Abstract
The liver has, in common with the lungs, a specialised population of resident phagocytic cells. These two large organs also share the property of each being exposed to a particular source of potentially infecting pathogens. The lungs are exposed to air borne micro-organisms, whereas the liver is the first line of defence for gut borne micro-organisms escaping into the portal circulation. If micro organisms taken up by the phagocytes are not thereby destroyed then their continuing accumulation will go on to produce local infections.
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References
Ochsner A, DeBakey M, Murray S: Pyogenic abscess of the liver II. An analysis of 47 cases with review of the literature. Am J Surg 40: 292–319, 1938
Anon: Editorial. Pyogenic liver abscesses Br Med J 280: 1155–1156, 1980
Palmer ED: The changing manifestations of pyogenic liver abscess JAMA 231: 192, 1975
Bertel CK, Van Heerden JA, Sheedy PF: Treatment of pyogenic hepatic bascess. Surgical v percutaneous drainage. Arch Surg 121: 554–558, 1986
Pitt HA, Zuidema GD: Factors influencing mortality in the treatment of pyogenic hepatic abscess. Surg Gynecol & Obstet 140: 228–34, 1975
Buckman TG, Zuidema GD: The role of computerized tomographic scanning in the surgical management of pyogenic hepatic abscess. Surg Gynaecol & Obstet 153: 1–9, 1981
Rubin RH, Swartz MN, Malt R: Hepatic abscess: changes in clinical, bacteriologic and therapeutic aspects. Am J Med 57: 601–10, 1974
Tam PKH, Saing H, Lau JTK: Three successfully treated cases of non amoebic liver abscess. Arch Dis Child 58: 828–9, 1983
Butler JJ, McCarthy TJ: Pyogenic liver abscess. Gut 10: 389–399, 1969
Editorial: Pyogenic liver abscess - continuing problem of management. Lancet 1:1170–1711, 1976
Crass JR: Liver abscess as a complication of regional enteritis. Interventional considerations. Am J Gastroenterol 78: 747–749, 1983
Rothenberg RE, Linder W: The single pyogenic liver abscess: a study of 24 cases. Surg Gynecol & Obstet 39: 31–40, 1934
Tanaka N: Biliary Sepsis. PhD Thesis 1985, Lund, Sweden
Wallack MK, Brown AS, Austrian R, Fitt WT: Pyogenic liver abscess secondary to asymptomatic sigmoid diverticulitis. Ann Surg 184: 241–243, 1976
Lee JF, Black GE: The changing clinical pattern of hepatic abscess. Archiv Surg 104:465–470, 1972
Balasegaram M: Management of hepatic abscess. Curr Probl in Surg 185: 282–340, 1981
Manco LG: Percutaneous drainage of a left subphrenic abscess through a polycystic liver. J Clin Ultrasound 12: 222–224, 1984
Mandel SR, Boyd D, Jaques PF, Mandell V, Staab EV: Drainage of hepatic intra-abdominal and mediastinal abscesses guided by computerized axial tomography. Am J Surg 145: 120–125, 1983
Sauer PF: The red rubber sump. Surg Gynecol & Obstet 162:183, 1986
Gerzof SG, Johnson WC, Robbins AH. Nabseth DC: Intra hepatic pyogenic abscesses: treatment by percutaneous drainage. Am J Surg 149: 487–494, 1985
Johnson WC, Gerzof SG, Robbins AH, Nabseth DC: Treatment of abdominal abscess. Comparative evaluation of operative drainage versus percutaneous catheter drainage guided by computed tomography or ultrasound. Ann Surg 194: 510–520, 1981
Skibber JM, Lotze MT, Garra B, Fauci A: Successful management of hepatic abscesses by percutaneous catheter drainage in chronic granulomatous disease. Surgery 99: 626–629, 1986
Silver S, Weinstein A, Cooperman A: Changes in the pathogenesis and detection of intrahepatic abscess. Am J Surg 137: 608–610, 1979
Koff RS, Galambos J: Viral hepatitis. In: Schiff L and Schiff ER (eds) Diseases of the Liver. J B Lippincott Company, Philadelphia, Toronto, 1982
Moestrup T, Hansson BG, Widell A, Nordenfeld E: Clinical aspects of delta infection. Br Med J 286: 87–90, 1983
Rizetto M, Verme G: Delta hepatitis - present status. J Hepatol 1: 187–193, 1985
