Title: Post-Cholecystectomy Bacterial Study of Gall Stones

Authors: Dr O.K. Maurya, Dr V.K.Gupta

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i1.180

Abstract

Introduction

Infection has been known as a factor for mixed gall stone formation. Welch and Richardson1 observed E.Coli and typhoid bacilli in gall stones. Schistosoma and Ascaris ova have also been frequently noted in centre of gall stones. Infection with E.Coli leads to hydrolysis of conjugated bilirubin to free bilirubin leading to precipitation of bilirubin and subsequent gall stone formation. Gall stone culture and bile culture is suitable method for demonstrating viable bacteria in patients undergoing cholecystectomy.

References

  1. Welch, J.P.et al , Am. J. Surg. 1976, 131:527
  2. Sung J.Y., Shaffer E.A., Olson M.E. et al, Hepatology,1991 14:313
  3. Sung J.Y.,Leung J.W.C., Olson M.E. et al, Dig.Dis.Sci.1991,36:943
  4. Sung J.Y. et al, Dig.Dis.Sci. 1992, 37:689
  5. Hasan SN, Baloch S, Memon F et al. Frequency and type of organisms in Gallstone culture. J Dow Uni Health Sci 2015: 9(1)
  6. AcharyaSuri, Yasir M, Kapoor M, Aiman A, Kumar A .Prospective study on biliary bacteriology in calcular disease of the gall bladder and role of common newer antibiotics. Internet J Surg 2009,22(2):1
  7. Parekh Pratik M, Nimish J Sah,Pokhraj PS et al. Bacteriological analysis of bile in cholecystectomy patients .Int J Res Med Sci.2015 Nov. 3(11): 3091-3096.

Corresponding Author

Dr O.K. Maurya

M.B.B.S.; M.S.(General Surgery); D.A.,

Associate Professor, Department of Surgery,

Nalanda Medical College & Hospital, Patna