TABLE 3.
Site | Host factor | Effect on Intestinal flora |
---|---|---|
Proximal small bowel | Achlorhydria | ↑ Escherichia coli, Bacteroides fragilis |
Vagotomy and pyloroplasty | ↑ B fragilis, Bifidobacterium | |
Mid and distal small bowel | Regional enteritis, blind loop, diverticulitis, irradiation, obstruction | ‘Colonic flora’ |
Colon | Colonic resection with ileostomy | ↓ Anaerobes and some aerobes |