Nagalotimath SJ, Darbar RD, Jogalekar MD: Granulomatous hepatitis in brucellosis. J Ind Med Assoc 72 (1): 1–4, 1979
Weinstein L: Bacterial hepatitis: a case report of an unrecognised cause of fever of unknown origin. N Engl J Med 299: 1052–1054, 1978
Conter RL, Pitt HA, Tompkins RK, Longmire WP: Differentiation of pyogenic from ameobic hepatic abscess. Surg Gynecol & Obstet 162: 114–120, 1986
Hau T: Infections of the liver and spleen. In: RL Simmons and RJ Howard (eds) Surgical Infectious Diseases. Appleton-Century-Crofts, New York
Craig PS, Zeyhle E, Romig T: Hydatid disease: research and control in Turkana II. The role of immunological techniques for the diagnosis of hydatid disease. Trans Roy Soc Trop Med Hygiene 80: 183–92, 1986
Pitt HA, Korzelius J, Tompkins RK: Management of hepatic Echinococcus in Southern California. Am J Surg 152: 110–115, 1986
Goodale RL, Dressel TD: Infections of the pancreas. In: Simmons RL and Howard RJ (eds) Surgical Infectious Diseases. Appleton-Century-Crofts, New York
Crass RA, Meyer AA, Jeffrey RB, Federle MP, Grendall JH, Wing VW, Trunkey DD: Pancreatic abscess: impact of computerized tomography in early diagnosis and surgery. Am J Surg 150: 127–131, 1985
Gerzoff SG, Johnson WC, Robbins AH, Spechler SJ, Nabseth DC: Percutaneous drainage of infected pancreatic pseudocysts. Arch Surg 119: 888–893, 1984
Bradley EL, Fulenwider JT: Open treatment of pancreatic abscess. Surg Gynecol & Obstet 159: 509–513, 1984
Pemberton JH, Becker JM, Dogois RR, Nagorney DM, Ilstrup D, Remine WH: Controlled open lesser sac drainage for pancreastic abscess. Ann Surg 203: 600–604, 1986
Stone HH, Strom PR, Mullins RJ: Pancreatic abscess management by subtotal resection and packing. World J Surg 8: 340–345, 1984
Malangoni MA, Shallcros JC, Seiler JG, Richardson JD, Polk HC: Factors contributing to fatal outcome after treatment of pancreatic abscess. Ann Surg 203: 605–613, 1986
Csendes A, Fernadey M, Unbec P: Bacteriology of the gall bladder bile in normal subjects. Am J Surg 129: 629–631, 1975
Scott AJ: Progress report: bacteria and diseases of the biliary tract. Gut 12: 487–492, 1977
Henry ML, Carey LC: Complications of cholecystectomy. Surg Clin of North America 63: 1191–1204, 1983
Keighley MRB, Graham NG: Infective complications of choledochotomy with T-tube drainage. Br J Surg 58: 764–768, 1971
Gallagher P, Ostick G, Jones D, Schofield PF, Tweedle DEF: Intraoperative microscopy of bile — is it useful? Br J Surg 69: 473–474, 1982
Vogt DF, Hermann RE: Choledochoduodenoscopy, Choledochojejunestomy or sphincteroplasty for biliary and pancreatic disease. Ann Surg 193: 161–168, 1981
Keighley MRB: In: Blumgart LH (ed) The Biliary Tract. Churchill Livingstone, London, 1982
Keighley MRB: Micro organisms in the bile. Ann Roy Coll Surg Eng 54: 329–334, 1977
Armstrong CP, Dixon JM, Duffy SW, Elton RA, Taylor TV, Davies GC: Choledochotomy and sepsis in benign biliary disease. J Roy Coll Surg Edin 32: 343–347, 1985
Keighley MRB, Flim R, Alexander-Wilhams J: Multivariate analysis of clinical and operative findings involved with biliary sepsis. Br J Surg 63: 528–531, 1976
Cruse PJE: Incidence of wound infections on general surgery services. Surg Clin of North America 55: 1269–1275, 1975
Payne RA, Woods WGA: Primary suture or T-tube drainage after choledochotomy. Ann Roy Coll Surg Eng 68: 196–198, 1986
Lygidakis NJ: Choledochotomy for biliary lithiasis: T-tube drainage or primary closure. Am J Surg 146: 254–256, 1983
Lygidakis NJ: Infective complications after choledochotomy. J Roy Coll Surg Edin 27: 233–237, 1982
Worthley CS: Exploration of the common bile duct for benign conditions: an analysis of 413 patients. Aust N.Z. J Surg 52: 478–483, 1982
Gierscksky K-E: Antimicrobial prophylaxis in biliary and gastrointestinal surgery. Scand J Gastroenterol (Suppl) 85: 104–110, 1983
