G. S., Rastellini, C., Dicuonzo, G., Gaspari, A. L., & Cicalese, L. (1999). Traslocazione batterica e sua rilevanza chirurgica. Il Giornale di chirurgia, 20(10), 440-444.

Traslocazione batterica e sua rilevanza chirurgica. / Sileri, P.; Sica, G. S.; Rastellini, Cristiana; Dicuonzo, G.; Gaspari, A. L.; Cicalese, Luca.

In: Il Giornale di chirurgia, Vol. 20, No. 10, 10.1999, p. 440-444.

Research output: Contribution to journalArticle

Sileri, P, Sica, GS, Rastellini, C, Dicuonzo, G, Gaspari, AL & Cicalese, L 1999, 'Traslocazione batterica e sua rilevanza chirurgica.', Il Giornale di chirurgia, vol. 20, no. 10, pp. 440-444.
Sileri P, Sica GS, Rastellini C, Dicuonzo G, Gaspari AL, Cicalese L. Traslocazione batterica e sua rilevanza chirurgica. Il Giornale di chirurgia. 1999 Oct;20(10):440-444.
Sileri, P. ; Sica, G. S. ; Rastellini, Cristiana ; Dicuonzo, G. ; Gaspari, A. L. ; Cicalese, Luca. / Traslocazione batterica e sua rilevanza chirurgica. In: Il Giornale di chirurgia. 1999 ; Vol. 20, No. 10. pp. 440-444.
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