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KMID : 0371319690110010055
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Journal of the Korean Surgical Society
1969 Volume.11 No. 1 p.55 ~ p.64
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Microflora of the the Small Intestine in Peptic Ulcer , Gastric Carcinoma and Biliary Diseases
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Abstract
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Microflora of the proximal jejunum and distal ileum were studied with the specimens obtained directly by needle aspiration at laparotomy for gastric ulcer (5 cases), duodenal ulcer (5 cases), Gastric Carcinoma (13 cases) and biliary diseases (8 cases).
The result obtained were as follows:
1. Among the total 31 cases, porximal jejunum was sterile in 8 cases. while distal ileum was sterile in only 3 cases. In peptic ulcers, the proximal jejunum was sterile in 40% of cases, whil in gastic carcinoma and biliary diseases only about 15% and 25% of the respective group were sterile. Such differences between the peptic ulcer and gastric carcinoma or biliary disases were not observed in the distal ileum.
2. If we define significant growth as at least 10,000 organisms per c.c. of specimen as has been suggested by M.H. Kalser et al, significant growth was seen in proximal jejunum in Il cases and in distal ileum in 17 cases out of total 31 cases of each. In the proximal jejunum of peptic ulcers, significant growth was seen in only 2 cases (20%), of duodenal ulcers, while in gastric carcinomas and biliary diseases 5 cases of each (38.5% and 62.5% respectively) showed significant growth. Here again, no significant differences were noticed in the distal ileum between the peptic ulcers and gastric carcinomas or biliary diseases.
3. Organisms isolated from the porximal jejunum were staphylococcus, α-Hemolytic streptococcus, Nonhemolytic streptococcus, Anaerobic bacilli and E. coli in peptic ulcer cases. Anaerobic bacilli, E. coli, candida, α-hemolytic streptococecus, Non-hemolytic streptococcus and Anaerobic streptococcus in gastric carcinoma cases. E. coli, Anaerobic streptococcus, α-hemolytic streptcoocus, Candida and Staphylococcus in Biliary diseases. Among these, the most common organisms which have highest isolation rate and population were Staphylococcus in peptic ulcer, Anaerbbic bacilli, E. coli and Candida in gastric carcinoma, and E. coli in biliary diseases.
Organism isolated from the distal ileum E. coli, Anaerobic streptococcus, Anaerobic bacilli, Candida and Staphylococcus in peptic ulcer, E. coli, α-Hemolytic streptococcus, Anaerobic bacilli, Anaerobic streptococcus, Candida, Non-hemolytic streptococcus and staphylococcus in gastric carcinoma, and E. coli, Anaerobic streptococcous. Anaenobic bacilli, staphylococcus and α-Hemolytic streptococcus in biliary diseases. Among these, the most common organisms were E coli. Anaerobic streptococcus and Anaerobic bacilli in peptic ulcer, E. coli, Aonaerobic bacilli, and α-Hemolytic streptococcus in gastric carcinoma and E. coli in biliary diseases.
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