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Management of bile ducts injuries in gastroenterology and hepatology teaching hospital
Joint Authors
al-Saidi, Muhammad Husayn
Hamid, Wisam Shakir
Rashid, Bashir Abd Allah
Source
al-Kindy College Medical Journal
Issue
Vol. 10, Issue 1 (30 Jun. 2014), pp.32-36, 5 p.
Publisher
University of Baghdad al-Kindi College of Medicine
Publication Date
2014-06-30
Country of Publication
Iraq
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background : The incidence of bile ducts injuries (BDI) has risen from (0.1 to 0.2 %) to (0.4 to 0.6 %) between the era of open cholecystectomy (O C) and the age of laoaroscopic cholycystectomy (LC.) The aim of the study is to review the management and surgical outcome of the bile duct injuries in gastroenterology and hematology teaching hospital.
Methods : This study is Prospective, done in G.
I.
T hospital, From January 2008-to-February 2011, patients included in this study had prevouse history of cholecystectomy which followed by sign and symptoms of bile duct injures.
Most patients have been reffered from other hospitals, supprting therapy were given to them and investigations performed to evaluate the type of injureis, minor injuries managed conservatively and by using ERCP while major injuries reconstructive surgery done in form of Roux en y bilioenteric anastomosis, All patients followed up for 8-50 months by doing liver function tests, abdominal US and MRCP for some patients.
Assesment the outcome of the patients using Treblanche grading to good, fair and poor.
Results : The total number of patients are 53, female were 37 patients (70.5 %) 16 patients (29 %) were male.
The range of age group from 18-65 years.
Average age is 29 years.
Patient with minor BDI treated with drainage and ERCP, while 36 patients had major BDI treated by surgical reconstruction by elective manner using a technique Roux en Y (HJ).
Follow up done for (8-50 months).
(6.6 %) have good result, (52 %) got fair result and (5.5 %) had poor results which mainly occur in E3 and E4 type injuries.
Conclusions : If the diagnosis of BDI occurrence is delayed more than 24h, any attempt of primary reconstruction should be avoided and early referral of the patient to a tertiary care centre with experienced hepatobiliary surgeons and skilled interventional radiologists to assure optimal short-term and long-term outcome.
American Psychological Association (APA)
al-Saidi, Muhammad Husayn& Hamid, Wisam Shakir& Rashid, Bashir Abd Allah. 2014. Management of bile ducts injuries in gastroenterology and hepatology teaching hospital. al-Kindy College Medical Journal،Vol. 10, no. 1, pp.32-36.
https://search.emarefa.net/detail/BIM-409980
Modern Language Association (MLA)
al-Saidi, Muhammad Husayn…[et al.]. Management of bile ducts injuries in gastroenterology and hepatology teaching hospital. al-Kindy College Medical Journal Vol. 10, no. 1 (2014), pp.32-36.
https://search.emarefa.net/detail/BIM-409980
American Medical Association (AMA)
al-Saidi, Muhammad Husayn& Hamid, Wisam Shakir& Rashid, Bashir Abd Allah. Management of bile ducts injuries in gastroenterology and hepatology teaching hospital. al-Kindy College Medical Journal. 2014. Vol. 10, no. 1, pp.32-36.
https://search.emarefa.net/detail/BIM-409980
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 36
Record ID
BIM-409980