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Quality of Life in Bile Duct Injury: 1-, 5-, and 10-year Outcomes After Surgical Repair

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

Quality of life after bile duct injury is a relevant health issue besides physician-oriented outcomes. A prospective study was performed to explore short- and long-term outcomes after surgical repair.

Method

We studied a cohort of patients with Strasberg E injuries who underwent Roux-en-Y jejunal anastomosis from 1990 to 2008. The Short Form Health Survey (SF-36) was selected as the appropriate quality of life assessment instrument. Two groups were comprised: Group I included patients with 10-year follow-up after surgery. Group II included patients operated during 2008 with preoperative 1- and 5-year questionnaires.

Results

Group I patients (N = 41) were operated from 1990 to 2003 and Group II (N = 44) during 2008. There is a significant improvement in quality of life after the first year of repair in all domains. Readmissions (48 vs 25 %; p < 0.01), colangitis (46 vs 14 %; p < 0.001), and hepatojejunal redo (26 vs. 4 %; p < 0.0001) were less frequent in Group II. No differences in quality of life summary scores were found between Group I and II.

Conclusions

Quality of life improves significantly after the first year of surgical repair, reaching a plateau at 5 years. No correlation exists with physician-centered outcomes.

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Authors and Affiliations

  1. Department of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, Vasco de Quiroga 15 Col. Sección XVI Tlalpan, 14000, México, D.F., Mexico

    Ismael Dominguez-Rosado, Miguel Angel Mercado, Christopher Kauffman, Fernando Ramirez-del Val, Alejandro Elnecavé-Olaiz & Daniel Zamora-Valdés

Authors
  1. Ismael Dominguez-Rosado
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  2. Miguel Angel Mercado
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  3. Christopher Kauffman
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  4. Fernando Ramirez-del Val
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  5. Alejandro Elnecavé-Olaiz
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  6. Daniel Zamora-Valdés
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Corresponding author

Correspondence to Miguel Angel Mercado.

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Dominguez-Rosado, I., Mercado, M.A., Kauffman, C. et al. Quality of Life in Bile Duct Injury: 1-, 5-, and 10-year Outcomes After Surgical Repair. J Gastrointest Surg 18, 2089–2094 (2014). https://doi.org/10.1007/s11605-014-2671-5

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  • DOI: https://doi.org/10.1007/s11605-014-2671-5

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