Bile Duct Injuries: physical and social outcomes after Different Therapeutic Modalities
Mohamed, M., Kabash, M., Abdelmotaleb, H., Abdalla, H., elnabi, M. (2023). Bile Duct Injuries: physical and social outcomes after Different Therapeutic Modalities. EKB Journal Management System, 3(1), 103-115. doi: 10.21608/aumj.2023.306941
Mohamed Abdelbar Mohamed; Mansour Mohamed Kabash; Hussein Ali Abdelmotaleb; Hassan Ahmed Abdalla; Mahmoud Hassab elnabi. "Bile Duct Injuries: physical and social outcomes after Different Therapeutic Modalities". EKB Journal Management System, 3, 1, 2023, 103-115. doi: 10.21608/aumj.2023.306941
Mohamed, M., Kabash, M., Abdelmotaleb, H., Abdalla, H., elnabi, M. (2023). 'Bile Duct Injuries: physical and social outcomes after Different Therapeutic Modalities', EKB Journal Management System, 3(1), pp. 103-115. doi: 10.21608/aumj.2023.306941
Mohamed, M., Kabash, M., Abdelmotaleb, H., Abdalla, H., elnabi, M. Bile Duct Injuries: physical and social outcomes after Different Therapeutic Modalities. EKB Journal Management System, 2023; 3(1): 103-115. doi: 10.21608/aumj.2023.306941

Bile Duct Injuries: physical and social outcomes after Different Therapeutic Modalities

Aswan University Medical Journal
Volume 3, Issue 1, June 2023, Page 103-115  XML PDF (312.32 K)
Document Type: Original Article
DOI: 10.21608/aumj.2023.306941
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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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