Bacteriologic Studies on the Bile

The formation of gall stone is considered to be occurred by vsrious factors. There major factors have been considered to be of etiologic importance : 1) a physiochemical disorders of bile, 2) stasis of bile, 3) infection or inflammation of the biliary system. Especially, bilirubin stone is found frequently in Korea and the formation of the bilirubin stones is much corelated to the infection or inflammation. This study is a review and analysis of 68 cases of the bile culture in the biliary tract disease that were admitted and treated at Ewha Womans University Hospital from June 1980 to June 1983. The results are as follows : 1) The age group of the highest incidence was 60 decades(29.4%) and 40 decades(25%) in next. 2) There was 22 male 46 female and male to female ratio was 1:2. 3) In 57 cases of calculus biliary tract disease, the location of stone were 29 cases(42.6%)in gall bladder, 11 cases(16.2%) in common bile duct and 11 cases(16.2%)in gall bladder and common bile duct. No stone was 11 cases(16.2%). 4) In 68 cases fo the biliary tract disease, 47 cases(69.1%) were positive culture and in 57 stone cases of biliary tract disease, 44 cases(77.2%) were positive culture. 5) In relation to postop. Dx. and bile culture, the positive culture in G.B. bile was 58.3% and positive culture in CBD bile was 100% in acute cholecystitis with stone cases, where as, the positive G.B. bile culture was 50% and the positive CBD bile was 59.3% in chronic cholecystitis with stone cases.