Conclusions
1. There is a definite relationship between gastric acidity and biliary infection, proved by pre-operative determination of gastric acidity and bacteriological studies of the biliary tract at operation.
2. Cultures of duodenal bile obtained by the encapsulated method show results more in accordance with operative findings in the same patients.
3. Interpretation of the results of sterile cultures of duodenal bile should be made only with a knowledge of the gastric acidity in each case.
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From the Departments of Surgery and Medicine of the New York Post Graduate Hospital.
This work has been aided by a grant from the Oliver Rea Fund.
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Twiss, J.R., Hanssen, E.C. Bacteriological findings in disease of the biliary tract. American Journal of Digestive Diseases and Nutrition 3, 391–396 (1936). https://doi.org/10.1007/BF02999158
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DOI: https://doi.org/10.1007/BF02999158