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 |
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container_title | The American journal of surgery |
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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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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.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(83)90038-7</identifier><identifier>PMID: 6837880</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Bile - microbiology ; Cholangitis - etiology ; Cholecystectomy - adverse effects ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications</subject><ispartof>The American journal of surgery, 1983-01, Vol.145 (4), p.450-454</ispartof><rights>1983</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-c69df03f9e2db8726cc2935f3710a3301e1f9853c6cc5b22e565535286be894b3</citedby><cites>FETCH-LOGICAL-c452t-c69df03f9e2db8726cc2935f3710a3301e1f9853c6cc5b22e565535286be894b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9610(83)90038-7$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6837880$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goldman, Leon D.</creatorcontrib><creatorcontrib>Steer, Michael L.</creatorcontrib><creatorcontrib>Silen, William</creatorcontrib><title>Recurrent cholangitis after biliary surgery</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><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.</description><subject>Aged</subject><subject>Bile - microbiology</subject><subject>Cholangitis - etiology</subject><subject>Cholecystectomy - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9LAzEQxYMotVa_gcKeRJHVJLPJJhdBiv-gIIiew252UiPbria7Qr-9qS09ehqG92bmzY-QU0avGWXyhlLKcy0ZvVBwqSkFlZd7ZMxUqXOmFOyT8c5ySI5i_EwtYwWMyEgqKJWiY3L1inYIAZd9Zj-6tlrOfe9jVrkeQ1b71ldhlcUhzDGsjsmBq9qIJ9s6Ie8P92_Tp3z28vg8vZvlthC8z63UjaPgNPKmViWX1nINwkHJaAVAGTKnlQCbBFFzjkIKAYIrWaPSRQ0Tcr7Z-xW67wFjbxY-WmxTOuyGaBQtoCy4TMZiY7ShizGgM1_BL1Jiw6hZMzJrAGYNwCgwf4xMmcbOtvuHeoHNbmgLJem3Gx3Tkz8eg4nW49Ji4wPa3jSd___AL_iqdDo</recordid><startdate>19830101</startdate><enddate>19830101</enddate><creator>Goldman, Leon D.</creator><creator>Steer, Michael L.</creator><creator>Silen, William</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19830101</creationdate><title>Recurrent cholangitis after biliary surgery</title><author>Goldman, Leon D. ; Steer, Michael L. ; Silen, William</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-c69df03f9e2db8726cc2935f3710a3301e1f9853c6cc5b22e565535286be894b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Aged</topic><topic>Bile - microbiology</topic><topic>Cholangitis - etiology</topic><topic>Cholecystectomy - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goldman, Leon D.</creatorcontrib><creatorcontrib>Steer, Michael L.</creatorcontrib><creatorcontrib>Silen, William</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goldman, Leon D.</au><au>Steer, Michael L.</au><au>Silen, William</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrent cholangitis after biliary surgery</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1983-01-01</date><risdate>1983</risdate><volume>145</volume><issue>4</issue><spage>450</spage><epage>454</epage><pages>450-454</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>6837880</pmid><doi>10.1016/0002-9610(83)90038-7</doi><tpages>5</tpages></addata></record> |
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source | MEDLINE; Elsevier ScienceDirect Journals Complete |
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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