Elke R, Widmer M, Trippel M, Gruber UF: Mezlocillin single-dose prophylaxis in biliary tract surgery. Eur Surg Res 15: 297–301, 1983
Brook I, Altman RP: The significance of anaerobic bacteria in biliary tract infection after hepatic portoenterostomy for biMary atresia Surgery 95: 281–283, 1984
Blenkharn JI, Blumgart LH: Streptococcal bacteria and hepatobiliary operations. Surg Gynecol & Obstet 160: 139–141, 1985
Lotveit T: Bacterial infection of the liver and biliary tree. Scand J Gastroenterol (Suppl) 85: 104–110, 1983
Bamham M: The gut is a source of the haemolytic streptococci causing infection in surgery of the intestine and biliary tracts. J of Infection 6: 129–139, 1983
Thornton JR, Heaton KW: Do colonic bacteria contribute to cholesterol gallstone formation? Effects of lactulose on bile. BMJ 282: 1018–1020, 1981
Kaye D: Enterococci: biological and epidemiological characteristics and in vitro susceptibility. Arch Int Med 142: 2006–2009, 1982
Dooley JS, Gooding A, Hamilton-Miller JMT, Brumfitt W, Sherlock S: The biliary excretion and pharmacokinetics of Mezlocillin in jaundiced patients with external bile drainage. Liver 3: 201–206, 1983
Morris DL, Mojaddedi ZJ, Burdon DW, Keighley MRB: Clinical and microbiological evaluation of Piparacillin in elective biliary surgery. J Hosp Inf 4: 159–164, 1983
Stone HH, Haney BB, Kolb LD, Geheber CE, Hooper CA: Prophylactic and preventative antibiotic therapy: timing, duration and economics. Ann Surg 189: 691–699, 1979
Pitt HA, Postier RG, Gadacz TR, Cameron JL: The role of topical antibiotics in ‘high risk’ biliary surgery. Surgery 91: 518–524, 1982
Lord JW, LaRaje RD, Diliana M, Gordon MT: Prophylactic antibiotic wound irrigation in gastric, biliary and colonic surgery. Am J Surg 145: 209–212, 1983
Little JM, Cunningham P: Obstructive jaundice in a referral unit: surgical practice and risk factors. Aust N Z J Surg 55: 427–432, 1985
O’Connor MJ, Schwartz ML, McQuarrie DG, Sumner HW: Acute bacterial cholangitis: an analysis of clinical manifestations. Arch Surg 117: 437–441, 1982
Dooley JS, Hamilton-Miller JMT, Brumfitt W, Sherlock S: Antibiotics in the treatment of biliary infection. Gut 25: 988–998, 1984
Pitt HA, Postier RG, Cameron JL: Consequences of peroperative cholangitis and its treatment on the outcome of operation for choledocholithiasis. Surgery 94: 447–452, 1983
Lam SK: A study of endoscopic sphincterotomy in recurrent pyogenic cholangitis. Br J Surg 71: 262–266, 1984
Kozarek RA: Transnasal pancreaticobiliary drains. Indications and Insertion Technique. Am J Surg 146: 250–253, 1983
Molnar W, Stockum AE: Relief of obstructive jaundice through a percutaneous transhepatic catheter - a new therapeutic method. AJR 122: 356–357, 1974
McPherson GAD, Benjamin IS, Habib NA, Bowley NB, Blumgart LH: Percutaneous transhepatic drainage in obstructive jaundice: advantages and problems. Br J Surg 69: 261–264, 1982
Randall PE, Hutchinson GH: Wound infection after biliary tract surgery. Br J Clin Prac 34: 200–202, 1980
Blenkharn JI, McPherson GAD, Blumgart LH: Septic complications of percutaneous transhepatic biliary drainage. Evaluation of a new closed drainage system. Am J Surg 147:318–321, 1984
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© 1988 Martinus Nijhoff Publishers, Dordrecht
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Puntis, M.C.A., Simmons, R.L. (1988). Septic problems in hepato-pancreatico-biliary (HPB) surgery. In: Bengmark, S. (eds) Progress in Surgery of the Liver, Pancreas and Biliary System. Developments in Surgery, vol 9. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3349-1_5
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DOI: https://doi.org/10.1007/978-94-009-3349-1_5
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