Prediction of adverse outcome after bilioenteric anastomosis for postcholecystectomy bile duct injury: insights from a tertiary care center
Abdelzaher, M., Hamza, H., Farahat, M., Khalaf, M., Metwally, A., Saleh, A. (2025). Prediction of adverse outcome after bilioenteric anastomosis for postcholecystectomy bile duct injury: insights from a tertiary care center. EKB Journal Management System, 44(4), 1253-1264. doi: 10.21608/ejsur.2025.364695.1415
Mohamed Abdelzaher; Hosam M. Hamza; Mohamad S. Farahat; Mohamed Khalaf; Ashraf M. Metwally; Abdelrahman G. Saleh. "Prediction of adverse outcome after bilioenteric anastomosis for postcholecystectomy bile duct injury: insights from a tertiary care center". EKB Journal Management System, 44, 4, 2025, 1253-1264. doi: 10.21608/ejsur.2025.364695.1415
Abdelzaher, M., Hamza, H., Farahat, M., Khalaf, M., Metwally, A., Saleh, A. (2025). 'Prediction of adverse outcome after bilioenteric anastomosis for postcholecystectomy bile duct injury: insights from a tertiary care center', EKB Journal Management System, 44(4), pp. 1253-1264. doi: 10.21608/ejsur.2025.364695.1415
Abdelzaher, M., Hamza, H., Farahat, M., Khalaf, M., Metwally, A., Saleh, A. Prediction of adverse outcome after bilioenteric anastomosis for postcholecystectomy bile duct injury: insights from a tertiary care center. EKB Journal Management System, 2025; 44(4): 1253-1264. doi: 10.21608/ejsur.2025.364695.1415

Prediction of adverse outcome after bilioenteric anastomosis for postcholecystectomy bile duct injury: insights from a tertiary care center

The Egyptian Journal of Surgery
Volume 44, Issue 4, October 2025, Pages 1253-1264    PDF (574.46 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2025.364695.1415
Authors
Mohamed Abdelzaher* 1; Hosam M. Hamza1; Mohamad S. Farahat1; Mohamed Khalaf2; Ashraf M. Metwally2; Abdelrahman G. Saleh2
1Department of General Surgery, Faculty of Medicine, Minia University, Egypt.
2Department of General Surgery, Faculty of Medicine, Minia University, Egypt
Abstract
Background and purpose of the study: Bile duct injury (BDI) is one of the most severe complications of cholecystectomy which requires surgical management. The purpose of this study is to analyze and predict the adverse outcome after bilioenteric anastomosis for the treatment of BDI after cholecystectomy. Patients and methods: This retrospective study was conducted at Minia University Liver and GIT Hospital with a total number of 43 patients who underwent Roux-en-Y hepaticojejunostomy (HJ) for management of postcholecystectomy BDI in the period from March 2018 till January 2022.
Results: Sepsis and higher-grade of BDI were strongly associated with increased risks of adverse events. Late surgical reconstruction appears protective. Longer operative time is linked to a slight but significant increase in risk.
Conclusion: Our analysis demonstrates that multiple factors can significantly influence the outcome of the surgical reconstruction after postcholecystectomy BDI, including the clinical presentation after injury (especially biliary leakage and sepsis), grade of injury according to Strasberg classification, timing of surgical reconstruction, use of trans-anastomotic stent, and the operative time.
Keywords
Adverse outcome; bile duct injury; bilioenteric anastomosis; postcholecystectomy; strasberg classification
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