Bile Duct Injuries: physical and social outcomes after Different Therapeutic Modalities | ||
| Aswan University Medical Journal | ||
| Volume 3, Issue 1, June 2023, Pages 103-115 PDF (312.32 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2023.306941 | ||
| Authors | ||
| Mohamed Abdelbar Mohamed* 1; Mansour Mohamed Kabash1; Hussein Ali Abdelmotaleb1; Hassan Ahmed Abdalla1; Mahmoud Hassab elnabi2 | ||
| 1Department of General surgery, Faculty of medicine, Aswan University | ||
| 2Department of hepatobiliary surgery, Faculty of medicine, Assuit university, Egypt | ||
| Abstract | ||
| Background: Bile duct injury (BDI) is a major complication in biliary surgery. The management of major BDI is a surgical challenge. Aim: evaluate different therapeutic modalities of bile duct injuries and which was better according to type and time of injury outcome and improvement of quality of life. Methods: This was a non-randomized clinical trial study was conducted on thirty cases at the Faculty of Medicine, Aswan & Assuit Universities, Egypt,from February 2018 till February 2022. All patients were grouped into either surgical, endoscopic and radiological groups. Results: 50.0% had endoscopic intervention, 33.3% had surgical intervention and 16.7% had radiological intervention. There was highly significant difference between studied groups as regards (mental health, physical score and body pain score), the quality-of-life scores were betters in radiological and endoscopic groups rather than surgical group. This study revealed that patients of bile duct injury managed by non-surgical way are satisfied and they can do well with less pain. Conclusion: Endoscopic management is relatively simple, minimally invasive. However, the success of endoscopic therapy depends on the type of injury. but for major leaks and complex problems, surgery is the aim. | ||
| Keywords | ||
| Bile duct injury; Cholecystectomy; Outcomes; Timing of repair | ||
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