Recurrent cholangitis after biliary surgery

After a biliary-enteric anastomosis, the development of cholangitis is usually assumed to be due to obstruction of the stoma. Six patients in whom this was not the case are described. Achlorhydria, duodenal diverticula, and foreign bodies are important predisposing factors. When bacterial contaminat...

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Veröffentlicht in:The American journal of surgery 1983-01, Vol.145 (4), p.450-454
Hauptverfasser: Goldman, Leon D., Steer, Michael L., Silen, William
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creator Goldman, Leon D.
Steer, Michael L.
Silen, William
description After a biliary-enteric anastomosis, the development of cholangitis is usually assumed to be due to obstruction of the stoma. Six patients in whom this was not the case are described. Achlorhydria, duodenal diverticula, and foreign bodies are important predisposing factors. When bacterial contamination is severe in an abnormal intrahepatic biliary tree, especially that which follows long-standing intermittent common duct obstruction, symptomatic biliary infection may occur in the absence of extrahepatic biliary obstruction.
doi_str_mv 10.1016/0002-9610(83)90038-7
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subjects Aged
Bile - microbiology
Cholangitis - etiology
Cholecystectomy - adverse effects
Female
Humans
Male
Middle Aged
Postoperative Complications
title Recurrent cholangitis after biliary surgery
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