OUTCOMES OF HEPATICOJEJUNOSTOMY FOR IATROGENIC BILE DUCT INJURY
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Keywords
iatrogenic bile duct injury (IBDI). outcomes. Roux en Y hepaticojejunostomy. Associated vascular injury (AVI). stricture free survival (SFS).
Abstract
Objectives: Hepaticojejunostomy for iatrogenic bile duct injury results in significant complications. Purpose of this this study is to report short term and long-term complications of hepaticojejunostomy for iatrogenic bile duct injury. Methods: this study was a retrospective cohort study, and involved patients who undergone hepaticojejunostomy for IBDI. Short term results (90 day) and long-term results were evaluated. Results: fifty patients underwent roux en y hepaticojejunostomy, overall, 90 days morbidity was 18%-, and 90-days mortality was 8%. Long term morbidity was 4%, and long-term mortality were zero. 10 years stricture free survival was 97.9%, while 10 years overall survival was 92%. conclusion: marvelous outcomes can be obtained with Roux en Y hepaticojejunostomy.
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Muhammad Umar
MBBS. FCPS, Assistant Professor of Surgery, Pir Air Abdul Qadir shah Jeelani Institute of Medical Sciences Gambat, Pakistan
Shams Ud Din
MBBS. FCPS, Assistant Professor of Surgery, Pir Air Abdul Qadir shah Jeelani Institute of Medical Sciences Gambat, Pakistan
Hafiz Aamir Bashir
MBBS. FCPS, Assistant Professor of Surgery, Pir Air Abdul Qadir shah Jeelani Institute of Medical Sciences Gambat, Pakistan
Gul lalley
Senior Registrar of Surgery, Pir Air Abdul Qadir shah Jeelani Institute of Medical Sciences Gambat, Pakistan
Bilal Ahmed
MBBS. MS, Assistant Professor of Surgery, Pir Air Abdul Qadir shah Jeelani Institute of Medical Sciences Gambat, Pakistan
Muhammad Arsalan
Senior Registrar of Surgery, Pir Air Abdul Qadir shah Jeelani Institute of Medical Sciences Gambat, Pakistan
Bibi Saeeda
MBBS Student, Jalawan Medical College Khuzdar, Pakistan
Syed Hasnain Abbas
MBBS. FCPS, Associate Professor of Surgery, Pir Air Abdul Qadir shah Jeelani Institute of Medical Sciences Gambat, Pakistan
Abdul Wahab Dogar
MBBS. FCPS, Professor of Surgery, Pir Air Abdul Qadir shah Jeelani Institute of Medical Sciences Gambat, Pakistan