Stented Versus Non-stented Bilio-Enteric Anastomosis in Hepatobiliary Unit, Minia University Hospital | ||||
| Minia Journal of Medical Research | ||||
| Articles in Press, Accepted Manuscript, Available Online from 10 August 2023 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2023.225072.1480 | ||||
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| Authors | ||||
Michael Remon Roshdy1; Hazem Shemi Sharawi  2; Moatassem Mohamed Ali ElReedy3; lamis Hamad Mohamed El Haddad4
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| 1Department of Hepatobiliary surgery, Faculty of Medicine, Minia University, Minia, Egypt | ||||
| 2Department of General surgery, Faculty of Medicine, Minia University | ||||
| 3Department of Hepatobiliary surgery, Faculty of Medicine, Minia university, Minia, Egypt | ||||
| 4Department of General surgery, Faculty of Medicine, Minia University, Minia, Egypt | ||||
| Abstract | ||||
| Background Hepaticojejunostomy (HJ) is a widespread procedure used to establish continuity to bypass an obstructed bile duct, as well as after resection performed due to various diseases and injuries. The complications of HJ including leakage and stricture formation, imposing a challenge in biliary surgery. Objectives The current study aims to evaluate the role of stenting in bilio-enteric anastomosis in reducing morbidity like biliary leakage in comparison with non-stented cases. Subjects and methods A prospective randomized comparative study was conducted on 40 patients undergoing bilio-enteric anastomosis from August 2020 to February 2023, in the Hepato-Pancreato-Biliary Unit, General Surgery Department, Minia University Hospital, Minia, Egypt. Results 20 patients (50%) of the study sample were stented; the size of the stent was chosen according to the intra-operative size of the common bile duct (CBD); the remaining 20 patients (50%) were non-stented. There was no statistically significant difference between stenting/ non-stenting in intra-operative blood loss or operative time (p=0.067, 0.758, respectively). Post-operative follow-up showed a significant difference between stented and non-stented patients in drain bile content (p-value=0.039), post-operative wound complications (P-value= 0.028), as well as postoperative fever (P-value= 0.044). Stented patients also had shorter hospital stay and a lower risk of ICU admission (P-value = 0.0434, and 0.049, respectively. Conclusion By taking into consideration that postoperative complications were higher in non-stented patients with a longer hospital stay as well as a higher risk of ICU admission, stenting is superior to non-stenting in patients undergoing bilio-enteric anastomosis (Hepaticojejunostomy). | ||||
| Keywords | ||||
| Hepaticojejunostomy; stenting; biliary leakage | ||||
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