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Antibiotic Prophylaxis Before Endoscopic Procedures Procedure Indication for antibiotics ERCP without cholangitis (complete drainage) ERCP for obstruction without cholangitis (incomplete drainage) Liver transplant EUS-FNA of solid lesion (upper or lower GI tract) EUS-FNA of mediastinal cysts EUS-FNA of pancreatic or peripancreatic cysts PEG or PEJ initial placement Cirrhosis with GI bleeding Synthetic vascular graft OR prosthetic joints Lower endoscopy in patient undergoing peritoneal dialysis No Yes

If a prescription product is involved, partner pharmacies verify required prescriber details before dispensing

offsite link The water cycle is often taught as a simple, circular cycle of evaporation, condensation, and precipitation

Int Rev Neurobiol 59:327349