Document Detail

Bile acids and microorganisms in the jejunal lumen after biliary reconstruction in dogs.
MedLine Citation:
PMID:  7582227     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: This study evaluated the composition of various bile acids and microorganisms in the jejunal lumen after using different methods of biliary reconstruction. STUDY DESIGN: A Billroth I biliary reconstruction, in which the biliary tract was directly anastomosed to the alimentary tract, was performed in 16 dogs, including eight with cholecystoduodenostomy (C-D group) and eight with cholecystojejunostomy (C-J group). A Billroth II reconstruction, involving a Rouxen-Y cholecystojejunostomy (R-Y group) in which bile flowed into the jejunal limb, was made in eight dogs. Jejunal fluid samples were used for microbial culture and bile acid assay by high-performance liquid chromatography. RESULTS: The percentage of unconjugated bile acids in the R-Y group (9.96 +/- 2.17 percent) was significantly higher than that observed in the C-D group (0.11 +/- 0.05 percent), and that observed in the C-J group (1.05 +/- 0.72 percent) (p < 0.01). The detection rate of anaerobes was higher in the R-Y group than in the C-D and C-J groups. CONCLUSIONS: This study suggests that due to an increase in unconjugated bile acids after the Billroth II biliary reconstruction the function of digestion and absorption is less well preserved than after the Billroth I method.
T Yamamoto; Y Hamanaka; T Suzuki
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of the American College of Surgeons     Volume:  181     ISSN:  1072-7515     ISO Abbreviation:  J. Am. Coll. Surg.     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1995-12-28     Completed Date:  1995-12-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9431305     Medline TA:  J Am Coll Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  525-9     Citation Subset:  AIM; IM    
Department of Surgery II, Yamaguchi University School of Medicine, Japan.
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MeSH Terms
Bile Acids and Salts / analysis*,  chemistry
Biliary Tract Surgical Procedures / methods*
Intestinal Absorption
Jejunum / chemistry*,  microbiology*,  physiology
Reg. No./Substance:
0/Bile Acids and Salts

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