Goldman L D, Steer M L, Silen W
Am J Surg. 1983 Apr;145(4):450-4. doi: 10.1016/0002-9610(83)90038-7.
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 extra-hepatic biliary obstruction.
在进行胆肠吻合术后，通常认为胆管炎的发生是由于吻合口梗阻所致。本文描述了6例并非如此的患者。胃酸缺乏、十二指肠憩室和异物是重要的诱发因素。当肝内异常胆管树中的细菌污染严重时，尤其是在长期间歇性胆总管梗阻之后，即使没有肝外胆管梗阻，也可能发生有症状的胆道感染。
