The relation between bactobilia and postoperative septic complications in uncomplicated cholelithiasis patients

Abstract

Objectives The objective this study is to find the relation between postoperative septic complications and cultural bacteria in bile of uncomplicated gallstones patients. Background Gallbladder (GB) and biliary tract disease is constant because as they are one of the most common causes of admission to hospital. Bile is usually sterile in healthy individuals, however, in the presence of gallstones in the GB or biliary ducts, it could be colonized with bacteria (bactobilia) in 20–46% of cases. Bactobilia has been shown to be a risk factor predisposing to postoperative septic complications, which are one of the most important concerns of surgeons. Wound infection after elective cholecystectomy uncomplicated symptomatic gallstones ranges from 2.3–20%.(2) Patients and methods Forty cases of chronic calcular cholecystitis at Menoufia University Hospital were selected on clinical diagnosis, ultrasonographic and laboratory findings underwent cholecystectomy. They were divided into two groups, each including 20 patients subjected to sampling of biliary fluid before cholecystectomy. They were sent to be tested for the presence of bacteria with postoperative follow-up for infective complications. Results There was no statistical significant difference between patients of both groups as regarding age or sex, operative data or complications, postoperative hospital stay, postoperative complications during early follow-up, while results revealed that mixed organism was the most finding in bactobilia group. Conclusion From the study we concluded that the infective complications occurs in the presence of bactobilia but also occurred even in equal percentage in absence of bactobilia.