Volume :

3

Issue :

2

Abstract :

The presence of a GATE in the colon that permits organisms of SIBO go up the portal system into liver and the bile ducts due to heavy infection that can be ascertained from the stool immediately, in a microscope under low power This path was created due to the presence of Hyaluronidase produced by amoeba in the large gut at the site of an ulcer thereof that persisted at times due to incomplete treatment or follow up. Sometimes a segment of the ascending colon may be infected simultaneously with symptoms of mild functional obstruction detected by auscultation and palpation of a fremitus over the caecum with a ‘painful spasm’. We carried out about 6-9 cases of right hemicolectomy, We could follow only 3 cases and stopped further to assess long term results of liver function that did not improve in the three aged patients whom we operated earlier.