Skar V, Skar A G, Midtvedt T, Osnes M
Endoscopy. 1986 Jan;18(1):10-3. doi: 10.1055/s-2007-1018312.
Bacterial growth in the duodenum and in the bile was studied in 30 patients treated by endoscopic papillotomy (EPT) for stones in the common bile duct. Duodenal sampling was done endoscopically with a microbiology specimen brush, and bile was collected from the common bile duct using a catheter designed to avoid contamination from other sources. The same type of fecal flora was found in the duodenum and in the bile. The majority of patients had more than one strain in the duodenum as well as in the bile. Strains belonging to the Enterobacteriaceae and fecal streptococci dominated. Anaerobes were found in the duodenum in 27.7% of the patients, and in the bile in 16.7%. The heavy bacterial infestation of the common bile duct in our patients did not give rise to clinical symptoms.
对30例因胆总管结石接受内镜乳头切开术（EPT）治疗的患者，研究十二指肠和胆汁中的细菌生长情况。采用微生物标本刷经内镜在十二指肠取样，使用特制导管从胆总管收集胆汁以避免其他来源的污染。在十二指肠和胆汁中发现了相同类型的粪便菌群。大多数患者的十二指肠和胆汁中都有不止一种菌株。肠杆菌科和粪链球菌占主导地位。27.7%的患者十二指肠中发现厌氧菌，16.7%的患者胆汁中发现厌氧菌。我们的患者胆总管中严重的细菌感染未引起临床症状。
